Ogilvie-Harris D J, Fitsialos D P
Department of Orthopaedic Surgery, Toronto Hospital, Ontario, Canada.
Arthroscopy. 1991;7(2):151-7. doi: 10.1016/0749-8063(91)90101-3.
Out of a total 551 arthroscopic procedures for degenerative arthritis of the knee, 441 were studied at 2-8 years following their procedure. Sixty-eight percent of patients had at least 2 years or more relief of pain and symptoms. Fifty-three percent were still good at follow-up of 4.1 years. The best results were obtained after resection of an unstable flap tear of a meniscus in association with mild degenerative arthritis. The worst results were obtained in patients with bicondylar disease and in the presence of chondrocalcinosis. The results were much better in the normally aligned knee; the valgus knee did worst. Repeated arthroscopic procedures have a much lower success rate.
在总共551例针对膝关节退行性关节炎的关节镜手术中，441例在术后2至8年接受了研究。68%的患者至少有2年或更长时间的疼痛和症状缓解。53%的患者在4.1年的随访时情况仍良好。在伴有轻度退行性关节炎的情况下，切除不稳定的半月板瓣状撕裂后获得了最佳效果。双髁疾病患者以及存在软骨钙质沉着症的患者效果最差。膝关节正常对线的患者结果要好得多；外翻膝患者效果最差。重复进行关节镜手术的成功率要低得多。
