Role of Arthroscopic Debridement Role of Arthroscopic Debridement in Improving Function in Patients with Arthritic Knee Mohammed S Albakri* FICMS, Harith M Abd Al-Baqi* DRMR, Duraid M Fadhil* MBChB
Abstract
Background: Osteoarthritis is the most common musculoskeletal disorder that lead to severe restriction of daily physical activities.
Objectives: To evaluate the effect of joint debridement in decreasing pain and improving function and to identify the groups of patients that will benefit from arthroscopic debridement of arthritic knee.
Methods: Forty-seven patients over 30 years of age underwent elective arthroscopic debridement for the treatment of degenerative arthritis of the knee joint between June 2013 and June 2015 at Alnuman teaching hospital, Baghdad, Iraq and were followed for at least 12 months. Improvement in function, intra operative findings, surgical complications and the need for total knee arthroplasty were noted.
Results: Female to male ratio was 3/1. With mean age of (48.37±8.9) which is lower than that in male (53.08±9.1). Significant improvement was obtained in KL grade 2, 3 and 4. With p value < 0.01 for grade 2 and 3 and a p value of < 0.05 for grade 4. Thirty-four (72.3%) patients returned to their normal daily activities within 22 weeks. Intra operative findings were superior than KL grading in reflecting the significance of debridement.
Conclusion: Arthroscopic debridement is a reliable and effective treatment for knee osteoarthritis in appropriately selected patients.
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