Dai L Y, Zhang W L, Zhou Z H
Changzheng Hospital, Shanghai.
Zhonghua Wai Ke Za Zhi. 1994 May;32(5):303-5.
The long-term results after total meniscectomy in 60 patients have been reviewed with an average follow-up period of 16.1 years (10 to 33 years) and 58.3% excellent and good results were demonstrated. Statistical analysis showed that the late results were related to the time of follow-up and not associated with the length of history before operation. Radiological degeneration of the knee was seen in 87.5% of the patients, while no relationship between the degeneration and the clinical results was found. It is indicated from this retrospective study that the menisci are of so great importance in biomechanics that total meniscectomy should be as far as possible avoided.
对60例患者全半月板切除术后的长期结果进行了回顾,平均随访期为16.1年(10至33年),优良率为58.3%。统计分析表明,晚期结果与随访时间有关,与术前病程长短无关。87.5%的患者出现膝关节放射学退变,但未发现退变与临床结果之间存在关联。这项回顾性研究表明,半月板在生物力学方面非常重要,应尽可能避免全半月板切除。