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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.

DOI:10.1016/j.arthro.2021.01.034
PMID:33896508
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。

相似文献

1
Editorial Commentary: Arthroscopic Partial Meniscectomy Is Not a First-Line Treatment for Degenerative Meniscus Tear: To Meniscectomize or Not to Meniscectomize?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?
Arthroscopy. 2021 May;37(5):1557-1558. doi: 10.1016/j.arthro.2021.01.034.
2
Arthroscopic partial meniscectomy combined with medical exercise therapy versus isolated medical exercise therapy for degenerative meniscal tear: A meta-analysis of randomized controlled trials.关节镜下半月板部分切除术联合医学运动疗法与单纯医学运动疗法治疗退行性半月板撕裂:一项随机对照试验的荟萃分析。
Int J Surg. 2020 Jul;79:222-232. doi: 10.1016/j.ijsu.2020.05.035. Epub 2020 Jun 6.
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Chondral lesions at the medial femoral condyle, meniscal degeneration, anterior cruciate ligament insufficiency, and lateral meniscal tears impair the middle-term results after arthroscopic partial meniscectomy.内侧股骨髁的软骨损伤、半月板退变、前交叉韧带功能不全和外侧半月板撕裂会影响关节镜部分半月板切除术的中期结果。
Knee Surg Sports Traumatol Arthrosc. 2020 Nov;28(11):3488-3496. doi: 10.1007/s00167-020-05883-z. Epub 2020 Feb 8.
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[Arthroscopy for degenerative meniscal tears: from standard to exception].[关节镜治疗退行性半月板撕裂:从标准治疗到特殊情况]
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Patient reported outcomes in patients undergoing arthroscopic partial meniscectomy for traumatic or degenerative meniscal tears: comparative prospective cohort study.接受关节镜下部分半月板切除术治疗创伤性或退变性半月板撕裂患者的患者报告结局:比较性前瞻性队列研究。
BMJ. 2017 Feb 2;356:j356. doi: 10.1136/bmj.j356.
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Complex Tears, Extrusion, and Larger Excision Are Prognostic Factors for Worse Outcomes 1 and 2 Years After Arthroscopic Partial Meniscectomy for Degenerative Meniscal Tears: A Secondary Explorative Study of the Surgically Treated Group From the Odense-Oslo Meniscectomy Versus Exercise (OMEX) Trial.关节镜下部分半月板切除术治疗退行性半月板撕裂 1 年和 2 年后预后不良的预测因素:奥登塞-奥斯陆半月板切除术与运动(OMEX)试验手术治疗组的二次探索性研究
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Meniscal tear morphology independently affects pain relief following arthroscopic partial meniscectomy in middle-aged patients.半月板撕裂形态独立影响中年患者关节镜部分半月板切除术的术后疼痛缓解。
Knee Surg Sports Traumatol Arthrosc. 2019 Aug;27(8):2460-2467. doi: 10.1007/s00167-018-5238-2. Epub 2018 Oct 29.
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Increased rates of knee arthroplasty and cost of patients with meniscal tears treated with arthroscopic partial meniscectomy versus non-operative management.半月板撕裂行关节镜部分切除术与非手术治疗相比,膝关节置换术及患者费用增加。
Knee Surg Sports Traumatol Arthrosc. 2019 Jul;27(7):2316-2321. doi: 10.1007/s00167-019-05481-8. Epub 2019 Apr 2.
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Arthroscopic partial meniscectomy for a degenerative meniscus tear: a 5 year follow-up of the placebo-surgery controlled FIDELITY (Finnish Degenerative Meniscus Lesion Study) trial.关节镜下半月板部分切除术治疗退行性半月板撕裂:FIDELITY(芬兰退行性半月板病变研究)试验安慰剂手术对照的 5 年随访。
Br J Sports Med. 2020 Nov;54(22):1332-1339. doi: 10.1136/bjsports-2020-102813. Epub 2020 Aug 27.
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Management of traumatic meniscal tear and degenerative meniscal lesions. Save the meniscus.创伤性半月板撕裂和退行性半月板病变的处理。保留半月板。
Orthop Traumatol Surg Res. 2017 Dec;103(8S):S237-S244. doi: 10.1016/j.otsr.2017.08.003. Epub 2017 Sep 2.

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