The results of surgical treatment of patients with acute knee injury in the near and long-term period through the introduction of tactics of early arthroscopy

Abstract

Objective: To improve the results of surgical treatment of patients with acute knee injury in the near and long-term period by introducing tactics of early arthroscopy. Materials and methods: Were conducted a prospective study of the long-term results of 75 patients treatment with post-traumatic hemarthrosis in the Department of traumatology of the 2nd clinic of TMA. Results: Arthroscopic intervention in patients of the main group, allowed us to diagnose missed on MRI meniscus rupture in 10 (27%) cases, damage to the ACL in 5 (13.5%) and PCL in 1 (2.7%) case; the presence of subchondral and chondral lesions in 18 (48.6%) cases, in 13 (35.1%) – damage to the body of Goff in 17 (45.9%) cases, and also damage to the synovial membrane is the main cause of hemarthrosis. Conclusions: Early arthroscopic intervention solves the issues of early diagnosis and treatment of intra-articular injuries of the knee joint: meniscus damage, ligament rupture, allows to accurately diagnose the place of bleeding and hemostasis, which prevents the development of late complications, contributes to the early activation of patients and improve the quality of life.