Arthroscope-guided surgery versus nonoperative treatment for limited degenerative osteoarthritis of the femorotibial joint in patients over 50 years of age: A prospective comparative study*

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Summary

Thirty-five patients with limited extent of degenerative osteoarthritis of the femorotibial joint treated by arthroscope-guided surgery were compared after 1–3 years with 38 patients with a similar condition treated conservatively. In selecting a patient for arthroscope-guided surgery, the most important considerations were a normal mechanical axis, a limited extent of the degenerative process, and a femorotibial pain of sudden onset or that had been present for <6 months. Clinical evaluation was undertaken using a modification of the Hospital for Special Surgery Knee Rating Score. The surgical procedure included partial meniscectomy, limited debridement of loose articular cartilage and removal of loose bodies. In the operated group, 26 patients (75%) showed improvement, five (14%) remained unchanged, and four (11%) were worse than before surgery. The average age of patients was 57 years. In the nonoperated group, six patients (16%) were improved, 12 (31%) unchanged, and 20 (53%) worse than before treatment. The average age of patients was 56 years. Arthroscope-guided surgery for limited degenerative osteoarthritis of the femorotibial joint with normal limb alignment or for degenerative meniscal tears has proven to be a useful technique.

References (34)

  • InsallJN

    Intra-articular surgery for degenerative arthritis of the knee: a report of the work of the late KH Pridie

    J Bone Joint Surg [Br]

    (1967)
  • HaggartGE

    Surgical treatment of degenerative arthritis of the knee joint

    N Engl J Med

    (1947)
  • MagnusonPB

    Technique of debridement of the knee joint for arthritis

    Surg Clin North Am

    (1946)
  • FriedmanMJ et al.

    Preliminary results with abrasion arthroplasty in the osteoarthritic knee

    Clin Orthop

    (1984)
  • JacksonRW et al.

    The arthroscopic treatment of degenerative arthritis of the knee

  • WatanabeM et al.

    Atlas of arthroscopy

    (1979)
  • LivesleyPJ et al.

    Arthroscopic lavage of osteoarthritic knees

    J Bone Joint Surg [Br]

    (1991)
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    *

    This study was supported by a grant from Fundacion Caja de Madrid.

    1

    From La Paz Orthopedics and Traumatology Hospital (E.C.R.M.) and Madrid Traumatology Institute (E.G.), Madrid, Spain.

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