Schwarz B, Heisel J, Mittelmeier H
Aktuelle Traumatol. 1986 Jun;16(3):84-9.
With reference to 3579 meniscectomies performed in our clinic during 18 years as well as to cases with severe knee damage treated by arthroplasty, arthrodesis or correction osteotomy and their aetiopathological analysis with regard to previously performed meniscectomies, the following conclusions are drawn: Earlier meniscectomies seem to occur relatively often (up to 20%) in clinical cases of severe destructive processes in the knee e.g. knee arthritis. With reference to 3579 meniscectomies performed in this period this number is very low (1.34%) and - under statistical aspects - therefore not essentially important. The analysis of the cases of our clinic operated on by means of plastics, arthrodesis or correction osteotomies showed, that an earlier meniscectomy was performed because of static axis faults. These axis deviations were the main reason not only for the meniscopathy but also for the further development of knee arthritis. Cases of severe knee arthritis, who could be referred to an earlier meniscectomy (traumatic lesion) without any deviation of the leg axis were very rare. The rarity of the development of a knee arthritis after meniscectomy seems to prove that evidently there is no disadvantage of the mainly performed total meniscectomy compared to the subtotal procedure.
参照我院18年间进行的3579例半月板切除术，以及采用关节成形术、关节固定术或矫正截骨术治疗的严重膝关节损伤病例，并对先前进行的半月板切除术进行病因病理分析，得出以下结论：在膝关节严重破坏过程的临床病例中，如膝关节炎，早期半月板切除术似乎相对常见（高达20%）。参照在此期间进行的3579例半月板切除术，这一数字非常低（1.34%），从统计学角度来看，因此并不重要。对我院采用整形手术、关节固定术或矫正截骨术治疗的病例分析表明，早期进行半月板切除术是由于静态轴位异常。这些轴位偏差不仅是半月板病变的主要原因，也是膝关节炎进一步发展的主要原因。在没有任何下肢轴线偏差的情况下，可以归因于早期半月板切除术（创伤性病变）的严重膝关节炎病例非常罕见。半月板切除术后膝关节炎发展的罕见性似乎证明，与次全切除术相比，主要进行的全半月板切除术显然没有劣势。
