Sestre Milosrdnice University hospital and Institute of Clinical Medical Research
Abstract
Partial meniscectomy involves partial removal of the meniscus. This can vary from minor trimming of the damaged part of the meniscus to the removal of the rip from the meniscocapsular junction. Meniscus tears are the most common knee injury. They may occur in acute knee injuries in younger patients, or as part of a degenerative process in older individuals. The aim of the study was to demonstrate the method of choice for treatment of medial meniscus injuries that, in well selected cases, resulted in a small rate of complications and fast rehabilitation. The study analyzed the results of arthroscopic partial medial meniscectomy in 99 patients, in the period from 2005 to 2013, with follow up of 12-14 months. In our series of arthroscopically treated medial meniscus, tears were found in 29 patients with vertical complete bucket handle lesions, 14 with vertical incomplete lesions, 9 with longitudinal tears, 13 with oblique tears, 11 with complex, flap and degenerative lesions, 10 with radial lesions and 13 with horizontal lesions. The mean preoperative International Knee Documentation Committee score was 52.52%, then 81.81% at one month and 92.92% at six months of arthroscopic partial medial meniscectomy. Arthroscopic partial medial meniscectomy is a minimally invasive diagnostic and therapeutic procedure. This procedure is an acceptable and effective long-term treatment, particularly in patients without significant articular cartilage damage, and is associated with minimal morbidity.Parcijalna meniscektomija podrazumijeva djelomično uklanjanje meniskusa. Ovo može varirati od manje ekstirpacije oštećenog dijela meniskusa do uklanjanja rascjepa s meniskokapsularnog hvatišta. Ozljede meniskusa su najčešće ozljede koljena. One se mogu javiti kao akutne ozljede koljena kod mlađih bolesnika ili kao dio degenerativnog procesa u starijih osoba. Cilj studije bio je pokazati metodu izbora u liječenju ozljeda medijalnog meniskusa koja u dobro odabranim slučajevima dovodi do malog postotka komplikacija i brze rehabilitacije. U studiji su analizirani rezultati artroskopske parcijalne
medijalne meniscektomije kod 99 bolesnika u razdoblju od 2005. do 2013. godine s praćenjem kroz 12-14 mjeseci. U našoj seriji bolesnika liječenih ovom metodom utvrđen je rascjep poput drške košarice (bucket handle) u 29, vertikalni nepotpuni rascjep u 14, uzdužni rascjep u 9, kosi rascjep u 13, degenerativna lezija u 11, radijalni rascjep u 10 i horizontalni rascjep u 13 bolesnika. Prosječni prijeoperacijski zbir IKDC (International Knee Documentation Committee) bio je 52,52%, jedan mjesec nakon parcijalne artroskopske medijalne meniscektomije IKDC je bio 81,81%, a šest mjeseci nakon parcijalne meniscektomije 92,92%. Artroskopska parcijalna medijalna meniscektomija je minimalno invazivan dijagnostički i terapijski zahvat. Ona je prihvatljiva i učinkovita kao liječenje, naročito kod bolesnika bez značajnog oštećenja zglobne hrskavice, a praćena je minimalnim pobolom
