A comparative Study of Functional Outcomes for the Treatment of Arthrosis of the Knee Joint Using Platelet-Rich Plasma Injections After or Without Arthroscopy

The research provides a comparison between two methods for treating osteoarthritis. In the knee joint using platelet-rich plasma injections after or without arthroscopy, the study included 100 cases every fifty of them were treated in one way and the results were evaluated after surgery and the researcher reached the following results. Treatment with platelet-rich plasma injections after arthroscopy provided an advantage in terms of pain reduction and reduced joint effusion in the knee, improvement of the ability to rest on the limb (walking), and a marked reduction in the severity of symptoms and signs of degeneration was noted.

The role of arthroscopy in the treatment of osteoarthritis of the knee

The role of arthroscopic debridement in the treatment of osteoarthritis of the knee is still controversy. We present in this work a retrospective series including 22 cases of gonarthrosis treated with arthroscopic debridement of the knee in the Traumatology orthopedic service in Alassad hospital in Lattakia in 2013 -2015. Our objective through this small series was to show the interest of arthroscopic debridement in this type of knee pathology, improving quality of life for patients. This study included 12 men (55%),and 10 women (45%) with an average age of 50 years ,with extremes ranging from 44 to 65 years. Clinically ,our patients complained of mechanical pain in the majority of cases .And all our patients were benefice a clinical examination and radiological .The Lequesene score was used to assess the condition of the knee before and after surgery. The surgical procedure consisted of a joint lavage ,and gestures at the demand : synovectomy, debridement and excision of fragments meniscal, cartilage or osteophyte. The postoperative complications were marked by a single case of intra-articular breaking instrument during surgery. No cases of hematoma or phlebitis or sepsis have been reported . The clinical results after a decline of 12 months were satisfactory. The results depend on good pre-operative planning, and irreproachable technical gesture. The experience of operators and technologic advances in has extended its indication.

Thromboprophylaxis after Primary Total Knee Replacement

The rate of venous thromboembolism is unacceptable without prophylaxis. Venographic studies of patients without prophylaxis show that the deep vein-thrombosis rates range from 40-84% after total knee replacement, and rates of pulmonary embolism range from 1.5-10%. Surgeons must balance the need for thromboprophylaxis with the need to avoid bleeding complications. The purpose of this study is to evaluate the status of thrombo prophylaxis after primary total knee replacement in ALMouassat university hospital, and to improve our outcome in future, to get better results and fewer complications.

Total Knee Arthroplasty Early Results

This study includes ٨٠ cases of total knee Arthroplasty, They were treated in Al-Moassat Hospital during the years ٢٠٠٠- ٢٠٠١. Idiopathic primary osteoarthrihis was the main reason for total knee Arthroplasly. Some cases of Rheumatoid arthritis were observed too. The short term chinicaln gools of total arthoplasty include restoration of the normal activity of the limb and pain relief , which can be obtained under the proper surgical condition, and requirements, supported by better understanding of the biomechanics of the knee joint and good rehabilitation there after.