Kesenheimer E, Kolb M, Rosemeyer B
Staatliche Orthopädische Klinik München.
Sportverletz Sportschaden. 1990 Jun;4(2):79-86. doi: 10.1055/s-2007-993603.
In a retrospective study a total of 227 women and men between 24 and 79 years of age who had undergone meniscectomy at the State Orthopedic Clinic of Munich between 1958 and 1975 were reexamined clinically and radiologically in order to determinate late effects of surgery. Of 149 patients with an uncomplicated subtotal meniscectomy 35% showed an unsatisfactory subjective result while 62% were continuously free of symptoms regarding their operated knee. Including constitutional factors degenerative changes in the knee occurred in 50%, 34% of the total of 149 showing severe radiologic changes of grade 2 and 3. The roentgenographic changes in the knee correlated frequently with the subjective result. The frequency of degenerative arthritis in the follow-up investigation was significantly higher for patients with preoperative osteoarthritis than in those without. Some other factors seemed to have no bearing on the longterm effect of meniscectomy. The procedure of subtotal meniscectomy proved to be an important factor for degenerative arthritis. Arthroscopic and meniscus healing techniques require further examination of longterm results.
在一项回顾性研究中，对1958年至1975年间在慕尼黑国家骨科诊所接受半月板切除术的227名年龄在24至79岁之间的女性和男性进行了临床和放射学复查，以确定手术的后期影响。在149例单纯次全半月板切除术患者中，35%的患者主观结果不理想，而62%的患者手术膝关节持续无症状。包括体质因素在内，50%的患者膝关节出现退行性改变，在149例患者中，34%表现出2级和3级严重放射学改变。膝关节的X线改变常与主观结果相关。术前患有骨关节炎的患者在随访调查中退行性关节炎的发生率明显高于未患骨关节炎的患者。其他一些因素似乎与半月板切除术的长期效果无关。次全半月板切除术的操作被证明是导致退行性关节炎的一个重要因素。关节镜和半月板愈合技术需要进一步检查长期效果。
