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Arthroscopic medial meniscectomy on stable knees
C H Hulet1, B G Locker, D Schiltz
1Department of Orthopaedics, Caen University Hospital, France.
The Journal of Bone and Joint Surgery. British Volume
|March 14, 2001
Summary
Long-term outcomes of partial medial meniscectomy show high patient satisfaction and good functional results. Anterior knee pain was the primary factor influencing outcomes after this knee surgery.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Knee Biomechanics
Background:
- Partial medial meniscectomy is a common procedure for meniscal tears.
- Assessing long-term functional and radiological outcomes is crucial for patient management.
Purpose of the Study:
- To evaluate the long-term functional and radiological results of partial medial meniscectomies.
- To identify factors influencing outcomes after this knee surgery.
Main Methods:
- A review of 74 partial medial meniscectomies in 57 patients with stable knees.
- Assessment of International Knee Documentation Committee (IKDC) scores and residual laxity.
- Mean follow-up of 12 years.
Main Results:
- 95% of patients reported satisfaction or high satisfaction at 12 years.
- Objective functional grading showed 57% grade A and 43% grade B.
- Anterior knee pain was the only significant negative predictor of outcome.
- 16% of operated knees showed joint-space narrowing, unrelated to other parameters.
Conclusions:
- Partial medial meniscectomy yields high long-term patient satisfaction and good functional outcomes.
- Anterior knee pain is a key factor to address post-operatively.
- Radiological joint-space narrowing is infrequent and not correlated with patient or tear characteristics.