title: [Arthroscopic partial meniscectomy].
abstract: OBJECTIVE
  Excision of damaged meniscal tissue whereby the mechanical obstacles to joint movement are eliminated. As much functional, intact meniscal tissue should be retained as possible. Resection of only the bare minimum.
  
  
  METHODS
  Symptomatic, irreparable lesions of the meniscus due to trauma or degeneration.
  
  
  METHODS
  Reparable lesions of the meniscus. Local skin affections.
  
  
  METHODS
  Introduction of the arthroscope through an anterolateral or central portal. The instrument portal is positioned in accordance with the situation of the meniscal lesion to be treated. The tissue to be excised is either broken into fragments with different punches or resected en bloc.
  
  
  METHODS
  Functional postoperative management without immobilization. Full loading on the leg.
  
  
  RESULTS
  Very good and good clinical results can be achieved in the short and long term after arthroscopic partial meniscectomy. In a study by Burks et al., 88% of 146 patients with stable knee joints had a very good or good result 14.7 years after partial meniscectomy. 95% of 57 patients were satisfied or very satisfied with the result 12 years after partial medial meniscectomy. A degenerative meniscal tear, axial deformity, higher age, and anterior cruciate ligament insufficiency are factors associated with an increased rate of arthrosis in the long term.
authors.affiliation: Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Strasse 1, D-30625 Hannover, Germany. zeichen.johannes@mh-hannover.de
authors.forename: Johannes
authors.initials: J
authors.lastname: Zeichen
authors.forename: Stefan
authors.initials: S
authors.lastname: Hankemeier
authors.forename: Karsten
authors.initials: K
authors.lastname: Knobloch
authors.forename: Michael
authors.initials: M
authors.lastname: Jagodzinski
mesh_terms: D000556:Ambulatory Surgical Procedures; D020679:Arthroscopes; D001182:Arthroscopy / Q000379:methods*; D006801:Humans; D007718:Knee Injuries / Q000601:surgery*; D008592:Menisci, Tibial / Q000601:surgery*; D020370:Osteoarthritis, Knee / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D013525:Surgical Instruments