Grana W A, Connor S, Hollingsworth S
Clin Orthop Relat Res. 1982 Apr(164):78-83.
Short-term follow-up in 45 cases of meniscal derangement treated by partial arthroscopic meniscectomy was encouraging. Horizontal cleavage lesions and complex combination tears gave relatively few satisfactory results and resulted in two patients requiring reoperation. Emphasis must be placed on a careful evaluation of the meniscal remnant with a probe to ascertain the stability of the remainder of the meniscus to avoid this problem. Preexisting ligamentous instability when combined with degenerative change also caused fewer than expected satisfactory results. Careful patient selection and counseling may help to prevent this problem in the future. Age did not seem to affect the short term results. It should be emphasized that arthroscopic surgery requires a surgeon with extensive experience and adequate equipment in order to provide a comprehensive evaluation and treatment of the pathologic condition.
对45例接受关节镜下部分半月板切除术治疗的半月板紊乱患者进行的短期随访结果令人鼓舞。水平劈裂损伤和复杂的复合撕裂取得的满意结果相对较少，并有2例患者需要再次手术。必须重视用探针仔细评估半月板残余部分，以确定半月板其余部分的稳定性，从而避免出现此问题。先前存在的韧带不稳定与退变改变同时存在时，取得的满意结果也比预期的少。仔细选择患者并给予指导可能有助于今后预防此问题。年龄似乎并未影响短期结果。应当强调的是，关节镜手术需要外科医生具备丰富经验和足够的设备，以便对病理状况进行全面评估和治疗。
