Department of Orthopaedic Surgery, Korea University College of Medicine, Guro Hospital, Seoul, Republic of Korea.
Knee Surg Sports Traumatol Arthrosc. 2010 Apr;18(4):535-9. doi: 10.1007/s00167-009-0891-0. Epub 2009 Aug 27.
We reviewed thirty patients with degenerative posterior root tear of the medial meniscus to investigate clinical results of non-operative treatment retrospectively. There were 3 men and 27 women at a median age of 59 years old (range, 51-65). The median follow-up period was 36 months (range, 24-51). Non-operative treatments included non-steroidal anti-inflammatory drugs daily for 8-12 weeks and supervised physical therapy twice a week at least during a period of 8 weeks. The symptoms, physical signs, the Visual Analog Scale pain, the Lysholm Knee Scoring scale and IKDC subjective activity level were analyzed at the time of pre-intervention, 6 months, 12 months and the final follow-ups. Most patients had intense mechanical pain initially, but the severity and frequency of pain was decreased within 3 months. Clinical outcome was improved at 12 months follow-up and then declined to a level that was still improved over initial scores at final follow-up. Two patients with Kellgren-Lawrence grade 2 progressed to grade 3 at the median follow-up of 36 months. In conclusion, this study demonstrated that non-operative treatment provided symptomatic relief in most patients with the degenerative posterior root tear of the medial meniscus and functional improvements in a short term follow-up.
我们回顾了 30 例内侧半月板后根撕裂的退行性病变患者，回顾性分析非手术治疗的临床结果。患者中男 3 例，女 27 例，平均年龄 59 岁（51-65 岁）。平均随访时间为 36 个月（24-51 个月）。非手术治疗包括非甾体抗炎药每日治疗 8-12 周，每周至少 2 次监督物理治疗至少 8 周。在干预前、6 个月、12 个月和最终随访时，分析症状、体格检查、视觉模拟评分疼痛、Lysholm 膝关节评分和 IKDC 主观活动水平。大多数患者最初有剧烈的机械性疼痛，但疼痛的严重程度和频率在 3 个月内减轻。12 个月随访时临床结果改善，然后下降到最终随访时仍高于初始评分的水平。2 例 Kellgren-Lawrence 分级 2 患者在 36 个月的中位随访时进展为 3 级。总之，本研究表明，非手术治疗可为大多数内侧半月板后根撕裂的退行性病变患者提供症状缓解，并在短期随访中改善功能。
