Oğüt Tahir, Kesmezacar Hayrettin, Akgün Işik, Cansü Eren
Department of Orthopaedics and Traumatology, Cerrahpaşa Faculty of Medicine, Istanbul University, Istanbul, Turkey.
J Pediatr Orthop B. 2003 Nov;12(6):390-7. doi: 10.1097/01202412-200311000-00007.
We retrospectively reviewed the 4.5 year (range, 21-88 months) follow-up results of arthroscopic partial meniscectomies performed in 11 knees between 1994 and 2000 to treat a symptomatic discoid lateral meniscus. The average age at surgery was 11.5 years (range, 5-17 years). All except one of the discoid menisci were of a complete type, and all except three were torn menisci. At the latest follow-up examination, the result was excellent for nine knees, and good for two; no degenerative changes were evident on the roentgenograms. Arthroscopic partial meniscectomy should be the treatment of choice for the complete type symptomatic lateral discoid meniscus, even if it is intact. Preoperative lack of the knee extension requires a gentle rehabilitation program postoperatively.
我们回顾性分析了1994年至2000年间对11例膝关节进行关节镜下部分半月板切除术治疗有症状盘状外侧半月板的4.5年（范围21 - 88个月）随访结果。手术时的平均年龄为11.5岁（范围5 - 17岁）。除1例盘状半月板外均为完全型，除3例半月板外均有撕裂。在最近的随访检查中，9例膝关节结果为优，2例为良；X线片上无明显退变改变。对于完全型有症状的外侧盘状半月板，即使其完整，关节镜下部分半月板切除术也应作为首选治疗方法。术前膝关节伸直受限者术后需要温和的康复计划。
