Arthroscopic partial medial meniscectomy in the older patient.

McBride, G G; Constine, R M; Hofmann, Aaron A.; Carson, R W

doi:10.2106/00004623-198466040-00008

Cited by 77 publications

(25 citation statements)

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“…The results of arthroscopic partial meniscectomy in the older patient with osteoarthritis are encouraging [15,20,23]. The present series had a predominance of posterior segment, flap or tag tears of the medial meniscus that are typical of a degenerative tear [15,23].…”

Section: Discussionmentioning

confidence: 56%

A prospective review of arthroscopic debridement for degenerative joint disease of the knee

Aichroth

Patel

Moyes

1991

International Orthopaedics

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A prospective review of 254 patients with moderate or severe knee pain due to degenerative joint disease, treated by arthroscopic debridement of menisci, articular cartilage, osteophytes and loose bodies has been made 24 to 140 months (average of 44 months) after surgery. Patients ranged in age from 28 to 82 years with an average of 49 years. At review, 75% had minimal discomfort and improved function and 85% were satisfied with the treatment. Those with less radiographic arthritis, less severe involvement of articular cartilage at operation and of younger age had more worthwhile improvement. This procedure allows worthwhile relief of symptoms, and only 14% had a subsequent operation after an average period of four years.

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Section: Discussionmentioning

confidence: 56%

A prospective review of arthroscopic debridement for degenerative joint disease of the knee

Aichroth

Patel

Moyes

1991

International Orthopaedics

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“…With better knowledge of meniscal function in load transmission across the knee 7,8 and the introduction of new methods of treatment, [9][10][11][12] meniscal tears are now usually managed arthroscopically with preservation of much of the meniscus. [9][10][11][12] The shortterm results have been good, 13 allowing early weightbearing, return of function, significantly reduced morbidity and reduction of the cost of care. 13 Reports of mediumterm follow-up 11,[14][15][16][17][18] have also been promising, but there are few long-term studies covering ten years or more.…”

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confidence: 99%

Arthroscopic medial meniscectomy on stable knees

Hulet

Locker

Schiltz

et al. 2001

The Journal of Bone and Joint Surgery. British volume

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W e reviewed 74 partial medial meniscectomies in 57 patients with stable knees, to assess the long-term functional and radiological outcome. The International Knee Documentation Committee score and the residual laxity were assessed in both knees. At the time of surgery the mean age of the patients was 36 ± 11 years and the mean follow-up was 12 ± 1 years. All had a limited medial meniscectomy. The anterior cruciate ligament was intact in all cases. The meniscal tear was vertical in 95% and complex in 5%. The posterior part of the meniscus was removed in 99%. A peripheral rim was preserved in all cases. After 12 years 95% of the patients were satisfied or very satisfied with their knee(s). Objectively, 57% had grade A function and 43% were grade B. The outcome correlated only with the presence of anterior knee pain at final follow-up. In the 49 cases of arthroscopic meniscectomy for which there was a contralateral normal knee there was narrowing of the 'joint-space' in 16% of the operated knees. There was no correlation between this and other parameters such as age or different meniscal pathologies. 18-20We describe a retrospective review of arthroscopic limited medial meniscectomy carried out on stable knees in order to assess the long-term functional and radiological outcome over a 12-year period. Patients and MethodsBetween 1982 and 1986, 305 limited medial meniscectomies in patients with an intact anterior cruciate ligament were undertaken in our institution. No other procedure was performed. All these patients were sent up to four letters of invitation to return for review. Telephone contact was also attempted. Only one-third replied. Their place of residence, distance to travel and the cost were some of the reasons why so few returned for re-examination. We therefore reviewed 74 knees in 57 patients (17 bilateral) at a minimum follow-up of at least ten years. Most of the patients were men (81%) and the right knee was involved in 59%. The mean age at operation was 36 ± 11 years with 34% being more than 40 years of age. At review, the mean age was 48 ± 10 years and the mean follow-up 12 ± 1 years.Of these 57 patients, 31% undertook strenuous activities (class I) before surgery, 23% moderate (class II) and 46% only light activities (class III). There was a history of playing sport in 57% of the patients, mainly soccer (34%). Pivot and contact sports were undertaken in 43%. There was a history of trauma in 52%.The patients were reviewed clinically and radiologically by an independent examiner. The follow-up clinical examination was based on the International Knee Documentation Committee (IKDC) score. Residual laxity in both knees was assessed for with a manual KT-1000 instrument (MEDmetric Corporation, San Diego, California). We graded patients A, B, C or D according to the IKDC score. Return to sports was evaluated at the five-year follow-up, but not at the final review.

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“…Medial meniscus tears are more frequently reported since the medial structures are more firmly attached to the tibia, compared to the lateral meniscus which has relatively free range of motion [18]. Many studies have reported that varus deformity appeared to be closely related to the presence of medial meniscus tear conclusively [4,6,[19][20][21]. But these results do not mean that varus deformity causes the medial meniscus tear, although varus deformity is a common conclusive finding of medial meniscus tear.…”

Section: Discussionmentioning

confidence: 99%