By Radu Prejbeanu
This atlas presents readers with a concise and obtainable source for appearing knee arthroscopy, the most universal orthopaedic techniques within the US and more and more world wide. Illustrated with over one hundred fifty surgical photos, citizens, experts and senior surgeons alike will locate this atlas to be a key reference for bettering knee arthroscopy approaches and results for patients.
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Additional info for Atlas of Knee Arthroscopy
Objectives of meniscus surgery are return to previous activity level, relieve symptoms associated with tears, not increase risk of late osteoarthritis, not add further problems . Approximately 700,000 arthroscopic partial meniscectomies are performed annually in the United States alone . Metcalf et al. concluded that partial meniscectomy is better than total meniscectomy because less operative time, enhanced recovery rate, improved long term stability. They also concluded than arthroscopic is better than open meniscectomy with less operative time and quicker recovery post-op .
Meniscal allograft transplantation is not recommended to be performed if: 1. High chondral degeneration (3 > according to ICRS) has been suggested to be a contraindication, although its effect on eventual graft failure was not proven to be of great significance . 2. Radiograph evidenced osteophytes have been known to favor bad outcomes due to the structural modifications they create on the normal bone surface . 3. Varus and valgus deformities exert abnormal pressure on the graft and induce a high rate of failure .
The arthroscopy ends up with a thorough cleaning of the knee. Any meniscus fragments must be removed without leaving any remnants in the portals which will become a source of chronic pain. The closure of the portals is carried out by several ways: non resorbable sutures, staples or even adhesive tape . In a longer-term study, Burks and colleagues reported 88 % good and excellent results after 15 years follow-up. They also reported that results were not significantly different for medial versus lateral tears.