Vahvanen V, Aalto K
Acta Orthop Scand. 1979 Dec;50(6 Pt 2):791-5. doi: 10.3109/17453677908991311.
The results of 42 meniscectomies in 41 children were evaluated 1 to 13 years (mean 5.6 years) after the operation. At the follow-up 11 patients (12 operated knees) had complaints. In four of these patients, all having had removel of the lateral meniscus, roentgenological examination revealed degenerative changes. The results of the clinical and roentgenological follow-up examination showed that insufficiently rigorous appraisal of the indications for surgery had led, in some cases, to unnecessary meniscectomies. The results of operations had not always been satisfactory. The reliability of arthrographic findings alone as an indication for surgery are discussed and the indications for operative treatment are presented.
对41名儿童行42次半月板切除术的结果在术后1至13年(平均5.6年)进行了评估。随访时,11名患者(12个手术膝关节)有症状。在这些患者中,有4名患者均切除了外侧半月板,X线检查显示有退行性改变。临床和X线随访检查结果表明,对手术指征评估不够严格,在某些情况下导致了不必要的半月板切除术。手术结果并非总是令人满意。文中讨论了仅依靠关节造影结果作为手术指征的可靠性,并提出了手术治疗的指征。