Austin K S, Sherman O H
Department of Orthopaedic Surgery, New York University School of Medicine, New York.
Am J Sports Med. 1993 Nov-Dec;21(6):864-8; discussion 868-9. doi: 10.1177/036354659302100619.
The results of 101 consecutive arthroscopic meniscal repairs were studied to determine the nature and frequency of associated complications. All arthroscopic repairs were done by the senior author (OS) between November 1984 and June 1991. Our data include 65 patients with associated anterior cruciate ligament injuries, of which 49 underwent concurrent arthroscopic anterior cruciate ligament reconstruction. There was an overall complication rate of 18%. There was a 20% risk of complication with meniscal repair when associated with anterior cruciate ligament injury and 14% without anterior cruciate ligament injury. There was a 10% incidence of arthrofibrosis when meniscal repair was performed with anterior cruciate ligament reconstruction and a 6% incidence when performed in an anterior cruciate ligament-deficient, non-reconstructed knee. Overall, there was a 13% risk of complication with lateral repairs compared with 19% with medial repairs. In the subset of patients with intact anterior cruciate ligaments and isolated meniscal lesions, there were no complications associated with lateral repair and an 18% risk of complication with medial repair. Female patients demonstrated a higher likelihood of complication (29%) than male patients (13%). Excluding repair failures, there was an 8% reoperation or rehospitalization rate.
对连续101例关节镜下半月板修复手术的结果进行研究，以确定相关并发症的性质和发生率。所有关节镜下修复手术均由资深作者（OS）于1984年11月至1991年6月期间完成。我们的数据包括65例伴有前交叉韧带损伤的患者，其中49例同时接受了关节镜下前交叉韧带重建术。总体并发症发生率为18%。半月板修复合并前交叉韧带损伤时并发症风险为20%，不合并前交叉韧带损伤时为14%。前交叉韧带重建术同时进行半月板修复时关节纤维性强直的发生率为10%，在前交叉韧带损伤未重建的膝关节中进行半月板修复时发生率为6%。总体而言，外侧修复的并发症风险为13%，内侧修复为19%。在前交叉韧带完整且单纯半月板损伤的患者亚组中，外侧修复无并发症，内侧修复的并发症风险为18%。女性患者出现并发症的可能性（29%）高于男性患者（13%）。排除修复失败情况，再次手术或再次住院率为8%。
