Browsing by Author "Karaoǧlan O."

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    Bilateral discoid medial menisci
    (W.B. Saunders, 2000) Pinar H.; Akseki D.; Karaoǧlan O.; Özkan M.; Uluç E.
    This article adds 2 more cases of bilateral discoid medial menisci to the previously reported 9 cases. The radiographs of the first case revealed bilateral cupping of the medial tibial plateaus and a small lytic lesion of the left distal medial femoral metaphysis. Beside the posteriorly unstable incomplete type discoid medial meniscus, the left knee had several associated arthroscopic findings: depression of the medial tibial plateau with exposed subchondral bone, anomalous insertion of the anterior horn of the discoid meniscus to the anterior cruciate ligament, a pathological medial plica, and longitudinal deep fissures in the trochlea. The second case was a complete type with peripheral horizontal cleavage tears. Following arthroscopic surgery, magnetic resonance imaging (MRI) scans of the contralateral knees were obtained in both cases to search for bilaterality. MRI revealed discoid medial menisci in the unoperated knees as well. The short-term results of arthroscopic meniscectomy may not be as satisfactory as those reported for normal menisci.
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    Bilateral simultaneous knee arthroscopy; [Di̇z eklemi̇ni̇n eş zamanli bi̇lateral artroskopi̇si̇]
    (2003) Akseki D.; Pinar H.; Koşay C.; Karaoǧlan O.
    Objectives: The purpose of this study was to analyse the arthroscopic findings when both knees were symptomatic, to find the incidence of lesions of surgical significance in the secondly arthroscoped (less symptomatic) knee and to report patient satisfaction. Methods: Twenty-two consecutive patients underwent arthroscopy of both of their knees in the same session because of bilateral symptoms. There were 11 men and 11 women whose ages ranged between 22 and 68 years (average 42 years). The right knee in 8, and the left knee in 12 were more symptomatic; the symptoms were graded as equal by two patients. Major complaints were pain (all knees), locking (n=10), giving-way (n=9), inability to squat (n=13). Results: The primary lesions of surgical significance in the firstly arthroscoped knees were as follows: medial meniscus tear 11, lateral meniscus tear 3, hyperthrophic medial plicae 1, chronic synovitis 1, medial synovitis 1, loose body 1, and degenerative arthritis 4 knee. Eighteen of these knees had associated surgical lesions. Surgically significant lesions were seen in all of the contralateral knees except for one in which only lavage was done. The lesions of both knees were similar in 16 patients. Fourteen patients were satisfied with the bilateral procedure. The remaining 4, who were not satisfied had mild to moderate degenerative arthritis in common. Conclusion: Bilateral surgical arthroscopy of the knee is well tolerated by the patients and has a high satisfaction rate. A surgically treatable lesion can be found also in the less symptomatic knee in most of the cases.