Hazel W A, Rand J A, Morrey B F
Department of Orthopedics, Mayo Clinic, Rochester, MN 55905.
Clin Orthop Relat Res. 1993 Jul(292):232-8.
Sixty-three knees in 62 patients with insufficiency of the anterior cruciate ligament (ACL) were treated by arthroscopic partial or total meniscectomy without ligament reconstruction. The implications of this sequence of treatment with this combination of pathologies was documented. At 4.5 years after meniscectomy, 84% of the knees were subjectively improved and 10% were subjectively worse. Sixty-eight percent of the patients had persistent knee pain and 52% had episodes of giving way. Roentgenographic evidence of osteoarthrosis was present in 65% of 34 knees at 4.4 years after operation. Additional surgery was required in 24% of the knees. Meniscectomy without a stabilization procedure should be performed only infrequently in knees with deficient ACL.
62例前交叉韧带（ACL）功能不全患者的63个膝关节接受了关节镜下部分或全半月板切除术，未进行韧带重建。记录了这种针对该联合病变的治疗顺序的影响。半月板切除术后4.5年，84%的膝关节主观症状改善，10%的膝关节主观症状恶化。68%的患者持续存在膝关节疼痛，52%的患者有打软腿发作。术后4.4年，34个膝关节中有65%出现骨关节炎的X线证据。24%的膝关节需要再次手术。对于ACL缺失的膝关节，很少应仅进行半月板切除术而不进行稳定手术。
