Roulot E, Beaufils P, Benoit J, Cho S H
Service de Chirurgie Orthopédique, C.H. de Versailles, Hôpital André Mignot, Le Chesnay.
Rev Chir Orthop Reparatrice Appar Mot. 1992;78(3):164-8.
Fifty-one meniscectomies by arthroscopy were realised on patients of more than 55 years of age between 1981 and 1986. Twenty-four patients were reviewed after at least 4 years of follow up, 12 of them after a 7.5 years follow up. 21 results were noted as functionally very good or good, 3 were poor. The radiological analysis of femoro-tibial compartments in comparison with the non operative side showed a clear pejorative difference in one case, moderate in 5 without incriminating the morphological type. If the quality of result does'nt correlate with age, it was'nt the same for the type of lesion seen during arthroscopy, the best results after arthroscopic meniscectomies were seen in traumatic lesions occurring on normal menisci or on degenerative ones. The authors concluded that medial meniscectomy in patients older than 55 years is justified in precise indications: a known traumatism or also acute medial pain, or speedy with normal or subnormal X-ray and after a positive arthrography.
1981年至1986年间，对55岁以上的患者进行了51例关节镜下半月板切除术。24例患者在至少4年的随访后接受复查，其中12例进行了7.5年的随访。21例结果在功能上被评为非常好或良好，3例较差。与未手术侧相比，股骨-胫骨关节腔的放射学分析显示，1例有明显的恶化差异，5例为中度，未涉及形态学类型。如果结果质量与年龄无关，关节镜检查时所见病变类型则并非如此，关节镜下半月板切除术后最佳结果见于正常半月板或退变半月板上的创伤性病变。作者得出结论，对于55岁以上患者，在明确指征下进行内侧半月板切除术是合理的：已知创伤、急性内侧疼痛、X线正常或异常且关节造影阳性后迅速出现的情况。
