Orthopedic Nursing Based on Preoperative Diagnosis of Infrapatellar Plica Using Medical Imaging

Abstract

Purpose: We investigate the diagnostic value and therapeutic effect of arthroscopy on the knee synovial fold syndrome. Methods: Thirty patients (35 knees) who has knee subgingival fold syndrome were treated with knee arthroscopy and medial temporal synovectomy. All these patients in this group were treated with epidural anesthesia and underwent arthroscopic surgery. MRI was used initially to diagnosis the orthopedic conditions before surgical intervention. At the second observation, it can be seen that the inner wrinkle is hard and it has a white cord-like shape. Generally, the wrinkled wall is fan-shaped, while some of the wrinkled walls are continuous with the upper, lower and outer wrinkles. Changes were evaluated using the Lysholm score in knee function before and after surgery. Results: The treatment is demonstrated: the preoperative average Lysholm score (51.37 ± 6.36), the average Lysholm score (93.00 ± 5.04), and the average improvement of 42 points. The difference between the preoperative and postoperative functional scores was statistically significant (t = 15.283, P < 0.05). Discussion: There are many reports on the synovial wrinkle syndrome in the knee synovial fold syndrome, and the report of the subclinical fold syndrome is extremely rare, and it is considered to be only a manifestation of other syndromes. This aspect shows that the incidence of the knee synovial fold syndrome is relatively low, on the other hand, it also shows that the current understanding of the knee synovial fold syndrome is insufficient. The knee synovial fold syndrome lesions occur mostly in young men and young adults, and are associated with trauma and excessive use of injuries, but the knee synovial fold syndrome and signs are not specific, easily misdiagnosed, and need to be diagnosed under arthroscopy. Arthroscopic treatment of the knee synovial fold syndrome is simple and safe, with less damage and quick recovery after surgery. Conclusion: Arthroscopy has obvious diagnostic value and good therapeutic effect on the knee synovial fold syndrome.