[Clinical and radiological results after arthroscopic partial medial meniscectomy. Are there risk factors?].
In a retrospective study 100 patients underwent a clinical and radiological follow-up 7 years and 7 months after an arthroscopic partial medial meniscectomy. None of these patients had associated intraarticular lesions apart a minor chondral damage of the medial compartment. The follow-up showed excellent clinical results in 96% of patients according to the modified Marshall Score. The radiological results demonstrated a deterioration or development of osteoarthritis of the operated knee joint in 33% of patients, with a statistical significance between radiological and clinical results (p < 0.05). The age of the patients at time of operation and any angular deformity of the knee joint had no statistical significant influence on the radiological results. Women had a statistically significant higher risk to deteriorate or develop gonarthrosis after partial medial meniscectomy than men (p < 0.05). The arthroscopic partial medial meniscectomy leads to excellent subjective and functional results, but it could not totally prevent the increase or development of degenerative changes in the medial knee compartment.
Sana-Klinik, München-Solln.
M
M
Krüger-Franke
A
A
Kugler
H H
HH
Trouillier
A
A
Reischl
B
B
Rosemeyer
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001182:Arthroscopy / Q000009:adverse effects* / Q000379:methods; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008592:Menisci, Tibial / Q000000981:diagnostic imaging* / Q000601:surgery*; D010003:Osteoarthritis / Q000601:surgery; D011859:Radiography; D012307:Risk Factors; D012737:Sex Factors
Klinische und radiologische Ergebnisse nach arthroskopischer partieller Innenmeniskusresektion. Gibt es prädisponierende Faktoren?