Stručni rad

The analysis of changes in knee joint after extirpation of the lateral discoid meniscus

Radomir Nedeljković

Sažetak

The analysis of results and efficiency of the lateral meniscectomy of discoid lateral meniscus on 28 patients operated on at the Orthopedic Department of the General Hospital in Osijek between 1963 and 1983 is presented. The average age of patients when operated was 14 years, and at the control time 25 years. The youngest operated patient was 6 years old and the oldest one 18. In all cases the surgery has been performed because of the lateral discoid meniscus which essentially disturbed the knee function. All the patients had, before intervention, periodical blockades in the operated knee. Among subjective troubles, except periodical knee blockades, the most present troubles were crepitations, then the feeling of knee instability (etc). The postoperative results were satisfactory for 53.5% of patients. Medical examination was mostly related to crepitation, then to quadriceps hypertony etc. A high percentage of valgus knee position (57%) was established by standard and objective rtg laboration. The younger the examinees were at the time of operative intervention, the more often appeared the postoperatively reduced movability of the knee joint or qudriceps hypertrophy. It caused deviations of load axis with more emphasized valgus position. In this way possibilities for arthrotic changes in lateral part of the knee have been originated which was disclosed on x-rays in 67.86% of our patients. Extirpation of discoid meniscus is a very responsible operative treatment and the decision about such an operation should be made by an experienced orthopaedist-gonologist.

Ključne riječi

discoid meniscus; gonarthrosis

Hrčak ID:

197678

URI

https://hrcak.srce.hr/197678

Datum izdavanja:

1.12.1987.

Podaci na drugim jezicima: hrvatski

Posjeta: 1.655 *