Arthroscopic treatment of symptomatic type D medial plica |
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Authors: | Mustafa Uysal Mehmet Asik Sercan Akpinar Feyyaz Ciftci Necip Cesur Reha N Tandogan |
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Institution: | (1) Department of Orthopedics and Traumatology, Adana Medical Center, Baskent University School of Medicine, Adana, Turkey;(2) Department of Orthopedics and Traumatology, Istanbul School of Medicine, Istanbul University, Istanbul, Turkey;(3) Baskent Universitesi Typ Fakultesi, Adana Uygulama ve Arastyrma Merkezi Dadaloglu Mah.39.Sok. No: 6, Yuregir/Adana, 01250, Turkey |
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Abstract: | We aimed to review the results of subtotal arthroscopic resection of symptomatic type D medial plica. We retrospectively evaluated
23 knees with symptomatic type D medial plica in 22 patients without other intra-articular pathology. All patients complained
of chronic knee pain that had not been alleviated by medical treatment or physical therapy. In only three (13%) of the patients
studied was the plica diagnosed pre-operatively with magnetic resonance imaging. The type D medial plicae in our series were
classified as fenestrated (14 knees), torn (5 knees), or reduplicated (4 knees). Fibrotic changes in the plicae and degenerative
changes on the medial femoral condyle were found in 16 knees Patellofemoral chondromalacia was present in three knees Arthroscopic
partial resection was performed in all patients. Comparative Lysholm Knee Scale scores before and after surgery revealed a
significant clinical improvement (pre-operative status, 67.19 ± 8.05 vs. post-operative status, 90.57 ± 9.80; P < 0.001). Type D medial plica should be considered as a possible cause of chronic knee pain. Arthroscopic partial resection
of the plicae in symptomatic patients gives satisfactory results.
Research was performed at the Medical Faculties of Baskent University and Istanbul University. |
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Keywords: | Medial plica Patellofemoral pain Arthroscopy |
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