Comparison of Quality of Life in Patients Operated for Knee Surgery via Conventional Method and Arthroscopy: An Original Research.

J Pharm Bioallied Sci

Rashtriya Kishore Swasthya Karyakram Consultant, District Medical and Health Office, Visakhapatnam, Andhra Pradesh, India.

Published: July 2023

AI Article Synopsis

  • The study evaluated two treatment methods—supervised exercise alone versus arthroscopic partial meniscectomy followed by exercise—for patients with medial meniscal tears confirmed by MRI.
  • A total of 100 adults participated, with assessments of pain and knee function conducted using various scoring systems at the start, 2 months, and 6 months post-intervention.
  • The results indicated no significant difference in improvement between the two methods, suggesting that patients may benefit from delaying surgery in favor of conservative management.

Article Abstract

Introduction: To assess physical activity and knee function, the two methods of conventional supervised exercise and the arthroscopic partial meniscectomy trailed by exercise were evaluated after a nontraumatic meniscal (medial) tear that was confirmed on magnetic resonance imaging (MRI).

Materials And Methods: One hundred adult subjects were assessed for the current prospective research. The pain in the knee was assessed using the Knee Injury and Osteoarthritis Outcome Score (KOOS), Lysholm Knee Scoring Scale (LKSS), Tegner Activity Scale (TAS) Visual Analogue Scale (VAS). All the parameters were compared at the start of the study and 2 and 6 months after the intervention. All the data were compared using the analysis of variance (ANOVA) with < 0.05 considered as significant.

Results: According to the outcome scores, exercising by itself did not result in a larger improvement than an arthroscopic partial medial meniscectomy. There was a significant reduction in discomfort, improved function, and satisfaction for subjects in the two groups ( < 0.0001). After six months, 40% of the subjects reported that the activity levels were similar to the incidence of the injury.

Conclusion: The quality of life was reported to be comparable in the arthroscopy subjects and the conventional group subjects. Hence, arthroscopy can be delayed for the meniscal tear in the adult subjects who are best managed by the conservatively managed.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10466629PMC
http://dx.doi.org/10.4103/jpbs.jpbs_498_22DOI Listing

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