ROENTGENOGRAPHIC CHANGES AFTER ARTHROSCOPIC MENISCECTOMY - 5-YEAR FOLLOW-UP IN PATIENTS MORE THAN 45-YEARS-OLD

被引:55
|
作者
COVALL, DJ [1 ]
WASILEWSKI, SA [1 ]
机构
[1] LAHEY CLIN FDN,MED CTR,DEPT ORTHOPAED SURG,BURLINGTON,MA
来源
ARTHROSCOPY | 1992年 / 8卷 / 02期
关键词
MENISCECTOMY; OSTEOARTHRITIS; FAIRBANK CHANGES;
D O I
10.1016/0749-8063(92)90044-C
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
Fifty knees with a mean follow-up time of greater than 5 years after arthroscopic meniscectomy were evaluated clinically and roentgenographically. Clinically, patients did well, with 98% patient satisfaction and 90% good or excellent results based on a modified Lysholm score. Although postoperative roentgenography showed some progression of Fairbank's changes in 61% with significant progression in 15% of knees, when changes in the nonoperative knee were considered, only 40% of operative knees showed progression, with only 4% of these knees showing significant progression. Normal results on preoperative anteroposterior roentgenography with the patient weight bearing and an anatomic tibiofemoral axis of greater-than-or-equal-to 4-degrees of valgus correlated with better long-term roentgenographic results.
引用
收藏
页码:242 / 246
页数:5
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