Medlar R C, Mandiberg J J, Lyne E D
Am J Sports Med. 1980 Mar-Apr;8(2):87-92. doi: 10.1177/036354658000800205.
Controversy exists over the management of the pediatric patient with a suspected tear of the meniscus. Twenty-six patients who underwent uncomplicated meniscectomy during a period of open epiphyseal plates were reviewed by personal followup. The average followup of these 26 patients was 8.3 years. Ligamentous laxity, early degenerative arthritis, and symptomatic knee pain were found; only 42% demonstrated an excellent or good result. Intensive preoperative evaluation and conservative management of selected meniscal lesions in children are recommended.
对于疑似半月板撕裂的儿科患者的治疗存在争议。通过个人随访对26例在骨骺板开放期间接受了单纯半月板切除术的患者进行了回顾。这26例患者的平均随访时间为8.3年。发现有韧带松弛、早期退行性关节炎和有症状的膝关节疼痛;只有42%的患者显示出优良结果。建议对儿童半月板损伤进行强化术前评估和选择病例进行保守治疗。