Clinical Efficacy Of Arthroscope-Assisted Treatment For Traumatic Synovitis Of Knee Joint

Objective: With significant efficacies, arthroscope has been used in the treatment of knee joint synovitis for many years, but the effects of arthroscope-assisted treatment for traumatic synovitis of knee joint (TSKJ) still remains controversial. This study aimed to investigate the clinical efficacies of arthroscopic debridement for patients with TSKJ. Methods: One hundred and twenty patients diagnosed as TSKJ and treated in our hospital during March 2015 to March 2016 were randomly divided into two groups according to random number table: open surgery group (O group, n=60) and arthroscope-assisted open surgery group (O+A group, n=60). Before surgery, and 1, 5, 10 days after surgery, International Knee Documentation Committee (IKDC) Subjective Knee Joint Evaluation Form, American Knee Society Score (AKSS), Lysholm Knee Scoring Scale (LKSS) and visual analog scale (VAS) were adopted to score and compare preoperative and postoperative functions and pains of knee joint between the two groups respectively. Results: Before surgery, and 1, 5, 10 days after surgery, there were no significant differences in IKDC, AKSS, LKSS and VAS scores between the two groups. Postoperative IKDC, AKSS, LKSS and VAS scores of the two groups were better than those before surgery (all P<0.05). IKDC, AKSS and LKSS scores (P=0.028, P=0.009, P=0.001 respectively) in O+A group 10 days after surgery were higher than those in O group; while VAS score (P=0.045) in O+A group after surgery was lower than that in O group. Conclusion: The therapeutic effect of open surgery assisted with arthroscopic debridement for the treatment of TSKJ is better than that of open surgery.