Document Detail


Painful medial knee compartment syndrome in over-45 year-olds: I--medical or surgical management: a series of 174 patients.
MedLine Citation:
PMID:  21543278     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: There is at present no consensus on the management of degenerative medial meniscus lesions in patients aged over 45 years without proven osteoarthritis, especially given that the causal relation between degenerative meniscal lesion and osteoarthritis remains controversial. A prospective multicenter non randomized study was therefore performed. The principal objective was to assess surgeons' practice in the management of degenerative medial meniscus lesions. The secondary objectives were to identify predictive and prognostic factors and to compare medical versus surgical attitudes so as to draw up an adapted treatment strategy.
PATIENTS AND METHOD: One hundred and seventy-four patients were included between September 2008 and February 2010, and distributed between a surgical (n=104) and a medical group (n=70). Minimum follow-up was 6 months. Patient satisfaction and health-related quality of life on the SF-36 questionnaire were assessed at 6 months.
RESULTS: No difference emerged between the surgical and medical groups. However, predictive factors for poor results were identified: overweight (p=0.005), cartilage lesions (p=0.035) and meniscus extrusion (p=0.006).
DISCUSSION: Results clarified the relation between degenerative meniscus lesions and osteoarthritis, in terms of meniscal incompetence. Meniscal extrusion should be seen as an arthrogenic degenerative meniscus lesion. We recommend a management strategy based on terrain and imaging data (X-ray and MRI), with the aim of providing patient relief while conserving cartilage.
Authors:
C Andro; F Dubrana; G Marcillaud; J-L Rouvillain; F-X Gunepin; P Dewerpe; S Guilbert; L Wessely; P Buisson; P Chicault; J-P Nguyen-Khanh; T Brune; M Dhénain; Y Maugars
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Publication Detail:
Type:  Journal Article; Multicenter Study     Date:  2011-05-04
Journal Detail:
Title:  Orthopaedics & traumatology, surgery & research : OTSR     Volume:  97     ISSN:  1877-0568     ISO Abbreviation:  Orthop Traumatol Surg Res     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-05-20     Completed Date:  2012-01-18     Revised Date:  2013-10-31    
Medline Journal Info:
Nlm Unique ID:  101494830     Medline TA:  Orthop Traumatol Surg Res     Country:  France    
Other Details:
Languages:  eng     Pagination:  S21-6     Citation Subset:  IM    
Copyright Information:
Copyright © 2011. Published by Elsevier Masson SAS.
Affiliation:
Service de Chirurgie Orthopédique et Traumatologique, Hôpital Instruction Militaire Clermont-Tonnerre, 29200 Brest, France. frederic.dubrana@chu-brest.fr
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MeSH Terms
Descriptor/Qualifier:
Aged
Compartment Syndromes / etiology,  pathology,  surgery,  therapy*
Female
Humans
Knee Joint*
Male
Menisci, Tibial / pathology,  surgery
Middle Aged
Pain / etiology
Patient Satisfaction
Prognosis
Quality of Life

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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