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关节镜下部分内侧半月板切除术:不满意结果分析

Arthroscopic partial medial meniscectomy: an analysis of unsatisfactory results.

作者信息

Ferkel R D, Davis J R, Friedman M J, Fox J M, Del Pizzo W, Snyder S J, Berasi C C

出版信息

Arthroscopy. 1985;1(1):44-52. doi: 10.1016/s0749-8063(85)80078-5.

DOI:10.1016/s0749-8063(85)80078-5
PMID:4091909
Abstract

Results of 150 arthroscopic partial medial meniscectomies were analyzed by computer to identify the factors that lead to an unsatisfactory (fair or poor) outcome. The average follow-up for the group was 36 months (range 24-60 months). One-hundred ten men and 40 women were involved, with an average age of 48 years. The overall results were 58% excellent-good, 28% fair, and 14% poor. Most tears involved the posterior horn (76%). Bucket-handle, longitudinal, and flap tears were rated 88% excellent-good, whereas horizontal cleavage and degenerative and complex tears had only 45% excellent-good scores. The results were adversely affected by the severity of the chondromalacia, work-related injury, prior knee surgery, simultaneous lateral meniscectomy, and increased knee laxity. Because degenerative posterior horn tears had such a high percentage of unsatisfactory results, the question remains as to whether all these tears need to be removed.

摘要

通过计算机分析150例关节镜下内侧半月板部分切除术的结果,以确定导致结果不满意(一般或差)的因素。该组的平均随访时间为36个月(范围24 - 60个月)。其中男性110例,女性40例,平均年龄48岁。总体结果为58%优 - 良,28%一般,14%差。大多数撕裂累及后角(76%)。桶柄状、纵行和瓣状撕裂的优良率为88%,而水平劈裂、退行性和复杂撕裂的优良率仅为45%。结果受到软骨软化症的严重程度、工伤、既往膝关节手术、同期外侧半月板切除术以及膝关节松弛度增加的不利影响。由于退行性后角撕裂的不满意结果比例如此之高,对于是否需要切除所有这些撕裂仍存在疑问。

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引用本文的文献

1
The repair of horizontal cleavage tears yields higher complication rates compared to meniscectomy: a systematic review.水平裂伤撕裂的修复比半月板切除术产生更高的并发症发生率:系统评价。
Knee Surg Sports Traumatol Arthrosc. 2020 Mar;28(3):915-925. doi: 10.1007/s00167-019-05557-5. Epub 2019 Jun 11.
2
Future of 34 meniscectomies after bucket-handle meniscus tear: a retrospective study with a follow-up over 22 years.桶柄状半月板撕裂后34例半月板切除术的远期疗效:一项随访22年的回顾性研究
Eur J Orthop Surg Traumatol. 2016 May;26(4):435-40. doi: 10.1007/s00590-016-1754-2. Epub 2016 Mar 3.
3
Chondral damage and age depress the long-term prognosis after partial meniscectomy. A 12- to 15-year follow-up study.
软骨损伤和年龄会降低半月板部分切除术后的长期预后。一项为期12至15年的随访研究。
Knee Surg Sports Traumatol Arthrosc. 1996;3(4):211-4. doi: 10.1007/BF01466619.
4
The long term outcome of open total and partial meniscectomy related to the quantity and site of the meniscus removed.
Int Orthop. 1992;16(2):122-5. doi: 10.1007/BF00180200.