Role of Arthoscopy in Knee Osteoarthritis Treatment

Abstract

Objective: The aim of this study is to determine the effectiveness of arthoscopy in knee osteoarthritis treatment. Study Design: Prospective study Place and Duration: Conducted at Victoria hospital Bahawalpur/Civil (sadiq Abbasi) hospital Bahawalpur, during from June 2019 to June 2021. Methods: There were 70 patients of both genders suffering from knee osteoarthritis presented in this study. Patients were aged between 25-80 years of age. Detailed demographics of enrolled cases age, sex, body mass index and weight were calculated after taking informed written consent. Kellgren Lawrence scale was used for grading of osteoarthritis. MRI and plain X-ray was done among cases. Post-operatively Lysholm score was used to diagnosed outcomes. Patients were followed for 24 months. Complete data was analyzed by SPSS 24.0 version. Results: Majority of the patients were females 40 (57.1%) and 30 (42.9%) were males. Mean age of the patients was 51.41±7.44 years with mean BMI 32.18±9.31 kg/m2. Mean weight of the patients was 93.17±5.64 kg with mean height 169.9±5.68 cm. We found that 30 (42.9%) had left knee, 26 (37.1%) patients had right knee and 14 (20%) had bilateral. According to Kellgren Lawrence scale 40 (57.1%) patients had grade 2, 22 (31.4%) cases had grade 3 and 8 (11.4%) cases had grade 4 osteoarthritis. Most common symptom was pain among 69 (98.6%) cases followed by swelling 50 (71.4%). According to Lysholm score 36 (51.4%) cases showed good results with score after complete follow up 80.73±7.54. Overall maximum improvement of pain relief among grade 2 osteoarthritis was seen in 28 (70%) cases. Conclusion: We found in this study that arthoscopy for in knee osteaoarthritis resulted in symptomatic improvement among patients of low grade osteoarthritis where it gives pain alleviation. This arthroscopic therapy regimen can enhance function and activity levels in patients with moderate to severe osteoarthritis. Keywords: Arthoscopy, Knee osteoarthritis, Pain, Lysholm score, Kellgren Lawrence scale