Eastwood D M
Injury. 1985 Nov;16(9):587-90. doi: 10.1016/0020-1383(85)90003-8.
Failures of arthroscopic partial meniscectomy do occur but are not often reported. This paper reports a series of 291 attempted arthroscopic partial meniscectomies. Follow-up was achieved in 268 patients; 4 required arthrotomy initially, 22 failed to benefit from treatment and a further 15 required two arthroscopic operations before improvement occurred. The main reasons for failure were initial inadequate assessment and treatment of the meniscal tear, the presence of dual pathology and the development of a second tear in the meniscal remnant.
关节镜下部分半月板切除术确实会出现失败的情况,但此类情况并不常被报道。本文报告了一系列291例尝试进行的关节镜下部分半月板切除术。268例患者获得了随访;4例最初需要进行切开手术,22例未从治疗中获益,另有15例在病情改善前需要进行两次关节镜手术。失败的主要原因是最初对半月板撕裂的评估和治疗不足、存在双重病变以及半月板残端出现新的撕裂。