[Arthroscopic partial meniscectomy].

Abstract

On the basis of the authors' observations (167 arthroscopic meniscectomies in 159 patients aged 14-58 years) there have been proven advantages of the arthroscopic operative method. There have been interpreted problems of the techniques of diagnostic and operative arthroscopy. There are presented arthroscopic data on the frequency of meniscus injuries (internal--69.3%; external--27.1% and both--3.6%). There is given an arthroscopic description of meniscus injury types: transchondral longitudinal--40%, paracapsular--20%, flapped--25%, horizontal--8%, injuries of the discoid external meniscus--2.4%, combined--4.6%. There is emphasized complexity of diagnosis and operations in case of the internal meniscus injuries in the area of its posterolateral angle. There are described indirect signs of pathology and special methods of arthroscopic revision from the side of anterior part of a joint and from the posteromedial area. There are given recommendations as to the techniques of operative meniscectomy, described mistakes and complications. There is drawn a conclusion on high efficiency of the method, on expediency of its broad application under the condition of compulsory training of orthopedists--traumatologists in the skills of diagnosis and operative arthroscopy.