Participation of patients during arthroscopic partial meniscectomy is conducive to postoperative rehabilitation and satisfaction: a single-center retrospective study

Purpose To evaluate the effect of patient participation in arthroscopic partial meniscectomy (APM) on rehabilitation and patient satisfaction. Methods A total of 86 patients of traumatic longitudinal vertical meniscus tears, between January 2017 and December 2020 at the First Affiliated Hospital of Zhejiang Chinese Medical University, met the inclusion and exclusion criteria. The patients in the intraoperative participation group (n = 33) were awake and could watch the screen during APM and communicate with the surgeon in the surgery; patients who underwent APM in the traditional mode were classified as the traditional group(n = 53). The differences in exercise adherence, the Knee Injury and Osteoarthritis Outcome Score (KOOS) and satisfaction at follow-up were compared. In the intraoperative participation group, the mean age of the patients was 26.97 [+ or -] 5.63 years and the follow-up time was 25.12 [+ or -] 6.23 months. In the traditional group, the mean age of the patients was 29.21 [+ or -] 5.29 years and the follow-up time was 25.08 [+ or -] 6.70 months. Results The intraoperative participation group reported a better result in exercise adherence (78.79% VS 50.94%, p = 0.012). As secondary outcomes, Patients in the intraoperative participation group demonstrated better scores on the KOOS domains of pain (79.80 [+ or -] 6.38 VS 76.26 [+ or -] 5.33, p = 0.007), Symptoms (59.41 [+ or -] 5.27 VS 56.74 [+ or -] 5.97, p = 0.038), and QOL (65.91 [+ or -] 10.72 VS 60.26 [+ or -] 9.34, p = 0.012), as compared to these in the traditional group. There were no significant differences in the KOOS domains of Sport (72.88 [+ or -] 8.20 VS 72.64 [+ or -] 7.70, P = 0.892), and ADL (89.47 [+ or -] 3.50 VS 87.87 [+ or -] 4.50 p = 0.085). what's more, in the intraoperative participation group, the results of satisfaction (96.97% VS 81.13%, p = 0.025) were also significantly better. Conclusion The mode of participation of patients during APM can improve patients' exercise adherence, reduce pain, improve symptoms and improve patients' satisfaction as well as the quality of life. More work is needed to develop this mode further. Keywords: Arthroscopic partial meniscectomy, Intraoperative participation, Rehabilitation