Aune A K, Madsen J E, Moen H
Orthopedic Department, Martina Hansens Hospital, Sandvika, Norway.
Arch Orthop Trauma Surg. 1995;114(4):199-201. doi: 10.1007/BF00444262.
We describe the results after arthroscopic resection of flap-tears of the medial meniscus posterior horn in 93 patients with (40) or without (53) chondromalacia of the adjacent condylar cartilage at the time of operation. These were 93 consecutive patients presenting with medial flap-tears during the period 1988-1990 in our departments. The follow-up averaged 42 (range 26-50) months. There was a significant difference in the functional results at review depending on the presence or absence of condylar chondromalacia at arthroscopy. Among the 40 patients with chondromalacia, the Lysholm score was significantly lower (P < 0.004), and only about half the patients reported a satisfactory result. There was a significant increase in the presence of chondromalacia with age (P < 0.001). In conclusion, the presence of minor degenerative changes in the articular cartilage adjacent to meniscal flap-tears correlated with a less favourable outcome.
我们描述了93例患者在关节镜下切除内侧半月板后角瓣状撕裂后的结果，其中40例在手术时伴有相邻髁软骨软化，53例不伴有相邻髁软骨软化。这些是1988年至1990年期间在我们科室连续就诊的93例内侧瓣状撕裂患者。随访平均42个月（范围26 - 50个月）。根据关节镜检查时髁软骨软化的有无，复查时的功能结果存在显著差异。在40例软骨软化患者中，Lysholm评分显著更低（P < 0.004），只有约一半的患者报告结果满意。软骨软化的发生率随年龄显著增加（P < 0.001）。总之，半月板瓣状撕裂相邻关节软骨的轻微退行性改变与较差的预后相关。
