Circumstances of Injury:

During a combat deployment, Oleksandr and his unit came under enemy mortar fire. Amid the explosions, Oleksandr sustained a right knee injury. Despite severe pain that made every step agonizing, he managed to reach safety with the help of his comrades.

Diagnosis:

1. Post-Traumatic Damage to the Posterior Horn of the Medial Meniscus (Stoller Grade 3):
   • Stoller Grade 3 indicates:
     • A significant tear that extends to the surface of the meniscus.
     • Mechanical instability within the knee joint.
     • The posterior horn of the medial meniscus is particularly vulnerable to overload or trauma.
2. Right-Sided Gonarthrosis, Grade I:
   • Early-stage degenerative joint disease characterized by:
     • Reduced elasticity of the cartilage.
     • Initial structural changes in the joint surface.
     • Potential onset of joint space narrowing visible in imaging.
3. Chronic Pain Syndrome:
   • Persistent pain due to structural damage within the joint.
4. Functional Impairment in Support and Gait:
   • Difficulty with weight-bearing and mobility due to pain, instability, and restricted movement.

Clinical Decision:

Arthroscopic Meniscectomy of the Right Knee Joint.

Arthroscopic Meniscectomy:

Overview:

• A minimally invasive surgical procedure performed using an arthroscope (a thin, flexible camera) inserted through small incisions.
• Aimed at preserving as much of the meniscus as possible while removing or repairing the damaged portions.

Indications:

• Tear of the posterior horn of the medial meniscus (Stoller Grade 3).
• Mechanical symptoms such as joint locking or difficulty fully extending or flexing the knee.
• Chronic pain and functional impairment unresponsive to conservative treatments.

Benefits:

1. Pain Relief:
   • Reduces the persistent pain caused by the torn meniscus.
2. Restoration of Mobility:
   • Eliminates mechanical restrictions, improving knee joint movement.
3. Preservation of Joint Health:
   • Minimizes further damage to the joint cartilage and delays the progression of gonarthrosis.
4. Short Recovery Time:
   • Compared to open surgery, this procedure allows for a quicker return to physical activity and rehabilitation.