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Central Asian Journal of Medicine

Abstract

Aim: 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. Material and methods: To achieve this goal, we conducted a prospective study of the long-term results of treatment of 75 patients with post-traumatic hemarthrosis treated in the Department of traumatology of the 2nd clinic of TMA. Result: 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.

First Page

59

Last Page

64

References

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