Your browser doesn't support javascript.
loading
Meniscectomía parcial artroscópica: resultados a más de un año de seguimiento en pacientes laborales vs. no laborales / Arthroscopic partial meniscectomy. Results to more than one year of follow-up in working compensation vs. non-working compensation patients
Villalba, Juan Francisco; Gutierrez, Daniel Enrique; Bennett, Cristian; Daher, Cristian; Hernandez, Emilio David; Medina, Daniela.
  • Villalba, Juan Francisco; Traumatología de Comahue. Neuquén. AR
  • Gutierrez, Daniel Enrique; Traumatología de Comahue. Neuquén. AR
  • Bennett, Cristian; Traumatología de Comahue. Neuquén. AR
  • Daher, Cristian; Traumatología de Comahue. Neuquén. AR
  • Hernandez, Emilio David; Traumatología de Comahue. Neuquén. AR
  • Medina, Daniela; Traumatología de Comahue. Neuquén. AR
Artrosc. (B. Aires) ; 26(2): 41-44, 2019.
Article in Spanish | LILACS, BINACIS | ID: biblio-1016450
Responsible library: AR337.1
RESUMEN

Introducción:

El objetivo del trabajo es evaluar y comparar de manera retrospectiva los resultados de una serie de pacientes laborales y no laborales con lesiones meniscales, tratadas mediante meniscectomía parcial artroscópica. Material y

métodos:

Se evaluaron 60 pacientes tratados en nuestro centro, entre junio 2016 y mayo 2017, los cuales presentaban lesiones meniscales agudas que no respondieron a tratamiento conservador. Todas las lesiones fueron diagnosticadas con RM previa. Se trataba de 30 pacientes laborales y 30 no laborales, 53 de sexo masculino y 7 de sexo femenino. La edad fue entre 18 y 45 años. Treinta y seis meniscos internos y veinticuatro meniscos externos. El seguimiento promedio fue 18 meses. Se realizó score de Lysholm y EVA.

Resultados:

De los 30 pacientes no laborales 28 evolucionaron favorablemente, con mejoría en el score de Lysholm de 53 a 93 puntos y EVA de 7 a 1 puntos en promedio, con retorno a la actividad previo a la lesión. Dos de ellos continuaron con molestias leves, sin afectar sus rutinas diarias. En los pacientes laborales 14 evolucionaron favorablemente, con mejoría en el score de Lysholm de 48 a 74 puntos y EVA 7 a 2 puntos en promedio con retorno a su actividad laboral habitual. Dieciséis de ellos presentaban dolor moderado con retorno laboral parcial o requirieron cambio de tareas.

Conclusión:

Los resultados de la meniscectomía parcial en pacientes no laborales fueron excelentes a buenos, con retorno a sus actividades cotidianas en un 96%. En cuanto a los pacientes laborales se obtuvieron resultados regulares, con retorno a su actividad laboral habitual en un 53%. Tipo de estudio Serie de casos. Nivel de evidencia IV
ABSTRACT

Introduction:

The aim of the study is to evaluate and compare retrospectively the results of arthroscopic partial meniscectomy for meniscus tears in working compensation vs. non-working compensation patients Material and

methods:

Sixty patients treated in our institution between June 2016 and May 2017 with the diagnosis of acute meniscus tears that did not respond to conservative treatment were evaluated. All lesions were diagnosed with previous MRI. There were 30 patients under working compensation insurance and 30 under another insurance system (53 men, and 7 women). The age ranged between 18 and 45 years. Thirty-six tears were located in the internal menisci and twenty-four in the external menisci. The average follow-up was 18 months. Lysholm and EVA scores were obtained.

Results:

Of the 30 non-working compensation patients, 28 evolved favorably with an improvement in the Lysholm score of 53 to 93 points and EVA of 7 to 1 points on average and returned to activity prior to the injury. Two of them continued with mild discomfort, without affecting their daily routines. In working compensation, patients 14 evolved favorably, with improvement in the Lysholm score of 48 to 74 points and EVA 7 to 2 points on average and return to their usual work activity. Sixteen of them presented moderate pain with partial job return or required change of tasks.

Conclusion:

The results of partial meniscectomy in non-work-related patients were excellent to good, with 96% return to daily activities. Regarding work-related patients, regular results were obtained, with a return to their usual work activity of only 53%. Type of study Case series. Level of evidence IV
Subject(s)
Full text: Available Index: LILACS (Americas) Main subject: Arthroscopy / Tibial Meniscus Injuries / Meniscectomy / Knee Injuries / Occupational Diseases Limits: Adult Language: Spanish Journal: Artrosc. (B. Aires) Journal subject: Orthopedics Year: 2019 Type: Article Affiliation country: Argentina Institution/Affiliation country: Traumatología de Comahue/AR

Similar

MEDLINE

...
LILACS

LIS

Full text: Available Index: LILACS (Americas) Main subject: Arthroscopy / Tibial Meniscus Injuries / Meniscectomy / Knee Injuries / Occupational Diseases Limits: Adult Language: Spanish Journal: Artrosc. (B. Aires) Journal subject: Orthopedics Year: 2019 Type: Article Affiliation country: Argentina Institution/Affiliation country: Traumatología de Comahue/AR