Hulet C H, Locker B G, Schiltz D, Texier A, Tallier E, Vielpeau C H
Department of Orthopaedics, Caen University Hospital, France.
J Bone Joint Surg Br. 2001 Jan;83(1):29-32. doi: 10.1302/0301-620x.83b1.11115.
We reviewed 74 partial medial meniscectomies in 57 patients with stable knees, to assess the long-term functional and radiological outcome. The International Knee Documentation Committee score and the residual laxity were assessed in both knees. At the time of surgery the mean age of the patients was 36 +/- 11 years and the mean follow-up was 12 +/- 1 years. All had a limited medial meniscectomy. The anterior cruciate ligament was intact in all cases. The meniscal tear was vertical in 95% and complex in 5%. The posterior part of the meniscus was removed in 99%. A peripheral rim was preserved in all cases. After 12 years 95% of the patients were satisfied or very satisfied with their knee(s). Objectively, 57% had grade A function and 43% were grade B. The outcome correlated only with the presence of anterior knee pain at final follow-up. In the 49 cases of arthroscopic meniscectomy for which there was a contralateral normal knee there was narrowing of the 'joint-space' in 16% of the operated knees. There was no correlation between this and other parameters such as age or different meniscal pathologies.
我们回顾了57例膝关节稳定患者的74例部分内侧半月板切除术，以评估其长期功能和影像学结果。对双膝均评估了国际膝关节文献委员会评分和残余松弛度。手术时患者的平均年龄为36±11岁，平均随访时间为12±1年。所有患者均行有限的内侧半月板切除术。所有病例的前交叉韧带均完整。半月板撕裂95%为垂直型，5%为复合型。99%的病例切除了半月板后部。所有病例均保留了周边边缘。12年后，95%的患者对其膝关节感到满意或非常满意。客观上，57%的患者功能为A级，43%为B级。结果仅与末次随访时膝前疼痛的存在相关。在49例关节镜下半月板切除术且对侧膝关节正常的病例中，16%的手术膝关节出现“关节间隙”变窄。这与年龄或不同半月板病变等其他参数之间无相关性。
