Indications and effectiveness of arthroscopic lavage and debridement in osteoarthritis knee


  • Neeraj Srivastava Consultant, Shubham Hospital, Varanasi, Uttar Pradesh, India
  • Shameem A. Khan Department of Orthopaedics, IIMSR, Dasauli, Lucknow, Uttar Pradesh, India
  • Vivek Kumar Registered Medical Practitioner, Kasaya, Kushinagar, Uttar Pradesh, India



Arthroscopic lavage, Arthroscopy indication, Knee, Osteoarthritis, Painful knee


Background: Degenerative joint disease will afflict most of the people if they live long enough. The majority of patients with osteoarthritis present to orthopaedic surgeons seeking relief of pain and associated restoration of function. Various intraarticular and periarticular structures may be the cause of pain. Improvement in osteoarthritis by arthroscopic lavage and debridement is seen due to various mechanisms.

Methods: In a prospective study from July 2016 to December 2018, 35 patients with primary osteoarthritis knee were assessed for effectiveness of arthroscopic lavage and debridement in relieving symptoms of osteoarthritis of knee and to determine the indications of arthroscopy in osteoarthritis of knee. Assessment was done using variables as age of the patient, body mass index, varus deformity, radiographic grading and arthroscopic grading.

Results: A declining trend was seen on follow up over time; 91.4% excellent to good results seen at one month follow up, 76.1% at six months, 49.93% at twelve months, 37.5%, at eighteen months, 23.07% at twenty-four months and 28.5% at thirty months. Results at six month follow up when compared, were better for age less than 50 years (88.8% Vs 73.1% in >50 years age), normal weight patients with BMI 18.5 to 25(94.5% Vs 58.5% in overweight), varus angulation <100(93.1% Vs 0% in >100), radiological grade I and II (95-100% Vs 45-50% in grade III and IV) and arthroscopic grade I and II (94-100% Vs 0-77% in grade III and IV).

Conclusions: Arthroscopic lavage and debridement is an effective method of treatment for osteoarthritis knee in patients with grade I and grade II osteoarthritis having symptoms of pain and locking due to loose bodies or degenerative meniscal tears.


Heine J. Über die Arthritis deformans. Virchows Archiv. 1926 Oct 1;260(3):521-663.

Woolf AD, Pfleger B. Global Economic and Health Care Burden of Musculoskeletal Disease. 2001, World Health Organization. Available at:

Kuettner KE. Intr In: Kuettner KE, Goldberg VM, eds. Osteoarthritis Disorders. Rosemont, IL, Am Acad Orthopaedic Surg. 1995:11-5.

Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, et al. Development of criteria for the classification and reporting of osteoarthritis: classification of osteoarthritis of the knee. Arthritis Rheumatism: Official J Am Coll Rheumatol. 1986 Aug;29(8):1039-49.

Insall JN, Dorr LD, Scott RD, Scott WN. Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res. 1989 Nov 1;248(248):13-4.

Spahn G, Mückley T, Kahl E, Hofmann GO. Factors affecting the outcome of arthroscopy in medial-compartment osteoarthritis of the knee. Arthro: J Arthroscopic Related Surg. 2006 Nov 1;22(11):1233-40.

Salisbury RB, Nottage WM, Gardner VA. The effect of alignment on results in arthroscopic debridement of the degenerative knee. Clini Orthopae Related Res. 1985;(198):268-72.

Jackson RW, Dieterichs C. The results of arthroscopic lavage and debridement of osteoarthritic knees based on the severity of degeneration. Arthroscopy: J Arthro Related Surg. 2003 Jan 1;19(1):13-20.

Gross DE, Brenner SL, Esformes I, Gross ML. Arthroscopic treatment of degenerative joint disease of the knee. Orthopedics. 1991;14(12):1317-21.

Richmond JC. Is there a role for arthroscopy in the treatment of osteoarthritis?. Arthro. 2010 Feb 1;26(2):143-4.

Day B. The indications for arthroscopic debridement for osteoarthritis of the knee. Orthopedic Clinics. 2005 Oct 1;36(4):413-7.

Moseley JB, O'Malley K, Petersen NJ, Menke TJ, Brody BA, Kuykendall DH, et al. A controlled trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med. 2002 Jul 11;347(2):81-8.




How to Cite

Srivastava, N., Khan, S. A., & Kumar, V. (2019). Indications and effectiveness of arthroscopic lavage and debridement in osteoarthritis knee. International Journal of Research in Medical Sciences, 8(1), 199–204.



Original Research Articles