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  3. 21. Correlation of the Findings of Clinical Examination and Arthroscopy of Knee Joint under Local Anesthesia
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21. Correlation of the Findings of Clinical Examination and Arthroscopy of Knee Joint under Local Anesthesia

1. Muhammad Imran 2. Arif Ullah Khan 3. Manqoosh ur Rehman

1.                   Asstt. Prof. of Orthopaedics, Multan Medical & Dental College, Ibn e Siena Hospital & Research Institute Multan

2.                   Consultant Orthopaedic Surgeon, DHQ Hospital Laki Marwat 3. Asstt. Prof. of Orthopaedics, Multan Medical & Dental College, Ibn e Siena Hospital & Research Institute Multan

ABSTRACT

Objective: To study the correlation of the findings of clinical examination and arthroscopy of knee joint under local anesthesia

Study Design: Descriptive study

Place and Duration of Study: This study was conducted in the Orthopaedic Department, Railway Hospital Islamabad and Ibn e Siena Hospital & Research Institute Multan from March 2008 to March 2010.

Materials and Methods: This study was conducted in 50 patients with some type of problems in the knee since March 2008 to March 2010. 40 (80%) patients were diagnosed clinically, but clinically diagnosis was totally correct in 25 (50%) patients while 15 (30%) patients had additional arthroscopic findings besides those diagnosed clinically. Results: With the help of arthroscopy the diagnosis was improved to 94% that is near the international study of 90%. The clinical diagnosis was entirely incorrect in 7 (14%) cases. In these cases the clinical diagnosis was wrong but correct diagnosis was apparent at arthroscopy. So arthroscopy should be considered as a diagnostic aid to use in conjunction with a good history, complete physical examination and appropriate roentgenograms. A high degree of accuracy combined with low morbidity, has encouraged the use of arthroscopy to assist in diagnosis, to determine prognosis and to provide treatment.

Conclusion: Arthroscopy under local anesthesia is highly economical, having good patient’s acceptability and can be performed as a day case procedure. Meanwhile it is reliable, safe and well-tolerated alternative to conventional


techniques to improve the diagnostic accuracy. Key Words: Arthroscopy, Knee Joint, Anesthesia, Local