Neyret P, Walch G, Dejour H
Clinique Chirurgicale Orthopédique et Traumatologique, Centre Hospitalier Lyon-Sud, Pierre-Bénite.
Rev Chir Orthop Reparatrice Appar Mot. 1988;74(7):637-46.
A study of 258 meniscectomy (245 patients), with a minimum follow-up of twenty years, confirms the excellent functional result obtained by intramural medial meniscectomy performed for isolated meniscus lesions. The joint remodelling, with absence of joint-space narrowing, represents the radiological cicatrix resulting from this surgery. It is a non-evolutive condition. The incidence of meniscectomy in the occurrence of an arthrosis is low (20%). On the other hand, when the meniscus lesion in associated with rupture of the anterior cruciate ligament, medial meniscectomy often proves to be inadequate. Clinical and radiological evolution is governed by tearing of the ligament. The radiological signs are, in this case, characteristic on unilateral weightbearing in profile at 20 degrees flexion. At the end of this study, the signs described by Fairbank (9) are discussed and the factors liable to determine the onset of a late arthrosis after medial meniscectomy are analysed.
一项针对258例半月板切除术（245名患者）的研究，其最短随访期为20年，证实了针对孤立半月板损伤进行的壁内内侧半月板切除术可取得优异的功能结果。关节重塑且无关节间隙变窄，代表了该手术产生的放射学瘢痕。这是一种不会进展的情况。半月板切除术在骨关节炎发生中的发生率较低（20%）。另一方面，当半月板损伤与前交叉韧带断裂相关时，内侧半月板切除术往往被证明是不够的。临床和放射学进展受韧带撕裂的支配。在这种情况下，放射学征象在20度屈曲位单侧负重侧位片上具有特征性。在本研究结束时，对Fairbank（9）描述的征象进行了讨论，并分析了内侧半月板切除术后可能决定晚期骨关节炎发病的因素。
