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半月板功能及半月板再生在预防晚期内侧间室骨关节炎中的重要性。

Meniscal function and the importance of meniscal regeneration in preventing late medical compartment osteoarthrosis.

作者信息

Burr D B, Radin E L

出版信息

Clin Orthop Relat Res. 1982 Nov-Dec(171):121-6.

PMID:6897209
Abstract

The medial meniscus was totally removed in 22 patients who were followed up for more than ten years. Preservation of the meniscal rims enhances regeneration. There was no evidence of medial compartment damage in 91% of the patients by arthroscopic examination at ten years' follow-up examination. This finding suggests that meniscal rim regeneration can protect the joint from osteoarthrotic changes. Late medial compartment osteoarthrosis following medial meniscectomy in an otherwise normal knee is probably avoidable if surgical and postoperative treatment are designed to enhance regeneration of the meniscal rim.

摘要

22例患者的内侧半月板被完全切除,并进行了超过十年的随访。保留半月板边缘可促进再生。在十年的随访检查中,通过关节镜检查发现,91%的患者没有内侧间室损伤的证据。这一发现表明,半月板边缘再生可以保护关节免受骨关节炎变化的影响。如果手术和术后治疗旨在促进半月板边缘的再生,那么在原本正常的膝关节内侧半月板切除术后发生晚期内侧间室骨关节炎可能是可以避免的。

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