Traumatic haemarthrosis of the knee - indication to acute arthroscopy

Authors

BILIK A. KRTIČKA Milan KVASNIČKA Pavel

Year of publication 2012
Type Article in Periodical
Magazine / Source Bratislava Medical Journal - Bratislavské lékarske listy
MU Faculty or unit

Faculty of Medicine

Citation
Doi http://dx.doi.org/10.4149/BLL_2012_056
Field Traumatology and orthopaedic surgery
Keywords haemarthrosis; knee joint; arthroscopy; acute injury
Description Background and aims: The most common mechanisms of the knee injuries are distorsions and contusions. Fairly often they will result in hemarthrosis. The purpose of this study was to evaluace the findings in patiens with acute traumatic hemarthrosis of the knee and based on these findings estimate the necessity of acute artroscopic examination with therapeutic procedur. Material and methods: In the years 2007 and 2009 a total of 266 patients underwent acute arthroscopic examination in Department of Traumatology the Faculty Hospital Brno after the acute knee trauma. Patiens with other intraarticular bone fractures were excluded. Results: The ruptures of the ACL were the most common findings (52 %), meniscal tear (27 %), dislocation of the patella (11 %) and chondral or subchondral fractures were (13 %). In 224 (84%) cases was performed artroscopic therapeutic procedure and in only 43 (16 %) case was performed routine arthroscopic examination. Conclusions: Based on our findings we believe that arthroscopic examination is necessary in patiens with acute traumatic haemarthrosis of the knee and it is better methods like NMR examination because is provided to execute therapeutic procedure (Tab. 1, Fig. 2, Ref. 8).

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