Open meniscal repair: Clinical and magnetic resonance imaging findings after twelve years

Open meniscal repair: Clinical and magnetic resonance imaging findings after twelve years
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DOI:
10.1177/03635465990270011001
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发表时间:
1999-01-01
影响因子:
4.8
通讯作者:
Metz, V
Metz, V
中科院分区:
医学1区
文献类型:
--
作者:
Muellner, T;Egkher, A;Metz, V

文献摘要

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本研究的目的是记录开放半月板修复术后的长期临床、放射学和磁共振成像结果。对22名患者进行了平均12.9年的随访,包括病史、体格检查、KT-1000关节测量仪测试、“Orthopedische Arbeitsgomeinschaft Knie”膝关节评估方案、Tegner活动评分、负重X线片和磁共振成像,对22名患者进行了23次开放半月板修复。22名患者中有两名再次撕裂,两人都发生在不稳定的膝盖。X光片显示23个隔室中有17个没有退行性变化。在修复的半月板中,超过50%的半月板在磁共振成像扫描上出现了III级和IV级信号改变。我们的结论是,修复的半月板的长期存活率为91%,磁共振成像不适合诊断修复的半月板的愈合过程。
The purpose of this study was to document the longterm clinical, radiographic, and magnetic resonance imaging results after open meniscal repair. Twenty-two patients, with 23 open meniscal repairs, were evaluated after a mean follow-up of 12.9 years using patient history, physical examination, KT-1000 arthrometer testing, the "Orthopaedische Arbeitsgemeinschaft Knie" knee evaluation scheme, Tegner activity score, weightbearing radiographs, and magnetic resonance imaging. Two of the 22 patients had retears and both occurred in unstable knees. Radiographs revealed no degenerative changes in 17 of the 23 compartments. Grade III and IV signal alterations were present on magnetic resonance imaging scans in more than 50% of the repaired menisci. We concluded that the longterm survival rate of repaired menisci was 91%, and that magnetic resonance imaging is unsuitable for diagnosis of the healing process of a repaired meniscus.