ROENTGENOGRAPHIC CHANGES AFTER ARTHROSCOPIC MENISCECTOMY - 5-YEAR FOLLOW-UP IN PATIENTS MORE THAN 45-YEARS-OLD

被引:55
作者
COVALL, DJ [1 ]
WASILEWSKI, SA [1 ]
机构
[1] LAHEY CLIN FDN,MED CTR,DEPT ORTHOPAED SURG,BURLINGTON,MA
来源
ARTHROSCOPY | 1992年 / 8卷 / 02期
关键词
MENISCECTOMY; OSTEOARTHRITIS; FAIRBANK CHANGES;
D O I
10.1016/0749-8063(92)90044-C
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
Fifty knees with a mean follow-up time of greater than 5 years after arthroscopic meniscectomy were evaluated clinically and roentgenographically. Clinically, patients did well, with 98% patient satisfaction and 90% good or excellent results based on a modified Lysholm score. Although postoperative roentgenography showed some progression of Fairbank's changes in 61% with significant progression in 15% of knees, when changes in the nonoperative knee were considered, only 40% of operative knees showed progression, with only 4% of these knees showing significant progression. Normal results on preoperative anteroposterior roentgenography with the patient weight bearing and an anatomic tibiofemoral axis of greater-than-or-equal-to 4-degrees of valgus correlated with better long-term roentgenographic results.
引用
收藏
页码:242 / 246
页数:5
相关论文
共 20 条
[1]  
Whipple, Caspari, Meyers, Arthroscopic meniscectomy: an interim report three to four years after operation, Clin Orthop, 183, pp. 105-114, (1984)
[2]  
Bergstrom, Hamberg, Lysholm, Gillquist, Comparison of open and endoscopic meniscectomy, Clin Orthop Relat Res, 184, pp. 133-136, (1984)
[3]  
Gillquist, Oretorp, Arthroscopic partial meniscectomy: technique and long-term results, Clin Orthop, 167, pp. 29-33, (1982)
[4]  
Northmore-Ball, Dandy, Jackson, Arthroscopic, open, partial, and total meniscectomy: a comparative study, J Bone Joint Surg [Br], 65, pp. 400-404, (1983)
[5]  
Allen, Denham, Swan, Late degenerative changes after meniscectomy: factors affecting the knee after operation, J Bone Joint Surg [Br], 66, pp. 666-671, (1984)
[6]  
Veth, Clinical significance of knee joint changes after meniscectomy, Clin Orthop, 198, pp. 56-60, (1985)
[7]  
Jorgensen, Sonne-Holm, Lauridsen, Rosenklint, Long-term follow-up of meniscectomy in athletes: a prospective longitudinal study, J Bone Joint Surg [Br], 69, pp. 80-83, (1987)
[8]  
Johnson, Kettelkamp, Clark, Leaverton, Factors affecting late results after meniscectomy, J Bone Joint Surg [Am], 56, pp. 719-729, (1974)
[9]  
Tapper, Hoover, Late results after meniscectomy, J Bone Joint Surg [Am], 51, pp. 517-526, (1969)
[10]  
Lotke, Lefkoe, Ecker, Late results following medial meniscectomy in an older population, J Bone Joint Surg [Am], 63, pp. 115-119, (1981)