Arthroscopy. 2020 Apr;36(4):1154-1155. doi: 10.1016/j.arthro.2020.01.010.
Whether to repair or resect meniscal tears remains a matter of controversy. In theory, partial meniscectomy increases contact pressure, which may result in progressive and early cartilage degeneration and early osteoarthritis. Meniscal preservation is the preferred treatment option, but only a small percentage of meniscal tears are suitable for repair. Two recent registry studies challenge this approach and suggest that partial meniscectomy has similar clinical outcomes in the short term. Whether these findings can be maintained in the long term remains to be seen.
是否进行半月板撕裂的修复还是切除仍然存在争议。理论上,半月板部分切除术会增加接触压力,这可能导致进行性和早期软骨退变以及早期骨关节炎。半月板的保留是首选的治疗方法,但只有一小部分半月板撕裂适合修复。最近的两项登记研究对这种方法提出了质疑,并表明半月板部分切除术在短期内具有相似的临床效果。这些发现是否能长期保持仍有待观察。