title: Results of partial meniscectomy related to the state of the anterior cruciate ligament. Review at 20 to 35 years.
abstract: We reviewed 195 knees in 167 patients at least 20 years after a rim-preserving meniscectomy. They were considered in two groups: 102 knees had had an intact anterior cruciate ligament (ACL), and 93 had had an unrepaired rupture. More patients with a ruptured ACL had downgraded their sport activity by five years after meniscectomy. The incidence of radiographic osteoarthritis was about 65% at 27 years in patients with a ruptured ligament, and 86% in those followed up for over 30 years. In the ligament-deficient group 10% had had operations for osteoarthritis, and another 28% had had other operations, mainly further meniscectomies. Only 6% of those with an intact ligament had needed a second operation after meniscectomy and at long-term follow-up 92% of them were satisfied or very satisfied. Only 74% of the ligament-deficient patients were satisfied with their result. The long-term outcome after rim-preserving meniscectomy depends mainly upon the state of the anterior cruciate ligament.
authors.affiliation: Centre Hospitalier Lyon Sud, France.
authors.forename: P
authors.initials: P
authors.lastname: Neyret
authors.forename: S T
authors.initials: ST
authors.lastname: Donell
authors.forename: H
authors.initials: H
authors.lastname: Dejour
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000070598:Anterior Cruciate Ligament Injuries; D005260:Female; D006801:Humans; D007718:Knee Injuries / Q000150:complications; D008297:Male; D008592:Menisci, Tibial / Q000601:surgery*; D008875:Middle Aged; D010003:Osteoarthritis / Q000503:physiopathology; D017063:Outcome Assessment, Health Care; D010146:Pain / Q000503:physiopathology; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D013177:Sports