ARTHROSCOPIC PARTIAL MENISCECTOMY - A LONG-TERM FOLLOW-UP

被引:126
作者
FAUNO, P [1 ]
NIELSEN, AB [1 ]
机构
[1] AARHUS UNIV HOSP,DEPT ORTHOPED SURG,DK-8000 AARHUS,DENMARK
来源
ARTHROSCOPY | 1992年 / 8卷 / 03期
关键词
MENISCUS TEAR; KNEE JOINT; ARTHROSIS; DEGENERATIVE CHANGES; KNEE FUNCTION;
D O I
10.1016/0749-8063(92)90066-K
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
摘要
A follow-up study was conducted to clarify the clinical and radiological long-term consequences of arthroscopic meniscus resection. One hundred thirty-six patients who had unilateral arthroscopic resection of an isolated meniscal tear attended for an interview and a physical and radiological examination. Follow-up averaged 8.5 years, with a range of 7.9-11.6 years. The reoperation rate was as high as 22.8%, but was the lowest in the bucket handle tear group (13%). Pain after exercise was less frequent among patients treated for a bucket handle tear compared to other lesions. Fifty-three percent of the patients had at least one of the Fairbanks changes in the operated knee and only 22% in the control knees. The radiographic result was not influenced by the type of meniscus lesion nor were high age or intraoperatively described cartilage damage factors of significance. Malalignment <4-degrees of valgus and >10-degrees of valgus was found to be a significant risk factor for the development of degenerative changes following meniscus resection.
引用
收藏
页码:345 / 349
页数:5
相关论文
共 27 条
[11]  
Cox, Cordell, The degenerative effects of medial meniscus tears in dogs knees, Clin Orthop, 125, pp. 236-242, (1977)
[12]  
King, The healing of semilunar cartilages, J Bone Joint Surg, 18, pp. 333-342, (1936)
[13]  
Tapper, Hoover, Late results after meniscectomy, J Bone Joint Surg [Am], 51, pp. 517-526, (1969)
[14]  
Gillquist, Oretorp, Arthroscopic partial meniscectomy, Clin Orthop Rel Res, 167, pp. 29-33, (1982)
[15]  
Northmore-Ball, Dandy, Long-term results of arthroscopic partial meniscectomy, Clin Orthop Rel Res, 167, pp. 34-42, (1982)
[16]  
McGinty, Geuss, Marvin, Partial or total meniscectomy, J Bone Joint Surg [Am], 59, pp. 763-766, (1977)
[17]  
Lauritzen, Sondergaard-Petersen, Perkutane kn˦led-soperationer med artroskopisk teknik (Danish), Ugeskr Laeger, 144, pp. 1382-1385, (1982)
[18]  
Masse, Glimet, Alperovitch, Kuntz, Valeur de l'angle femoro-tibial de 244 subjects exempts de gonartrhose, Rev Rheum, 52, pp. 91-94, (1985)
[19]  
Lysholm, Gillquist, Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale, Am J Sports Med, 10, pp. 150-154, (1982)
[20]  
Jorgensen, Sonne-Holm, Lauridsen, Rosenklint, Long-term follow-up of meniscectomy in athletes, J Bone Joint Surg [Br], 69, pp. 80-81, (1987)