AGGRESSIVE NONTREATMENT OF LATERAL MENISCAL TEARS SEEN DURING ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION
AGGRESSIVE NONTREATMENT OF LATERAL MENISCAL TEARS SEEN DURING ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION
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DOI：
10.1177/036354659502300205
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发表时间：
1995-03-01
影响因子：
4.8
通讯作者：
SHELBOURNE, KD
中科院分区：
文献类型：
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作者：
FITZGIBBONS, RE;SHELBOURNE, KD
根据我们的经验，我们假设在前交叉韧带重建时发现的某些外侧韧带撕裂可以不切除或修复，并且它们将保持无症状。我们观察了189例在前交叉韧带重建时原位留下的外侧韧带撕裂。平均临床随访2.6年（范围1 - 9岁）我们发现1）后角撕脱撕裂，如果不加处理，在前交叉韧带重建后不会引起临床症状; 2）腘肌腱完全后方的垂直撕裂在重建前后无症状;和3）其他完全和不完全的外侧膝关节撕裂（垂直纵向、径向或前垂直），如果在前交叉韧带重建时稳定，可以留在原位而不会出现临床症状。在随访评估时，研究人群中的所有患者都恢复了他们期望的体育活动水平。我们在保留选定的外侧尿道撕裂原位方面的高临床成功率是一种“积极”的尿道挽救尝试，而不会增加修复或切除的发病率。在我们观察患者的时间（1至9年），外侧半月板仍然无症状。
Based on our experience, we hypothesized that certain lateral meniscal tears identified at the time of anterior cruciate ligament reconstruction can be left without removal or repair and that they will remain asymptomatic. We looked at 189 lateral meniscal tears that were left in situ at the time of anterior cruciate ligament reconstruction. At an average clinical followup of 2.6 years (range, 1 to 9 years) we found that 1) posterior horn avulsion tears, if left alone, do not cause clinical symptoms after anterior cruciate ligament reconstruction; 2) vertical tears totally posterior to the popliteus tendon are asymptomatic before and after reconstruction; and 3) other complete and incomplete lateral meniscal tears (vertical longitudinal, radial, or anterior vertical), if stable at the time of anterior cruciate ligament reconstruction, can be left in situ without becoming clinically symptomatic. All patients in the study population returned to their desired level of sporting activities by the time of follow-up evaluation. Our high clinical success rate in leaving selected lateral meniscal tears in situ is an ''aggressive'' attempt at meniscal salvage without increased morbidity from repair or resection. During the time we observed the patients (1 to 9 years), the lateral menisci remained asymptomatic.