Hehne H J, Riede U N, Hauschild G, Schlageter M
Z Orthop Ihre Grenzgeb. 1981 Feb;119(1):54-9. doi: 10.1055/s-2008-1051421.
By means of section material, 24 partial and 58 subtotal meniscectomies were performed and the loss of tibio-femoral contact was evaluated by the Touchier-method planimetrically. In cases of partial resection this loss was 12% only, where as in subtotal resection 46%, where by the remaining contact zones lay in the central-, anyway meniscusfree area. The diagram of the chondral splitting lines showed a maximum of compression here, consecutively the remaining contact zone is reduced to the in earlier times most affected cartilage areas. The result correlates to the appearance of chondromalacies of the central tibial plateau in our own section cases and of postoperative osteoarthritis after subtotal meniscectomies in literature. Subtotal meniscectomies lead to incongruence and increased pressure. a pseudo-regeneration seems not to compensate the meniscus function sufficiently. A result for the clinic one should, when possible, resect menisci only partially.
通过切片材料，进行了24例部分半月板切除术和58例次全半月板切除术，并采用Touchier方法通过平面测量法评估胫股接触的丧失情况。在部分切除的病例中，这种丧失仅为12%，而在次全切除中为46%，此时剩余的接触区域位于中央，无论如何是无半月板区域。软骨分裂线图显示此处有最大程度的压缩，相应地，剩余的接触区域减少到早期受影响最严重的软骨区域。该结果与我们自己的切片病例中胫骨平台中央软骨软化的出现以及文献中全半月板切除术后骨关节炎的出现相关。全半月板切除术导致关节不匹配和压力增加。假性再生似乎不能充分补偿半月板功能。对于临床而言，应尽可能仅部分切除半月板。
