LATE RESULTS FOLLOWING MEDIAL MENISCECTOMY IN AN OLDER POPULATION
LATE RESULTS FOLLOWING MEDIAL MENISCECTOMY IN AN OLDER POPULATION
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DOI：
10.2106/00004623-198163010-00015
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发表时间：
1981-01-01
影响因子：
5.3
通讯作者：
ECKER, ML
中科院分区：
文献类型：
--
作者：
LOTKE, PA;LEFKOE, RT;ECKER, ML
本文回顾了101例45岁以后行单纯内侧结肠切除术的患者。术后平均10.8年，66例患者可进行重新评估。根据术前X线片对患者进行分组。术前X线片正常的患者有90%的机会获得良好或极好的结果;预先存在中度或显著退行性病变的患者只有21%的机会获得良好或极好的结果。患者的年龄本身似乎不会影响结果，但先前存在的退行性关节炎明显降低了结果的质量。对于老年患者，关节内侧症状的其他原因，如骨坏死，在进行椎间盘切除术前必须仔细排除。
Cases of 101 patients, who had an isolated medial meniscectomy after the age of 45 yr, were reviewed. At an average of 10.8 yr after operation, 66 patients were available for re-evaluation. The patients were grouped according to preoperative radiographs. Patients with normal preoperative radiographs had a 90% chance of having a good or excellent result; patients with pre-existing moderate or marked degenerative changes had only a 21% chance of a good or excellent result. The patient''s age per se did not appear to affect the results, but pre-existing degenerative arthritis clearly diminished the quality of the result. Other causes of symptoms in the medial aspect of the joint, such as osteonecrosis, must be carefully excluded prior to meniscectomy in an elderly patient.