THE LONG-TERM OUTCOME OF OPEN TOTAL AND PARTIAL MENISCECTOMY RELATED TO THE QUANTITY AND SITE OF THE MENISCUS REMOVED

被引:130
作者
HEDE, A
LARSEN, E
SANDBERG, H
机构
[1] Department of Orthopaedic Surgery, Gentoffe Hospital, University of Copenhagen
[2] Department of Orthopaedic Radiology, Gentoffe Hospital, University of Copenhagen
关键词
D O I
10.1007/BF00180200
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Two hundred patients were randomly selected for either a partial or a total meniscectomy for a meniscal tear during open operation. They were followed for a median of 7.8 years after operation. After partial meniscectomy, posterior horn tears had the worst outcome, but this was only apparent when more than two-thirds of the meniscus had been removed. The amount of meniscal tissue excised was inversely related to the function of the knee, except with bucket-handle tears treated by partial meniscectomy. Patients with bucket-handle, anterior and posterior horn tears had similar functional results after total meniscectomy. Preservation of the peripheral rim of the meniscus following partial meniscectomy produces the best functional results.
引用
收藏
页码:122 / 125
页数:4
相关论文
共 20 条
  • [1] Bauer R., Ein Beitrag zur Frage der Total- oder Teilresektion bei traumatischen Meniscusläsionen, Arch Orthop Unfall-Chir, 69, pp. 341-350, (1971)
  • [2] Beaupre A., Choukroun R., Guidouin R., Garneau R., Gerardin H., Cardou A., Knee menisci — Correlation between microstructure and biomechanics, Clin Orthop, 208, pp. 72-75, (1986)
  • [3] Broukhim B., Blazina M.E., Fox J.M., Del Pizzo W., Retained posterior horn of the medial meniscus, Clin Orthop, 136, pp. 188-190, (1978)
  • [4] Cox J.S., Nye C.E., Schaefer W.W., Woodstein I.J., The degenerative effects of partial and total resection of the medial meniscus in dogs' knees, Clin Orthop, 109, pp. 178-183, (1975)
  • [5] Dandy D.J., Jackson R.W., The diagnosis of problems after meniscectomy, J Bone Joint Surg, 57, pp. 349-352, (1975)
  • [6] Dandy D.J., The arthroscopic anatomy of symptomatic meniscal lesions, J Bone Joint Surg, 72, pp. 628-633, (1990)
  • [7] Fairbank T.J., Knee joint changes after meniscectomy, J Bone Joint Surg, 30, pp. 664-670, (1948)
  • [8] Ferkel R.D., Davis J.R., Friedman M.J., Fox J.M., Pizzo W.D., Snyder S.J., Berasi C.C., Arthroscopic partial medial meniscectomy: an analysis of unsatisfactory results, Arthroscopy, 1, pp. 44-52, (1985)
  • [9] Hamberg P., Gillquist J., Lysholm J., A comparison between arthroscopic meniscectomy and modified open meniscectomy, J Bone Joint Surg, 66, pp. 189-192, (1984)
  • [10] Hargreaves D.J., Seedhom B.B., On the “bucket handle” tear: partial or total meniscectomy? A quantitative study, J Bone Joint Surg, 61, (1979)