[Risk of Developing Clinical Symptomatically Postmeniscectomy Bone XXXX ].

@entity1 @entity3522 @entity73 @entity86 @entity158 @entity236 @entity282
UNASSIGNED: Background: Bone @entity236 (BME) of the knee is often seen in MRI and has several different underlying pathologies. The correlation between disorders of the knee joint and a BME is not fully understood yet. Persistent or progressive @entity282 after arthroscopic partial meniscectomy is still a common phenomenon in many @entity1 . The aim of this prospective clinical trial was to find a correlation between the typical @entity86 and BME in MRI and to identify possible therapeutic consequences. @entity1 , Material and Methods: 150 consecutive @entity1 with preoperatively diagnosed meniscus defects and without any previous operation and no BME underwent arthroscopic partial meniscectomy. A two- to three-day resting period was established postoperatively. The @entity1 then rapidly returned to full weight bearing. No crutches were used. As a standard analgetic, we used @entity3522 50   mg three times a day for three days. Clinical control and removal of the sutures was performed on day 8 postoperatively. The @entity1 ' @entity158 status was controlled by using the IKDC score and the Visual Analogue Scale (VAS) before and six weeks after surgery. Six weeks after the surgical intervention, the @entity1 underwent a standardized physical examination and, if there @entity73 or discomfort of the knee, a new MRI was performed. However, if @entity1 showed signs or severe discomfort prior to the end of the six-week observation period an MRI was scheduled earlier. Results: Postoperatively 11 of the 150 @entity1 (7,3%) developed progressive discomfort with @entity158 during stress and also by night. A postoperative BME in the MRI was seen in all 11 symptomatic @entity1 (100%). We saw a significant correlation to @entity1 older than 70 years (p   <   0.05). The VAS score six weeks after arthroscopy was significant reduced in the group without any clinical symptoms (2.63        2.83 after arthroscopy and 4.27        2.36   MW    SEM before arthroscopy) compared to the group with proven BME (5.09        2.74 before arthroscopy and 5.27        2.57   MW    SEM after arthroscopy; p   <   0.05). The IKDC score was significantly enhanced in the clinical asymptomatic group: 58.1        10.53 in comparison to the @entity1 with proven BME, with 35.32        13.2   MW    SEM (p   <   0.05). Conclusion: @entity1 with clinical symptomatic BME showed a significantly higher VAS score and a significantly lower IKDC score postoperatively. Therefore, in @entity1 with postoperative discomfort, a prompt MRI should be performed and, if a BME is proven, further therapy should be modified.
