THE LONG-TERM OUTCOME OF OPEN TOTAL AND PARTIAL MENISCECTOMY RELATED TO THE QUANTITY AND SITE OF THE MENISCUS REMOVED
THE LONG-TERM OUTCOME OF OPEN TOTAL AND PARTIAL MENISCECTOMY RELATED TO THE QUANTITY AND SITE OF THE MENISCUS REMOVED
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DOI：
10.1007/bf00180200
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发表时间：
1992-06-01
影响因子：
2.7
通讯作者：
SANDBERG, H
中科院分区：
文献类型：
--
作者：
HEDE, A;LARSEN, E;SANDBERG, H
随机选择200例开放手术中因尿道撕裂行部分或全尿道切除术的患者。 术后平均随访7.8年。 部分半月板切除术后，后角撕裂的结果最差，但这只有在超过三分之二的半月板被切除时才明显。 切除的踝关节组织的量与膝关节的功能呈负相关，除了通过部分踝关节切除术治疗的桶柄状撕裂。 桶柄状、前角和后角撕裂的患者在全椎板切除术后的功能结果相似。 半月板部分切除术后保留半月板边缘可获得最好的功能效果。
Two hundred patients were randomly selected for either a partial or a total meniscectomy for a meniscal tear during open operation. They were followed for a median of 7.8 years after operation. After partial meniscectomy, posterior horn tears had the worst outcome, but this was only apparent when more than two-thirds of the meniscus had been removed. The amount of meniscal tissue excised was inversely related to the function of the knee, except with bucket-handle tears treated by partial meniscectomy. Patients with bucket-handle, anterior and posterior horn tears had similar functional results after total meniscectomy. Preservation of the peripheral rim of the meniscus following partial meniscectomy produces the best functional results.