Outcome of arthroscopic meniscectomy a 13-year physical and radiographic follow-up of 43 patients under 23 years of age

Rockborn, Peter; Gillquist, Jan

doi:10.3109/17453679508995502

Cited by 76 publications

(50 citation statements)

References 24 publications

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“…In the current literature, the proposed risk factors for postoperative radiographic change have been inconsistent. While Benedetto and Rangger [5] suggest that preexisting cartilage wear is a predictor of radiographic change after partial medial meniscectomy, others suggest that cartilage wear is not relevant [11,[26][27][28]. The volume of the excised meniscus has also been correlated with the development of radiographic change [13,27].…”

Section: Discussionmentioning

confidence: 94%

“…The shortterm results of patients treated with partial meniscectomy are excellent [3,5,23]. However, some studies have demonstrated the development of degenerative radiographic changes after partial meniscectomy [6,7,10,[26][27][28]. Due to the impractical nature of routine second-look arthroscopy and the previous limitations of conventional imaging modalities, the early effects of arthroscopic partial meniscectomy upon subchondral bone and articular cartilage have yet to be described.…”

Section: Introductionmentioning

confidence: 98%

See 1 more Smart Citation

MRI Evaluation of Isolated Arthroscopic Partial Meniscectomy Patients at a Minimum Five-Year Follow-up

Williams

Warner

Petrigliano

et al. 2007

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Despite optimal preoperative prognostic factors and excellent functional outcomes, MRI evidence of early articular cartilage degeneration was present in both partial medial and lateral meniscectomy patients at a minimum 5-year follow-up. Results support the use of cartilage-sensitive MRI as a noninvasive screening technique to evaluate cartilage changes after arthroscopic partial meniscectomy and may help to counsel the high-risk patient in regard to postoperative activity.

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Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 98%

MRI Evaluation of Isolated Arthroscopic Partial Meniscectomy Patients at a Minimum Five-Year Follow-up

Williams

Warner

Petrigliano

et al. 2007

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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show abstract

“…14, 15,29,30 There are few long-term follow-up studies 19,31,32 and comparison is difficult since the criteria for assessment differ. As recommended by the IKDC the radiological evaluation includes the flexion posteroanterior view.…”

Section: Discussionmentioning

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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“…However arthroscopic meniscectomy remains the most commonly performed orthopaedic procedure in Europe and the US [3]. It is known that complete or partial meniscectomy predisposes the knee to degenerate joint disease [4][5][6][7] and therefore it would seem logical to try to preserve injured meniscal tissue by repair, reconstruction or replacement.…”

Section: Introductionmentioning

confidence: 99%