Scott G A, Jolly B L, Henning C E
J Bone Joint Surg Am. 1986 Jul;68(6):847-61.
Using intra-articular techniques for meniscal repair, several factors associated with meniscal lesions were analyzed prospectively to determine their effects on healing of the repair. Although 260 medial or lateral meniscal repairs in 240 patients were done, 178 repairs in the 167 patients who were followed by postoperative arthroscopy or arthrography form the basis of this study. The results of the repairs were classified as healed, incompletely healed, or not healed. The average duration of follow-up was 100 weeks (range, twenty-eight to 231 weeks). By arthrographic or arthroscopic criteria, 61.8 per cent of the menisci healed, 16.9 per cent healed incompletely, and 21.3 per cent did not heal. Ninety-two per cent of the menisci were categorized as clinically stable, and 80 per cent of the patients returned to active sports participation. Positive correlations with healing were found in patients who had a narrow peripheral meniscal rim (zero to two millimeters) (p = 0.03) and in patients who had a repair that was associated with reconstruction of the anterior cruciate ligament (p = 0.0001).
采用关节内技术进行半月板修复，对与半月板损伤相关的几个因素进行了前瞻性分析，以确定它们对修复愈合的影响。尽管对240例患者进行了260次内侧或外侧半月板修复，但本研究基于167例接受术后关节镜检查或关节造影的患者中的178次修复。修复结果分为愈合、不完全愈合或未愈合。平均随访时间为100周（范围为28至231周）。根据关节造影或关节镜标准，61.8%的半月板愈合，16.9%不完全愈合，21.3%未愈合。92%的半月板在临床上被归类为稳定，80%的患者恢复了积极的体育活动。在外周半月板边缘狭窄（0至2毫米）的患者（p = 0.03）以及与前交叉韧带重建相关的修复患者中（p = 0.0001），发现与愈合呈正相关。
