IP Journal of Surgery and Allied Sciences 2023;5(1):18–23 Content available at: https://www.ipinnovative.com/open-access-journals IP Journal of Surgery and Allied Sciences Journal homepage: https://www.jsas.co.in/ Original Research Article Role of arthroscopic knee lavage supplemented with intra-articular methy l prednisolone in osteoarthritis of knees Dheeraj Makkar 1, *, Rakesh Sharma 2 , Sohan Singh 2 1 Dept. of Orthopedic, N.C. Medical College, Israna, Haryana, India 2 Dept. of Orthopedic, Government Medical College, Amritsar, Punjab, India ARTICLE INFO Article history: Received 05-04-2023 Accepted 28-04-2023 Available online 15-05-2023 Keywords: Osteoarthritis Knee lavage Methyl prednisolone Arthroscopy ABSTRACT Introduction: Pain, swelling, and stiffness in the knee joint due to degenerative knee disease (osteoarthritis in the knee, which affects the joint lining and menisci) are among the most prevalent causes of difficulty walking. Damage to the cartilage in the knee joint leads to increased friction and, in extreme situations, the development of new bone. It is widely prevalent in our country due to predominance of kneeling and other cultural habits. Purpose of the Study: We hypothesized that if we could remove the debris of the cartilage and other degenerative tissue through knee lavage it would relieve the joint pain and stiffness. We further decided to augment this treatment with intra articular methyl prednisolone 80 mg to decrease the inflammation of the synovium and provide a prolonged relief. Materials and Methods: All patients will undergo arthroscopic knee lavage with 3000 milliliters of ringer lactate solution under sterile conditions in the operating room.As a local anesthetic, 10 milliliter of lignocaine 2% was used. Eighty milligrams of methyl prednisolone were injected through the arthroscopic cannula at the conclusion of the procedure. The patient was sent home with stringent activity restrictions for only 24 hours. For seven days following surgery, patients were prescribed a moderate analgesic and an antibiotic. After a week, the bandage was removed and a band-aid was affixed for the remaining five days. At 1 month, 3 months, and 6 months, patients were contacted for evaluation and the pre operative and post operative pain scales were compared. Results: Patients with Kellgren and Lawrence grade 3 osteoarthritis reported a statistically significant improvement in pain relief from pre- to post-operative VAS scores (p 0.05) after three months, and 67 percent reported good or excellent results after six months. Conclusion: Knee lavage with methyl prednisolone 80mg under local anesthesia is an effective treatment option for patients with grades 1, 2, and 3 osteoarthritis who are unable to undergo surgery for economic or medical reasons or who have a substantial NSAIDS requirement. This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. For reprints contact: reprint@ipinnovative.com 1. Introduction 1 Osteoarthritis also known osteoarthrosis degenerative joint 2 disease and degenerative arthritis is a heterogeneous group 3 of disorders that results in articular cartilage degeneration. 4 It characterized by disturbance of smooth property of 5 * Corresponding author. E-mail address: Makkardheeraj@gmail.com (D. Makkar). cartilage resulting in formation of subchondral cysts and 6 marginal osteophytes. These processes continue until the 7 full thickness of cartilage is lost and bone is left exposed. 8 It is not a single disease entity but a final common pattern of 9 joint failure. 10 Keuttner and Goldberg described osteoarthritis as a 11 group of overlapping diseases which may have different 12 etiologies, but with similar biological, morphological and 13 https://doi.org/10.18231/j.jsas.2023.005 2582-6387/© 2023 Innovative Publication, All rights reserved. 18