Infuence factors of arthroscopic surgery for senile discoid meniscus injury and observation of postoperative inflammatory levels
ZHANG Yongshuai
WANG Tongzheng
Abstract：Objective To explore the efficacy of arthroscopic surgery for senile discoid meniscus injury,and to analyze the infuence factors and postoperative inflammatory levels.Methods A total of 80 elderly patients with discoid meniscus injury who underwent arthroscopic surgery at Puyang Hospital of Traditional Chinese Medicine from March 2021 to March 2024 were selected.The therapeutic efficacy at 12 months postoperatively and its influencing factors were observed,and the differences in serum levels of nuclear factor-κ B(NF-κ B),human cartilage glycoprotein-39(HCgp-39,also known as YKL40),interleukin-6(IL-6),and tumor necrosis factor-α(TNF-α)were analyzed before and after surgery.Results At 12 months postoperatively,according to the Hospital for Special Surgery knee score,the efficacy was excellent in 20 cases,good in 43,fair in 13,and poor in 4 cases,with an excellent and good rate of 78.75％(63/80).Logistic regression analysis showed that age(OR=0.443),course of disease(OR=0.415),and surgical type(OR=3.401)were influencing factors of therapeutic efficacy(P<0.05).At one month after surgery,the serum levels of NF-κB、YKL-40、IL-6 and TNF-α were improved when compared with preoperative ones,and the above levels in patients undergoing meniscoplasty were significantly lower than those in patients undergoing other surgical types,with statistical differences(P<0.05).Conclusion The efficacy of arthroscopic surgery for senile discoid meniscus injury is affected by age,course of disease,and surgical type,and there are differences in postoperative inflammatory levels among patients with different surgical types.
Keywords：AgedDiscoid meniscusMeniscus injuriesArthroscopyRoot cause analysisInflammationCytokines
Publication Date：2025-08-15
Online Publishing Date：2026-03-09(First online date of this platform, not the publication date of the document)
Pages：6( 249-254 )