Traumatic haemarthrosis of the knee -- indication to acute arthroscopy.

BACKGROUND AND AIMS: The most common mechanisms of the knee injuries are distortions and contusions. Fairly often they will result in hemarthrosis. The purpose of this study was to evaluate the findings in patients with acute traumatic hemarthrosis of the knee and based on these findings estimate the necessity of acute artroscopic examination with therapeutic procedure.

MATERIAL AND

METHODS

In the years 2007 and 2009 a total of 266 patients underwent acute arthroscopic examination in Department of Traumatology the Faculty Hospital Brno after the acute knee trauma. Patients with other intraarticular bone fractures were excluded.

RESULTS

The ruptures of the ACL were the most common findings (52 %), meniscal tear (27 %), dislocation of the patella (11 %) and chondral or subchondral fractures were (13 %). In 224 (84 %) cases was performed artroscopic therapeutic procedure and in only 43 (16 %) case was performed routine arthroscopic examination.

CONCLUSIONS

Based on our findings we believe that arthroscopic examination is necessary in patients with acute traumatic haemarthrosis of the knee and it is better methods like NMR examination because is provided to execute therapeutic procedure (Tab. 1, Fig. 2, Ref. 8). Full Text in PDF www.elis.sk.