Washington E R, Root L, Liener U C
Hospital for Special Surgery, New York Hospital-Cornell University Medical College, New York City, USA.
J Bone Joint Surg Am. 1995 Sep;77(9):1357-61. doi: 10.2106/00004623-199509000-00011.
We retrospectively reviewed the results for fifteen patients, eight girls and seven boys, who had had a total of eighteen meniscectomies performed for a discoid meniscus at The Hospital for Special Surgery between January 1, 1955, and December 31, 1983. The average age was ten and a half years (range, six to sixteen years) at the time of the operation and twenty-eight years (range, twenty to thirty-six years) at the time of follow-up. The average duration of follow-up was seventeen years (range, eight to twenty-eight years). The primary indication for the meniscectomy was continuing pain in fourteen knees and locking or snapping in three. One patient had tenderness and walked with a limp. A meniscal tear was found in twelve knees at the time of the operation. According to the scale of Ikeuchi, the result was excellent for ten knees, good for three, and fair for five. Of the five patients (five knees) who had a fair result, four had mild intermittent discomfort after strenuous physical activity as well as clicking (three knees) or swelling (one knee), and one had clicking. One of these five patients was subsequently found to have rheumatoid arthritis, and two subsequently had a patellar realignment. No degenerative changes were evident on the roentgenograms of the eight patients (nine knees) for whom they were made at the latest follow-up evaluation.
我们回顾性分析了1955年1月1日至1983年12月31日期间在特种外科医院为15例盘状半月板患者（8名女孩和7名男孩）实施的总共18次半月板切除术的结果。手术时的平均年龄为10.5岁（范围为6至16岁），随访时的平均年龄为28岁（范围为20至36岁）。平均随访时间为17年（范围为8至28年）。半月板切除术的主要指征是14个膝关节持续疼痛，3个膝关节交锁或弹响。1例患者有压痛并跛行。手术时在12个膝关节中发现半月板撕裂。根据池内评分标准，10个膝关节结果为优，3个为良，5个为可。在结果为可的5例患者（5个膝关节）中，4例在剧烈体力活动后有轻度间歇性不适，以及弹响（3个膝关节）或肿胀（1个膝关节），1例有弹响。这5例患者中1例随后被发现患有类风湿关节炎，2例随后进行了髌骨重新排列。在最新随访评估时进行X线检查的8例患者（9个膝关节）中，未发现明显的退变改变。
