Knee surgery & related research

  • 제30권4호
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  • Pages.356-363
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  • 2018
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  • 2234-0726(pISSN)
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  • 2234-2451(eISSN)
대한슬관절학회 (Korean Knee Society)
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DOI QR코드

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Arthroscopic Excision of Medial Knee Plica: A Meta-Analysis of Outcomes

  • Gerrard, Adam Daniel (Department of Orthopaedics, Blackpool Victoria Hospital) ;
  • Charalambous, Charalambos P. (Department of Orthopaedics, Blackpool Victoria Hospital)
  • 투고 : 2018.02.13
  • 심사 : 2018.08.01
  • 발행 : 2018.12.01
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: A meta-analysis was performed to assess the outcomes following surgical intervention for medial knee plica. Materials and Methods: A literature search of Medline, EMBASE, CINAHL and Cochrane CENTRAL was performed using relevant key words. The primary outcome was patient-reported postoperative scores of "good" and "excellent". Meta-analyses were performed using a random effects model. Results: The literature search identified 731 articles. After removing duplicates and those not meeting the inclusion criteria, 12 articles reporting on a total of 643 knees were included for analysis, and of these, 7 articles including 235 knees were used for meta-analysis. The overall rate of good and excellent outcomes following surgery was estimated at 84.2% (95% confidence interval [CI], 72.8-91.4). In those cases that had non-surgical therapy prior to surgery, the rate of good and excellent outcomes of surgery was estimated at 76.1% (95% CI, 60.1-87). Conclusions: Arthroscopic surgical management of symptomatic medial knee plica results in favourable outcomes. Our results suggest that arthroscopic surgical excision should be considered as a treatment modality in patients with pathological medial plica disease of the knee either as a first-line treatment or when symptoms have not responded to non-surgical interventions. Level of Evidence: IV.

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참고문헌

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피인용 문헌

  1. Symptomatic medial synovial plica of the knee joint: an underestimated pathology in young patients vol.139, pp.11, 2019, https://doi.org/10.1007/s00402-019-03249-w