A Prospective Study of Comparing Functional Outcome in Case of Meniscal Injury Treated with Arthroscopic Meniscectomy Vs Meniscal Repair

Background: A meniscal tear is the most common injury to theknee, occuring from both athletic events and activities of dailyliving. Generally, the results of repair have been good, withhigh long-term success rates. This study aims to compare thefunctional result of arthroscopic meniscal repair andarthroscopic meniscectomy.Materials & Methods: This study was carried out in theDepartment of Orthopaedics, Mahatma Gandhi MedicalCollege and Hospital, Jaipur for comparing the functionaloutcome of arthroscopic meniscectomy and meniscal repair. 47of Meniscectomy and 35 of Meniscal Repair was done in ourstudy. Statistical analysis was done using SPSS (Statisticalpackage for Social science) 16.0 software. Categoricalvariables are expressed as frequencies and percentages.Results: Our study showed that the mean age for MeniscalRepair was 32.86 vs 29.89 for Meniscectomy. There was nosignificant gender specific difference while comparing bothgroups with a p-value of 1.0. The mean follow-up for both thegroups were same of 1.2 years with a non-significant p-value of0.78. The duration of surgery was 84.5 minute in meniscalrepair as compared to 45.6 minute. There is significantdifference in surgical time required with p-value of 0.0001. Nosignificant differences for Lysholm Score and Tegner activitylevel reduction, hkss, womac and vas scores in such a shortterm follow up.Conclusion: We concluded that more randomized studies withlarger sample sizes and longer follow-up are needed to furthershow the benefits of meniscal repair in terms of patientsperceptions of the outcome and prevention of posttraumaticosteoarthritis.

Spontaneous atraumatic dislocation of sternoclavicular joint in Reiter syndrome / 中华创伤杂志(英文版)

Reactive arthritis or Reiter's syndrome characteristically affects the joint of the lower limb in an asymmetrical pattern. Usually it does not affect the axial skeleton or upper limbs. Although cases of atraumatic atlantoaxial subluxations have been reported, no case of spontaneous sternoclavicular dislocation in Reiter's syndrome has been reported. This paper describes a case of a 26 year old male patient who developed a spontaneous posterior sternoclavicular joint dislocation. No attempt of reduction was made and the patient was managed conservatively with good results.