To Study the Role of Arthroscopy in Management of Degenerative Osteoarthritis of Knee: A Prospective Study

Abstract

Background: Degenerative osteoarthritis of the knee joint, is typically the result of wear and tear and progressive loss of articular cartilage. Common clinical symptoms include knee pain that is gradual in onset and worse with activity, knee stiffness and swelling, crepitus. Patients with knee osteoarthritis have decreased levels of physical activity in comparison to their healthy counterparts. Aim: To study the role of arthroscopy in management of degenerative osteoarthritis of knee. Material and methods: A prospective study was carried out among patients having symptoms and signs of degenerative OA knee coming to Orthopedic OPD at Pravara Rural Medical College. Patients more than 50 years of age, medically fit for surgery, failed to improve on conservative treatment and willing to participate were considered for the study. Thus such 30 cases were studied. All cases were treated by arthroscopic interventions. Statistical analysis was done using open epi version 2.3.1. Results: Mean age was 58.7+12.4 years, majority being females 60%. 14% cases had meniscal tear. On Kellgreen and Lawrence’s arthroscopic grading majority had grade II and III. On final outcome on follow up showed excellent results. 48% excellent, 42% good, and 10% fair. Conclusion: Arthroscopic intervention is an effective method for treatment of degenerative osteoarthritis of knee in patients with negligible complications due to its minimally invasive nature and early mobilization. Patients with grade I and grade II degenerative osteoarthritis have good results.