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关节镜下前交叉韧带重建术后同期半月板部分切除术会使预后恶化。

Concomitant partial meniscectomy worsens outcome after arthroscopic anterior cruciate ligament reconstruction.

作者信息

Kartus Jüri T, Russell Vivianne J, Salmon Lucy J, Magnusson Lennart C, Brandsson Sveinbjörn, Pehrsson Nils G, Pinczewski Leo A

机构信息

Australian Institute of Musculo-Skeletal Research, Sydney.

出版信息

Acta Orthop Scand. 2002 Apr;73(2):179-85. doi: 10.1080/000164702753671777.

DOI:10.1080/000164702753671777
PMID:12079016
Abstract

In this multi-center study involving 412 patients, we assessed the influence of concomitant partial meniscal resection on the medium-term clinical results after anterior cruciate ligament reconstruction. We performed a resection of minimum one-third of the medial or lateral menisci in 137 patients (group M) and found intact menisci in 275 patients (group NM). Those who had undergone previous meniscal surgery, subsequent meniscal surgery or a re-rupture of the anterior cruciate ligament graft during the follow-up were not included. After a median of 3 (2-6) years, the patients were reexamined by independent observers. Group M patients had more pain, swelling and laxity than those in group NM; they also had a worse classification according to the IKDC system, lower Lysholm scores and a greater proportion of patients with loss of motion.

摘要

在这项涉及412例患者的多中心研究中,我们评估了同期部分半月板切除术对前交叉韧带重建术后中期临床结果的影响。我们对137例患者(M组)进行了至少三分之一内侧或外侧半月板切除术,而在275例患者(非M组)中发现半月板完整。排除那些在随访期间曾接受过半月板手术、后续半月板手术或前交叉韧带移植物再次断裂的患者。在中位时间3(2 - 6)年后,由独立观察者对患者进行复查。M组患者比非M组患者有更多的疼痛、肿胀和松弛;根据IKDC系统,他们的分级也更差,Lysholm评分更低,并且有更大比例的患者出现活动受限。

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