Long-Term Results of Arthroscopic Reshaping for Symptomatic Discoid Lateral Meniscus in Children

被引:118
作者
Ahn, Jin Hwan [1 ]
Kim, Kang-Il [2 ]
Wang, Joon Ho [3 ]
Jeon, Jong Wook [2 ]
Cho, Young Chu [2 ]
Lee, Sang Hak [2 ]
机构
[1] Sungkyunkwan Univ, Sch Med, Dept Orthopaed Surg, Kangbuk Samsung Hosp, Seoul, South Korea
[2] Kyung Hee Univ Hosp Gangdong, Ctr Joint Dis & Rheumatism, Seoul 134727, South Korea
[3] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Orthopaed Surg, Seoul, South Korea
基金
新加坡国家研究基金会;
关键词
FOLLOW-UP; PARTIAL MENISCECTOMY; PERIPHERAL TEAR; REPAIR; SUTURE; ADULTS; KNEES;
D O I
10.1016/j.arthro.2014.12.012
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
Purpose: To assess the long-term clinical and radiographic results of arthroscopic reshaping with or without peripheral meniscus repair for the treatment of symptomatic discoid lateral meniscus in children. Methods: This study included 38 children (48 knees) who underwent arthroscopic surgery for symptomatic discoid lateral meniscus. The mean age at operation was 9.9 years (range, 4 to 15 years), and the mean follow-up period was 10.1 years (range, 8 to 14 years). Arthroscopic partial meniscectomy was performed in 22 knees (group A); partial meniscectomy with repair, in 18 knees (group B); and subtotal meniscectomy, in 8 knees (group C). Clinical and radiographic results were evaluated preoperatively and at the final follow-up. Results: According to the scale of Ikeuchi, 94% of cases showed excellent or good results clinically. At the final follow-up, the median Tegner activity level was 7 (range, 4 to 10). The mean Lysholm knee score improved from 74.9 +/- 10.6 to 97.6 +/- 4.0, and the mean Hospital for Special Surgery score improved from 80.8 +/- 8.9 to 97.8 +/- 3.6 (P < .0001). At the final follow-up, radiographic evaluation showed the development of minor osteophytes in the lateral compartment of 18 knees and moderate joint space narrowing with spur formation in 1 knee. In addition, degenerative changes were observed in 23% of cases in group A, 39% of cases in group B, and 88% of cases in group C. Group C showed significantly greater progression of degenerative changes than group A or B. Conclusions: Arthroscopic reshaping for symptomatic discoid lateral meniscus in children led to satisfactory clinical outcomes after a mean of 10.1 years. However, progressive degenerative changes appeared in 40% of the patients. The subtotal meniscectomy group had significantly increased degenerative changes compared with partial meniscectomy with or without repair.
引用
收藏
页码:867 / 873
页数:7
相关论文
共 38 条
[1]
Torn discoid lateral meniscus treated using partial central meniscectomy and suture of the peripheral tear [J].
Adachi, N ;
Ochi, M ;
Uchio, Y ;
Kuriwaka, M ;
Shinomiya, R .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2004, 20 (05) :536-542
[2]
Aglietti P, 1999, Am J Knee Surg, V12, P83
[3]
Arthroscopic femoral tensioning and posterir cruciate ligament reconstruction in chronic posterior cruciate ligament injury [J].
Ahn, JH ;
Nha, KW ;
Kim, YC ;
Lim, HC ;
Nam, HW ;
Wang, JH .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2006, 22 (03) :341.e1-341.e4
[4]
Modified inside-out technique for meniscal repair [J].
Ahn, JH ;
Wang, JH ;
Oh, I .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2004, 20 (06) :178-182
[5]
Discoid lateral meniscus in children: Clinical manifestations and morphology [J].
Ahn, JH ;
Shim, JS ;
Hwang, CH ;
Oh, WH .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2001, 21 (06) :812-816
[6]
Arthroscopic partial meniscectomy with repair of the peripheral tear for symptomatic discoid lateral meniscus in children: Results of minimum 2 years of follow-up [J].
Ahn, Jin Hwan ;
Lee, Sang Hak ;
Yoo, Jae Chul ;
Lee, Yong Seuk ;
Ha, Hae Chan .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2008, 24 (08) :888-898
[7]
The modified outside-in suture: vertical repair of the anterior horn of the meniscus after decompression of a large meniscal cyst [J].
Ahn, Jin Hwan ;
Wang, Joon Ho ;
Yoo, Jae Chul ;
Kim, Sung Kon ;
Park, Jung Ho ;
Park, Jong Woong .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2006, 14 (12) :1288-1291
[8]
Symptomatic torn discoid lateral meniscus in adults [J].
Ahn, Jin Hwan ;
Choi, Sang-Hee ;
Lee, Yong Seuk ;
Yoo, Jae Chul ;
Chang, Moon Jong ;
Bae, Sooho ;
Bae, Young Ryeol .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2011, 19 (02) :158-164
[9]
Bilateral Discoid Lateral Meniscus in Knees: Evaluation of the Contralateral Knee in Patients With Symptomatic Discoid Lateral Meniscus [J].
Ahn, Jin Hwan ;
Lee, Sang Hak ;
Yoo, Jae Chul ;
Lee, Han-Jun ;
Lee, Jae Sung .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2010, 26 (10) :1348-1356
[10]
A Novel Magnetic Resonance Imaging Classification of Discoid Lateral Meniscus Based on Peripheral Attachment [J].
Ahn, Jin Hwan ;
Lee, Yong Seuk ;
Ha, Hae Chan ;
Shim, Jong Sup ;
Lim, Kyung Sub .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2009, 37 (08) :1564-1569