Murrell G A, Maddali S, Horovitz L, Oakley S P, Warren R F
Department of Orthopaedic Surgery, St. George Hospital Campus, University of New South Wales, Sydney, Australia.
Am J Sports Med. 2001 Jan-Feb;29(1):9-14. doi: 10.1177/03635465010290012001.
In this study, 130 consecutive patients with anterior cruciate ligament insufficiency who were undergoing ligament reconstruction underwent arthroscopic examination at the time of reconstruction, and any loss of meniscal or chondral integrity was documented in a systematic fashion. In these patients, a greater proportion of the medial meniscus was lost compared with the lateral meniscus (16% versus 5%). On average, 6 cm2 of the articular cartilage was damaged (5.2 cm2) or lost (0.8 cm2), with the area of damage and loss greatest on the medial femoral condyle. Patients whose injuries had occurred more than 2 years before the examination had more than sixfold greater cartilage loss and damage compared with those whose injuries had occurred within the past 2 months. Meniscal loss was associated with a threefold increase in cartilage damage or loss. The group of patients with meniscal loss whose initial anterior cruciate ligament injury occurred more than 2 years before examination exhibited 18 times the amount of cartilage loss or damage as did the group that had no meniscal loss and whose injury occurred less than 1 month before examination.
在本研究中，130例连续的前交叉韧带不全且正在接受韧带重建的患者在重建时接受了关节镜检查，并以系统的方式记录了半月板或软骨完整性的任何丧失情况。在这些患者中，内侧半月板丧失的比例高于外侧半月板（16%对5%）。平均而言，6平方厘米的关节软骨受到损伤（5.2平方厘米）或丧失（0.8平方厘米），股骨内侧髁的损伤和丧失面积最大。受伤发生在检查前超过2年的患者，其软骨丧失和损伤程度比受伤发生在过去2个月内的患者高出六倍多。半月板丧失与软骨损伤或丧失增加三倍相关。初次前交叉韧带损伤发生在检查前超过2年的半月板丧失患者组，其软骨丧失或损伤量是检查前不到1个月受伤且无半月板丧失患者组的18倍。
