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半月板切除术为何失败。

Why a meniscectomy fails.

作者信息

Laasonen E M, Wilppula E

出版信息

Acta Orthop Scand. 1976 Dec;47(6):672-5. doi: 10.3109/17453677608988758.

DOI:10.3109/17453677608988758
PMID:1037069
Abstract

The clinical and roentgenological data on 30 patients with unsatisfactory recovery or recurrent symptoms after meniscectomy were analysed. The meniscectomy was regarded as having been the wrong choice of therapy in four patients and as ineffective therapy in 11. In 10 patients other knee lesions dominated postoperatively, in three the recovery was delayed for no obvious reason but the symptoms slowly disappeared, and in the remaining two patients a degenerative osteoarthritis developing some time after the meniscectomy was regarded as the cause of the recurring symptoms. We conclude that with an optimal clinical and arthrographic analysis and with careful operative tecnique as many as 17 arthrotomies (out of 30 primary and 13 reoperations) in the material presented could have been avoided.

摘要

对30例半月板切除术后恢复不佳或症状复发患者的临床及X线数据进行了分析。在4例患者中,半月板切除术被认为是错误的治疗选择,在11例患者中被认为是无效治疗。10例患者术后存在其他膝关节病变,3例患者恢复延迟但无明显原因,症状逐渐消失,其余2例患者半月板切除术后一段时间出现的退行性骨关节炎被认为是症状复发的原因。我们得出结论,通过最佳的临床和关节造影分析以及仔细的手术技术,在所呈现的病例中(30例初次手术和13例再次手术)多达17例关节切开术本可避免。

相似文献

1
Why a meniscectomy fails.半月板切除术为何失败。
Acta Orthop Scand. 1976 Dec;47(6):672-5. doi: 10.3109/17453677608988758.
2
Meniscectomy in children.儿童半月板切除术
Acta Orthop Scand. 1979 Dec;50(6 Pt 2):791-5. doi: 10.3109/17453677908991311.
3
Digital radiographic evaluation of medial joint space narrowing after partial meniscectomy of bucket-handle medial meniscus tears in anterior cruciate ligament-intact knees.前交叉韧带完整的膝关节中,桶柄状内侧半月板撕裂部分切除术后内侧关节间隙变窄的数字化X线评估
Am J Sports Med. 2006 Oct;34(10):1648-55. doi: 10.1177/0363546506288019. Epub 2006 Jun 26.
4
Clinical significance of knee joint changes after meniscectomy.半月板切除术后膝关节变化的临床意义。
Clin Orthop Relat Res. 1985 Sep(198):56-60.
5
[Functional recovery after meniscectomy of the knee. A retrospective study].[膝关节半月板切除术后的功能恢复。一项回顾性研究]
Union Med Can. 1985 Jul;114(7):563-7, 570.
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Late results after meniscectomy in the knee joint. A clinical and roentgenologic follow-up investigation.膝关节半月板切除术后的远期结果。一项临床与放射学随访研究。
Acta Orthop Scand Suppl. 1970;133:1-111. doi: 10.3109/ort.1970.41.suppl-133.01.
7
[Late x-ray observations on the knee joint following meniscectomy].[半月板切除术后膝关节的晚期X线观察]
Hefte Unfallheilkd. 1975 Nov(126):404-7.
8
Radiographic evaluation of the knee joint after meniscal allograft transplantation. An experimental study in rabbits.半月板同种异体移植术后膝关节的影像学评估:一项在兔身上的实验研究。
Knee Surg Sports Traumatol Arthrosc. 2002 Jul;10(4):241-6. doi: 10.1007/s00167-002-0284-0. Epub 2002 Mar 15.
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Knee osteoarthritis after meniscectomy: prevalence of radiographic changes after twenty-one years, compared with matched controls.半月板切除术后的膝关节骨关节炎:与匹配对照组相比,21年后影像学改变的患病率
Arthritis Rheum. 1998 Apr;41(4):687-93. doi: 10.1002/1529-0131(199804)41:4<687::AID-ART16>3.0.CO;2-2.
10
[Intramural internal meniscectomy using the Trillat technic. Long-term results of 258 operations].[采用特里拉特技术的壁内半月板切除术。258例手术的长期结果]
Rev Chir Orthop Reparatrice Appar Mot. 1988;74(7):637-46.

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Meniscal tears.半月板撕裂
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