Menke W, Schneider T, Schmitz B, Michiels I
Orthopädische Belegabteilung Marienkrankenhaus Trier.
Sportverletz Sportschaden. 1990 Dec;4(4):169-74. doi: 10.1055/s-2007-993617.
A series of 90 patients, 85 males and 5 females, all with ACL-ruptures had a follow up between 5 and 12 years. All of them had a primary arthrotomy with or without meniscectomy but in no case an operative repair of the ACL-rupture was done. The most concomitant injury was a torn medial meniscus in 76.3%, a damaged lateral meniscus was found in 17.1%, chondromalacia was seen in 53%, either of tibia, femur or patella. Nearly 60% of the patients could resume their former sports activities in some cases on a lower level, whereas 33% had to change their sport or even had to give up any sport. 75%-80% of the patients with partial or total meniscectomy and 90% of those without meniscectomy estimated the outcome as good or fair. In contrast to this 61% rsp. 86% of the patients with partial or total meniscectomy had an osteoarthritis of grade III and IV, patients without meniscectomy in only 23%.
90例患者（85例男性，5例女性）均为前交叉韧带断裂，随访时间为5至12年。他们均接受了一期关节切开术，部分患者同时进行了半月板切除术，但均未对前交叉韧带断裂进行手术修复。最常见的合并损伤是内侧半月板撕裂，占76.3%；外侧半月板损伤占17.1%；53%的患者出现了胫骨、股骨或髌骨的软骨软化。近60%的患者在一定程度上能够恢复之前的体育活动，但水平有所降低，而33%的患者不得不改变运动项目，甚至不得不放弃任何运动。75%-80%接受部分或全部半月板切除术的患者以及90%未接受半月板切除术的患者认为治疗结果良好或尚可。与此形成对比的是，接受部分或全部半月板切除术的患者中，分别有61%和86%出现了III级和IV级骨关节炎，而未接受半月板切除术的患者中只有23%出现了这种情况。
