Henche H R
Orthopädische Abteilung, Kreiskrankenhaus Rheinfelden/Kinderklinik Lörrach.
Orthopade. 1990 Apr;19(2):77-81.
The problem in surgery of the meniscus has been the inability of the surgeon to assess the situation regarding the rest of the meniscus. Because arthroscopy permits a good view of all parts of the meniscus, we can make a decision about the extent of the damage. The results of partial resection are better, and total meniscectomy is now the exception. The damage starts in the middle of the meniscus body. The meniscus tears if there is central damage on the outside (ganglion) or inside (meniscus tear). The well known operative techniques are described briefly and our own results after arthroscopic surgery an presented. Arthroscopic partial meniscectomy represents great progress compared to the conventional operation. The operation not only shows better results, but also fewer complications and reduces the time when patients are unable to work.
半月板手术中的问题一直在于外科医生无法评估半月板其他部分的情况。由于关节镜检查能很好地观察半月板的各个部分，我们可以对损伤程度做出判断。部分切除术的效果更好，现在全半月板切除术已属例外。损伤始于半月板体部的中部。如果半月板外侧（腱鞘囊肿）或内侧（半月板撕裂）出现中央损伤，半月板就会撕裂。本文简要描述了一些知名的手术技术，并展示了我们关节镜手术后的自身结果。与传统手术相比，关节镜下部分半月板切除术取得了巨大进展。该手术不仅效果更好，并发症也更少，还缩短了患者无法工作的时间。
