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述评:关节镜下半月板部分切除术并非退行性半月板撕裂的一线治疗方法:切还是不切半月板?

Editorial Commentary: Arthroscopic Partial Meniscectomy Is Not a First-Line Treatment for Degenerative Meniscus Tear: To Meniscectomize or Not to Meniscectomize?

出版信息

Arthroscopy. 2021 May;37(5):1557-1558. doi: 10.1016/j.arthro.2021.01.034.

Abstract

A painful knee with a degenerative meniscal tear is a quite common problem in the middle-aged patient. Arthroscopic partial meniscectomy is too often used to alleviate pain and seems to work in the short-term. However, arthroscopic partial meniscectomy does not guarantee success, particularly in the long run, particularly in patients with greater grades of osteoarthritis, patients who are older than 60 years, female patients, patients with malalignment, and patients having lateral meniscectomy. There is a need for better science to recommend arthroscopic meniscectomy in those cases.

摘要

膝关节疼痛伴半月板退行性撕裂是中年患者常见的问题。关节镜下半月板部分切除术常用于缓解疼痛,且在短期内似乎有效。然而,关节镜下半月板部分切除术并不能保证长期成功,尤其是在伴有更严重骨关节炎、年龄大于 60 岁、女性、对线不良或外侧半月板切除术的患者中。需要有更好的科学依据来推荐在这些情况下进行关节镜下半月板切除术。

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