Bonny Obro Rebecca, Rassi Joe, Flumian Clara, Sales de Gauzy Jérôme, Accadbled Franck
Department of Paediatric Surgery, UTHC of Cocody, Abidjan R.C.I., Côte d'Ivoire.
Orthopaedic Department, Hôpital des Enfants, CHU de Toulouse, France.
J Child Orthop. 2025 Jul 18;19(4):295-300. doi: 10.1177/18632521251325030. eCollection 2025 Aug.
We investigated the medium-term clinical results and revision rate of arthroscopic rim-preserving saucerization for symptomatic lateral discoid meniscus in children.
A single-centre, retrospective study was conducted on patients treated with arthroscopy for symptomatic discoid lateral meniscus between December 2005 and May 2019. Eligibility criteria were patients <16 years at the time of surgery and a minimum follow-up of 5 years. Preoperative data (age, sex, symptoms and physical examination), arthroscopic findings (Watanabe and Ahn classifications, meniscal instability and the presence of meniscal tear), treatment (saucerization ± stabilization ± meniscal repair), patient-reported outcome measurements (Lysholm, Tegner and Ikeuchi scores) and arthroscopic revision rate were recorded.
In all, 47 (72%) of the 65 eligible patients replied to the questionnaires and were therefore included (9 bilateral cases). The mean age at the time of surgery was 8.6 ± 3.3 years. Patient-reported scores were all improved after a mean follow-up of 10.5 years (5-15.9): Ikeuchi (64.2% excellent-good versus 3.6%), Lysholm (90.5 versus 72.9) and Tegner (5 versus 4.3). Two patients developed osteochondritis dissecans of the lateral femoral condyle which healed following non-operative measures. There was no other complication. An arthroscopic revision was performed in 10 patients (17.9%) after a mean follow-up of 2.7 years.
The medium-term results of rim-preserving arthroscopic saucerization are favourable, yet with a substantial arthroscopic revision rate. Risk factors for failure and revision should be further investigated.
我们研究了关节镜下保留边缘的盘状成形术治疗儿童有症状外侧盘状半月板的中期临床结果和翻修率。
对2005年12月至2019年5月间接受关节镜治疗有症状外侧盘状半月板的患者进行了一项单中心回顾性研究。纳入标准为手术时年龄<16岁且至少随访5年。记录术前数据（年龄、性别、症状和体格检查）、关节镜检查结果（渡边和安分类、半月板不稳定和半月板撕裂情况）、治疗方法（盘状成形术±稳定术±半月板修复术）、患者报告的结局指标（Lysholm、Tegner和池内评分）以及关节镜翻修率。
65例符合条件的患者中，47例（72%）回复了问卷并被纳入研究（9例双侧病例）。手术时的平均年龄为8.6±3.3岁。平均随访10.5年（5 - 15.9年）后，患者报告的各项评分均有所改善：池内评分（优 - 良率从3.6%提高到64.2%）、Lysholm评分（从72.9提高到90.5）和Tegner评分（从4.3提高到5）。2例患者发生外侧股骨髁剥脱性骨软骨炎，经非手术治疗后愈合。无其他并发症。平均随访2.7年后，10例患者（17.9%）进行了关节镜翻修。
关节镜下保留边缘的盘状成形术的中期结果良好，但关节镜翻修率较高。失败和翻修的危险因素应进一步研究。
