Comparison between arthroscopic partial and total meniscectomy of medial meniscus in non-professional athletes

Large number of patients suffers from medial meniscus injury during athletic activities despite of not being involved in professional sports. Our goal was to compare clinical and functional outcome of arthroscopic partial meniscectomy with results of arthroscopic total meniscectomy of the medial meniscus in these non-professional athletes. The prospective interventional study was carried out in a five years period from January 2007 to December 2011. According to predefined inclusion and exclusion criteria 109 patients were selected and underwent surgery but 29 patients lost from follow-up. Results of 40 cases with Arthroscopic partial meniscectomy (Group-I) and 40 cases with arthroscopic total meniscectomy (Group-II) were analyzed. There were 75 male patients and the predominant age group was 21-30 years. Patients were followed up for a range of 36-60 months. Standard questionnaires of Visual Analogue Score (VAS), Knee injury and Osteoarthritis Outcome Score (KOOS), Tegner-Lysholm Knee Score (TLKS) and Tapper and Hoover criteria was used to assess and compare the outcomes. Radiological assessment was done to note any changes. Students were sufferers in majority cases and bucket handle tear had been the commonest type. Significant difference of clinical, functional and radiological outcome was observed at minimum 3 years follow up. One case needed revision in Group-II and the infection rates were insignificant. Arthroscopic partial meniscectomy is significantly better method for surgical management of medial meniscus injuries.

Primary total hip arthroplasty by cemented prosthesis in secondary osteoarthritis of the hip joint

Cemented total hip arthroplasty has been being practiced successfully all over the world for the last 5 decades. Osteoarthritis is the most common indication of total hip arthroplasty. This study was done to observe the outcome of primary total hip arthroplasty by cemented prosthesis in secondary osteoarthritis of the hip joint. This prospective study was conducted at the department of Orthopaedics, Bangabandhu Sheikh Mujib Medical University and some private hospitals in Dhaka, Bangladesh from May 2008 to December 2009. Total 21 patients were evaluated. Among them 38.1% had rheumatoid arthritis, 19.1% had ankylosing spondylitis and 42.8% had avascular necrosis. Average duration of postoperative hospital stay was 14.09 days. Regarding the functional outcome, 76.2% patients had excellent, 19.1% had good and 4.8% had fair outcome. So out of 21 cases, 95.2% had satisfactory and 4.8% had unsatisfactory outcome. Cemented total hip arthroplasty is an effective procedure for the management of secondary osteoarthritis of the hip joint.