Semptomatik Diskoid Menisküsün Cerrahi Tedavisi; Tedavi modaliteleri ve fonksiyonel sonuçları

Year 2023, Volume: 45 Issue: 4, 590 - 596, 20.07.2023

Yavuz Şahbat , Servet İğrek , Erdem Koç , Omar Bihi , Elif Tufan , Hüseyin Aytek Çeliksöz , Osman Mert Topkar

https://doi.org/10.20515/otd.1297725

Abstract

Amaç: Bu çalışmanın amacı diskoid menisküs nedeniyle opere edilen hastalarda uygulanan
tedavi yöntemlerini sunmak, hasta sonuçlarını değerlendirmek ve sonuçları literatür ile
karşılaştırmaktır.
Araç ve yöntemler: Çalışmaya 2012-2022 yılları arasında opere edilen 24 diskoid menisküs
hastası dahil edildi. İnsidental saptanan asemptomatik discoid menisküse sahip hastalar
çalışmaya dahil edilmedi. Hastaların tanısı ağrı veya ağrının eşlik ettiği mekanik semptomlar
ve X-Ray + Mr değerlendirme ile konuldu. Klinik değerlendirme de preop ve post op Oxford
Knee skoru kullanıldı.
Sonuçlar: 24 hastanın yaş ortalaması 18.1 idi. On bir hastada sağ diz diskoid menisküsü ve
beşinde bilateral diskoid menisküs vardı. En sık semptom ağrıydı (%79). 22 hastada (%91)
lateral diskoid menisküs saptandı. Watanabe Tip 1 en sık gözlenen makroskobik varyanttı
(%41). 10 hastada yırtık saptandı. Tüm hastalara artroskopik saucerization uygulandı.
Ameliyat sonrası 1. yılda Oxford Knee skorlarında anlamlı düzelme oldu.
Tartışma: Semptomatik diskoid menisküsün uzun vadeli sonuçları oldukça iyidir. Baskın
mekanik semptomları ve ağrısı olan hastalarda cerrahi önerilmelidir. Menisküsün yeniden
şekillendirilmesi ve instabilitenin onarılması cerrahinin ana hedefleridir.

Keywords

Diskopid Menisküs, Saucerization, Tedavi yöntemleri

Supporting Institution

yok

Surgical Management of Symptomatic Discoid Meniscus; Treatment modalities and functional outcomes

Abstract

Purpose: The aim of the study was to evaluate the treatment modalities and the outcomes of
patients operated on for discoid meniscus, and to compare the patients results with the
existing literature.
Materials and Methods: The study included 24 patients with discoid meniscus who
underwent surgery between 2012 and 2022. Patients with incidentally discovered
asymptomatic discoid meniscus were not included in the study. The diagnosis of the patients
was made based on pain or mechanical symptoms accompanied by pain and X-Ray + MRI
evaluation. Watanabe classification was used for macroscopic classification, and
perioperative operation data of the patients were documented. The Oxford Knee Score was
used for pre- and postoperative clinical evaluation.
Results: The average age of the 24 patients was 18.1. Eleven patients had right kne discoid
meniscus, and five had a bilateral discoid meniscus. The most common symptom was pain
(79%). Lateral discoid meniscus was detected in 22 patients (91%). Watanabe Type 1 was the
most commonly observed macroscopic variant (41%). Tear were found in 10 patients. All
patients underwent arthroscopic saucerization. There was a significant improvement in the
Oxford Knee scores in the first postoperative year.
Discussion: The long-term outcomes of symptomatic discoid meniscus are quite good.
Surgery should be recommended for patients with predominant mechanical symptoms and
pain. Reshaping the meniscus and repairing instability are the main goals of surgery.

Keywords

Discoid meniscus, Saucerization, Treatment modalities

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