Short term outcome of arthroscopic meniscectomy in stable knees 1980 and 1995
(English)Manuscript (preprint) (Other academic)
Original data from 86 consecutive patients with arthroscopic meniscectomy 1980-81 was compared to similar data from 82 consecutive patients operated on 1995-1998. All knees were stable and without severe cartilage changes. In 1980 a follow-up examination was performed 10 (6-17) months after surgery and 1995 the patients answered two questionnaires 3 and/or more than 12 months after surgery. Age, sex and activity level before injury did not differ between the series and the distribution of meniscus tear types was similar.
In 1995 all patients were treated as outpatients while one third of the patients remained in hospital for 1-3 days in 1980. The operating time was shorter and the frequency of subtotal meniscectomy was less in 1995. Sick leave did not differ between the series and 2 out of 3 patients were back at work within one week. In 1995 almost half of the patients still had some knee problems 3 months after surgery but thereafter a substantial improvement was seen. The time to recovery was longer 1995 than in 1980. At the final follow-up the activity level and frequency of complete recovery did not differ between the series.
We conclude that the improved technique for arthroscopic meniscectomy during the last 15 to 20 years and less supervised rehabilitation has decreased the costs and freed resources for other patients. However, with the simplified rehabilitation, the previous opinion of a very fast recovery after arthroscopic meniscectomy has to be reevaluated.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-79487OAI: oai:DiVA.org:liu-79487DiVA: diva2:542863