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半月板切除术治疗单纯半月板损伤的结果:结果与损伤病因之间的相关性。

Results of meniscectomy for treatment of isolated meniscal injuries: correlation between results and etiology of injury.

作者信息

Camanho Gilberto Luis, Hernandez Arnaldo Jose, Bitar Alexandre Carneiro, Demange Marcos K, Camanho Luis Fellipe

机构信息

Institute of Orthopedics and Traumatology, University of São Paulo Medical School, São Paulo, SP, Brazil.

出版信息

Clinics (Sao Paulo). 2006 Apr;61(2):133-8. doi: 10.1590/s1807-59322006000200008. Epub 2006 Apr 25.

Abstract

PURPOSE

To evaluate the results of the treatment of patients with isolated meniscal injuries of different etiologies.

MATERIALS AND METHODS

435 patients of both sexes and different age groups underwent meniscectomy after their isolated meniscal injuries were clinically diagnosed and confirmed by nuclear magnetic resonance imaging.

RESULTS

Most patients achieved good results and were able to return to the activities they had practiced prior to surgery without major limitations.

CONCLUSIONS

Meniscectomy for the treatment of traumatic meniscal injury provides better results than meniscectomy for the treatment of degenerative meniscal injury. The results of meniscectomy for the treatment of meniscal injury due to fatigue are similar to those of meniscectomy for the treatment of traumatic meniscal injury, although the risk of osteonecrosis development is higher.

摘要

目的

评估不同病因孤立性半月板损伤患者的治疗结果。

材料与方法

435例不同性别和年龄组的患者在其孤立性半月板损伤经临床诊断并经核磁共振成像确认后接受了半月板切除术。

结果

大多数患者取得了良好的效果,能够在没有重大限制的情况下恢复到手术前进行的活动。

结论

与治疗退行性半月板损伤的半月板切除术相比,治疗创伤性半月板损伤的半月板切除术效果更好。因疲劳导致半月板损伤的半月板切除术结果与治疗创伤性半月板损伤的半月板切除术相似,尽管发生骨坏死的风险更高。

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