Paar O, Fürbringer W, Bernett P
Chirurg. 1984 Jan;55(1):49-52.
Meniscectomy undoubtedly leads to arthrotic degeneration in the knee joint. This can be proven by X-ray technique. It is especially the resection of the medial meniscus which increases the anteromedial instability of the knee joint. It is important therefore to preserve a meniscus whenever this is possible. The resection or partial resection of a medial meniscus showing a lesion in loco classico is still indicated. If, however, a meniscus is only marginally detached from its fixation to the lig. collaterale mediale posterior a carefully carried out reinsertion of the medial meniscus has proven to be appropriate. It is on one hand the vascular supply of the base of the meniscus which indicates a reinsertion, on the other hand an anteromedial instability of the knee joint can be compensated by a reinsertion.
半月板切除术无疑会导致膝关节的关节退变。这可以通过X射线技术得到证实。尤其是内侧半月板的切除会增加膝关节的前内侧不稳定。因此，只要有可能，保留半月板就很重要。对于表现为典型局部病变的内侧半月板进行切除或部分切除仍是必要的。然而，如果半月板仅从其与后内侧副韧带的固定处有轻微分离，经证实仔细进行内侧半月板重新植入是合适的。一方面，半月板基部的血管供应表明可以进行重新植入，另一方面，膝关节的前内侧不稳定可以通过重新植入得到补偿。
