Long-term results of arthroscopic partial meniscectomy.
Detailed analysis of a series of 99 arthroscopic partial meniscectomies with a minimum follow-up time of 2.1 years (mean, 3 years; maximum, 4.5 years) showed that the spectacularly good early results were maintained in the longer term. Group I knees (67) had no previous surgery or ligamentous insufficiency, but those with chondromalacia were included. The remaining knees were designated Group II and analyzed separately. Group I showed 51.5% excellent and 39% good results, using criteria based on those of Tapper and Hoover. When only results in bucket handle tears were considered, 73% were excellent and 19% were good. Results in Group I also depended on the presence or absence of chondromalacia. Results in Group II were poorer than in Group I, but were still satisfactory in 67% of knees, although many had a torn anterior cruciate ligament of frank osteoarthritis. The arthroscopic technique should, where possible, become the standard method of treatment if patients require meniscectomy.
D000293:Adolescent; D000328:Adult; D000368:Aged; D001182:Arthroscopy; D002648:Child; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007718:Knee Injuries / Q000150:complications / Q000534:rehabilitation / Q000601:surgery; D008297:Male; D008592:Menisci, Tibial / Q000601:surgery*; D008875:Middle Aged; D010003:Osteoarthritis / Q000209:etiology; D010329:Patella; D000070600:Tibial Meniscus Injuries