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Postoperative Subjective Evaluation after Meniscectomy in Patients Older than 70 Years: A Local Retrospective Study

Postoperative Subjective Evaluation after Meniscectomy in Patients Older than 70 Years: A Local Retrospective Study

Ignacio Fernández, Md, CHILE Francesca Castelletto, MD, CHILE Enrique Sebastián Rubio, Md, CHILE Rodrigo Humberto Garcia, MD, CHILE Roberto Cisternas, md, CHILE Ignacio Lopez, CHILE

Hospital Clínico Instituto de Seguridad del Trabajo, Viña del Mar, Valparaíso, CHILE


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Sports Medicine


Summary: Postoperative subjective evaluation with IKDC scale of 9 of a total of 87 patients who underwent arthroscopic menisectomy between 2010 and 2020.


Introduction

Meniscal injuries have a prevalence of up to 56% in patients aged 70-90 years, in turn, knee osteoarthritis over 65 years is present in more than 50% of the population; since 2013 it is not recommended arthroscopy for the management of patients with knee osteoarthritis, however no mention is made of meniscal injuries in this population.

Materials And Methods

Retrospective study of 9 patients over 70 years of age, 56% women who underwent arthroscopic partial meniscectomy from 2010 to 2020, completing the IKDC questionnaire, with simple statistical analysis.

Results

11% (1 patient, male) worsened in symptoms, 89% improved symptoms to date and 100% of patients currently have no indication for total knee arthroplasty. Average score of the questionnaire 51 points, with a maximum of 76 and a minimum of 26.

Conclusion

Arthroscopic partial meniscectomy in patients older than 70 years, without severe gonarthrosis, improves the patient's symptoms, providing a better quality of life.

Discussion

Although the subjective results described by the patients are promising, there is a lack of a larger population studied to give statistically significant results, which is why further studies are required.


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