Arthroscopic or conservative treatment of degenerative medial meniscal tears:: a prospective randomised trial
Arthroscopic or conservative treatment of degenerative medial meniscal tears:: a prospective randomised trial
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DOI：
10.1007/s00167-006-0243-2
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发表时间：
2007-04-01
影响因子：
3.8
通讯作者：
Werner, Suzanne
中科院分区：
文献类型：
--
作者：
Herrlin, Sylvia;Hallander, Maria;Werner, Suzanne
在这项前瞻性随机研究中，对经放射学检查和磁共振成像诊断的非创伤性内侧髁撕裂后的两种治疗方法进行了比较;关节镜下部分髁间窝切除术后进行监督锻炼或仅进行监督锻炼。目的是评估膝关节功能和身体活动。在干预前、运动8周后和6个月后，使用膝关节损伤和骨关节炎结局评分、Lysholm膝关节评分量表、Tegner活动量表和视觉疼痛量表对90例患者（平均年龄56岁）进行膝关节疼痛评估。根据结果评分，关节镜下部分内侧半月板切除术联合运动并不比单独运动带来更大的改善。干预后，两组均报告膝关节疼痛减轻，膝关节功能改善，满意度高（P < 0.0001）。41%的患者在6个月后恢复到受伤前的活动水平。总之，当使用结局评分进行评价时，关节镜下部分内侧半月板切除术后进行监督锻炼在减少膝关节疼痛、改善膝关节功能和改善生活质量方面并不上级单独进行监督锻炼。
In this prospective randomised study two treatments after non-traumatic medial meniscal tear diagnosed with radiological examination and magnetic resonance imaging were compared; arthroscopic partial meniscectomy followed by supervised exercise or supervised exercise alone. The aim was to evaluate knee function and physical activity. Ninety patients (mean age 56 years) were evaluated using the Knee Injury and Osteoarthritis Outcome Score, the Lysholm Knee Scoring Scale, the Tegner Activity Scale and a Visual Analogue Scale for knee pain prior to the intervention, after 8 weeks of exercise and after 6 months. According to the outcome scores arthroscopic partial medial meniscectomy combined with exercise did not lead to greater improvement than exercise alone. After the intervention both groups reported decreased knee pain, improved knee function and a high satisfaction (P < 0.0001). Forty-one per cent of the patients returned to their pre-injury activity level after 6 months. In conclusion, when evaluated with outcome scores, arthroscopic partial medial meniscectomy followed by supervised exercise was not superior to supervised exercise alone in terms of reduced knee pain, improved knee function and improved quality of life.