Georgian Med News. 2022 Mar;(324):15-20.
ABSTRACT
Aim – in patients with knee meniscus injury, compare the therapeutic effectiveness of the use of meniscus suturing with anterior cruciate ligament (ACL) surgery with meniscus resection in combination with anterior cruciate ligament surgery to improve the treatment of such pathologies. The study examined patients (n=66) with knee meniscus injury who received surgical treatment in the traumatology department of the State Budgetary Healthcare Institution of the Moscow region “City Clinical Hospital № 12 of the Moscow City Health Department”. The patients were randomized by gender, age, clinical, biochemical and instrumental data and divided into 2 groups. The first group (n=33) – patients underwent resection of the anterior meniscus with simultaneous plasty of the anterior cruciate ligament (in 17 (51.6%) – medial, and in 16 (48.4%) – lateral), the age group was 26.8±6.33 years, the proportion of men was 19 (57.6%), and women – 14 (42.4%). The second group (n=33) – patients underwent suturing of the meniscus with ACL plastic surgery (in 23 (69.7%) – medial, and in 10 (30.3) – lateral), age – 27.2± 4.56 years, men – 18 (54.6%), women – 15 (45.4%). This work includes clinical, arthroscopic, ultrasound, X-ray and magnetic resonance research methods. The obtained results of clinical and instrumental research methods indicate that the use of both surgical techniques showed statistically significant positive results. At the same time, the use of stitching techniques in the restoration of the injured knee joint revealed the best results relative to the resection type of surgery: good progress was 75.8-100.0% (p<0.05), and unsatisfactory – 24.4-15.1% (p<0.05). In patients with an alternative (resection) method, the data were 60.7-72.8 and 40.0-27.7% (p<0.05), respectively. Comparative analysis showed that the therapeutic effectiveness of the stitching technique is better than resection: good progress was higher by 19.6% (p<0.05), and unsatisfactory less – by 17.9% (p<0.05). The above indicates that arthroscopic stitching demonstrates high reliability of use in the rupture of the meniscus of the knee joint.
PMID:35417857
