Sommerlath K
Department of Orthopaedic Surgery, University Hospital, Linköping, Sweden.
Arthroscopy. 1988;4(2):93-5. doi: 10.1016/s0749-8063(88)80072-0.
We performed a follow-up study of 40 patients, 6 women and 34 men, all of whom had tears of the anterior cruciate ligament that were repaired. These patients were divided into two groups of matched pairs, 20 patients each. Those in Group I also had tears of the meniscus that were sutured, and in Group II the meniscus was intact. At the minimum of a 6-year follow-up, all knees were unstable despite the cruciate ligament repair, but 85% of the menisci were intact. There was no significant difference in the retear rate between those that were sutured and those that were intact initially. The high incidence of intact menisci at follow-up was attributed at least in part to the fact that these patients reduced their level of physical activity. We concluded that a healed tear of the meniscus has the same chance of survival in an unstable knee as an intact meniscus. The limiting factor is the grade of instability and the activity level of the patient.
我们对40例患者进行了随访研究，其中6例女性，34例男性，他们均为前交叉韧带撕裂并接受了修复手术。这些患者被分为两组，每组20例，两组相互匹配。第一组患者同时伴有半月板撕裂并进行了缝合，第二组患者半月板完整。在至少6年的随访期内，尽管交叉韧带已修复，但所有膝关节仍不稳定，不过85%的半月板保持完整。最初缝合的半月板和完整的半月板在再撕裂率方面没有显著差异。随访时半月板完整的高发生率至少部分归因于这些患者降低了身体活动水平。我们得出结论，在不稳定的膝关节中，愈合的半月板撕裂与完整的半月板具有相同的存活机会。限制因素是不稳定的程度和患者的活动水平。
