为什么要进行关节镜下半月板部分切除术？
Why arthroscopic partial meniscectomy?
机构信息
1 Joint Center, Dalin Tzu-Chi General Hospital, Chiayi, Taiwan ; 2 School of Medicine, Tzu-Chi University, Hualien, Taiwan.
出版信息
Ann Transl Med. 2015 Sep;3(15):217. doi: 10.3978/j.issn.2305-5839.2015.07.04.
Abstract
"Arthroscopic Partial Meniscectomy versus Sham Surgery for a Degenerative Meniscal Tear" published in the New England Journal of Medicine on December 26, 2013 draws the conclusion that arthroscopic partial medial meniscectomy provides no significant benefit over sham surgery in patients with a degenerative meniscal tear and no knee osteoarthritis. This result argues against the current practice of performing arthroscopic partial meniscectomy (APM) in patients with a degenerative meniscal tear. Since the number of APM performed has been increasing, the information provided by this study should lead to a change in clinical care of patients with a degenerative meniscus tear.
摘要
《关节镜下半月板部分切除术与假手术治疗退行性半月板撕裂》发表于 2013 年 12 月 26 日的《新英格兰医学杂志》，该研究得出结论，对于没有膝关节骨关节炎的退行性半月板撕裂患者，关节镜下半月板部分切除术与假手术相比没有显著益处。这一结果反对目前对退行性半月板撕裂患者行关节镜下半月板部分切除术（APM）的做法。由于 APM 的数量一直在增加，本研究提供的信息应该会导致退行性半月板撕裂患者的临床护理发生改变。
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本文引用的文献
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Medial abrasion syndrome: a neglected cause of knee pain in middle and old age.内侧磨损综合征：中老年膝关节疼痛的一个被忽视的原因。
Medicine (Baltimore). 2015 Apr;94(16):e736. doi: 10.1097/MD.0000000000000736.
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A longitudinal study of impact and early stance loads during gait following arthroscopic partial meniscectomy.关节镜下部分半月板切除术后步态中冲击和早期支撑负荷的纵向研究。
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Mechanisms underpinning longitudinal increases in the knee adduction moment following arthroscopic partial meniscectomy.关节镜下部分半月板切除术后膝关节内收力矩纵向增加的潜在机制。
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Arthroscopic partial meniscectomy was not more effective than physical therapy for meniscal tear and knee osteoarthritis.对于半月板撕裂和膝关节骨关节炎，关节镜下部分半月板切除术并不比物理治疗更有效。
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N Engl J Med. 2013 May 2;368(18):1675-84. doi: 10.1056/NEJMoa1301408. Epub 2013 Mar 18.
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Effect of evidence and changes in reimbursement on the rate of arthroscopy for osteoarthritis.证据和报销变化对骨关节炎关节镜检查率的影响。
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Complications in brief: Arthroscopic partial meniscectomy.并发症简述：关节镜下部分半月板切除术。
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Surgical decision making for arthroscopic partial meniscectomy in patients aged over 40 years.40 岁以上患者行关节镜部分半月板切除术的手术决策。
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