Arthroscopic approach for the management of degenerative knee chondropathy
Keywords:
arthroscopy, cartilage, microfracture, knee.Abstract
Introduction: Articular cartilage lesions currently pose a challenge in treatment for surgeons dealing with this type of disease.
Objective: To evaluate the treatment of Degenerative knee Chondropathy with the microfracture arthroscopic technique.
Methods: A descriptive, prospective, cross-sectional study was conducted in 25 patients with an arthroscopic diagnosis of degenerative chondropathy of the knee. The variables analyzed were: age, sex, affected knee, pre- and postoperative symptoms and signs, qualitative ordinal degree of cartilage damage, time to appearance of fibrocartilage on arthroscopic evaluation, complications, presence of complications during or after the surgical procedure, and outcome assessment.
Results: Most patients were female (14; 56 %), between 41 and 50 years old (11; 44 %). The right lower limb predominated with a type IV cartilaginous lesion according to the OUTBRIDGE scale (15; 60 %).
Conclusions: The regeneration of fibrocartilage was observed around six months after the arthroscopic treatment in the majority of patients, and the complications that arose were hemarthrosis and fibrocartilage ruptura.
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