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OR CASE STUDY

Date of Operation: February 21,2017

Time of Operation: 7:57 AM

Case No.: 2560674

Name: Paulino, Jose Dinno Jugo.

Address: N/A

Age: 52 y/o

Sex: M

Nationality: Filipino

Religion: N/A

Diagnosis: Lateral Meniscal Tear, Right Osteoarthritis, Right Knee

Operation: Arthroscopic Partial Lateral Menisectomy, Synevectomy and


microfracture, Right Knee

Surgeon: Dr. Michael Bengzon

Type of Anesthesia: General Anesthesia

Anesthesiologist: Dr. Jose Franco Banzon

SS: Sikat, Nestor Andre Miguel P.

CONDITION

Defintion of the operation- An arthroscopic meniscectomy is a


procedure to remove some or all of a meniscus from the tibio-
femoral joint of the knee using arthroscopic (aka 'keyhole')
surgery. In a complete meniscectomy the meniscus including
the meniscal rim is removed. A partial meniscectomy involves
partial removal of the meniscus. This may vary from minor
trimming of a frayed edge to anything short of removing the
rim. This is a minimally invasive procedure often done as day
suas an outpatient in a one-day clinic [1] This procedure is
performed when a meniscal tear is too large to be corrected
by a surgical meniscal repair.[1] When non-operative therapy
provides some degree of symptom relief over the long-term,
these benefits may wane with continued meniscal
degeneration. In such patients, arthroscopic partial
meniscectomy can be effective in improving patient quality of
life.

Medication/s of the operation

N/A

Signs and symptoms of the condition

Be unable to extend your leg comfortably and may feel better


when your knee is bent (flexed).

Develop pain gradually along the meniscus and joint line when
you put stress on your knees (usually during a repeated
activity). ...

Have swelling, stiffness or tightness in your knee.

Procedure
partial meniscectomy normally takes about between 20 and 40
minutes to perform, and usually you will be able to leave the
hospital the same day.

General anesthesia is typically used for this type of surgery,


though in some cases a spinal or epidural anesthetic is used. The
anesthesiologist will administer the anesthesia once you are in the
operating room.

Most meniscus surgery is performed with an arthroscope, which is


inserted into the knee through a one-quarter inch incision and is
used to view the meniscus tear. One or two additional small
incisions, or "portals," will be made to allow the insertion of
instruments into the knee.

Fluid is injected into the knee joint through one of these portals,
which allows the surgeon to view, through the arthroscope, the
extent of the tear.

If the tear cannot be repaired, the surgeon will use the


arthroscopic in combination with other instruments to remove the
torn portion.

Incisions are usually closed with stitches and the patient is taken to the
recovery room.
(Referencehttp://www.iskinstitute.com/kc/knee/meniscus_tear/t3.html)

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