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Updated: Jul 10, 2026

Arthroscopic Excision of Posterior Cruciate Ligament Cysts Using a Double Posteromedial Approach
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Surgical outcomes after arthroscopic partial meniscectomy.

Peter D Fabricant1, Peter Jokl

  • 1Yale University School of Medicine, Yale Physicians Building, 800 Howard Avenue, New Haven, CT 06520-8071, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|November 9, 2007
PubMed
Summary

Arthroscopic partial meniscectomy outcomes are not significantly affected by patient age or sex. However, flap tears lead to slower recovery and more revisions compared to bucket handle tears, with osteoarthritis progression influenced by age and knee alignment.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomechanical Research

Background:

  • Arthroscopic partial meniscectomy is a common procedure for meniscal tears.
  • Clinical and demographic factors influencing outcomes require further clarification.

Purpose of the Study:

  • To review existing literature and identify trends in outcomes following arthroscopic partial meniscectomy.
  • To analyze associations between independent variables and patient outcomes.

Main Methods:

  • Systematic literature review analyzing clinical and demographic variables.
  • Evaluation of outcome measures and statistical analysis methods used in prior studies.

Main Results:

  • Patient age and sex showed no significant association with clinical or radiographic outcomes at long-term follow-up (8.5, 12, 15 years).

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  • Flap meniscal tears were associated with delayed return to sports and increased revision rates compared to bucket handle tears.
  • Osteoarthritis progression was more pronounced after medial meniscectomy in patients over 40.
  • Valgus knee alignment correlated with better radiographic outcomes for medial meniscectomy compared to varus alignment.
  • Higher Modified Outerbridge cartilage scores at surgery predicted poorer physical outcomes at 12 years.

    • Conclusions:

    • While age and sex are not predictive, meniscal tear type and patient-specific factors like knee alignment and cartilage health influence arthroscopic partial meniscectomy outcomes.
    • These findings can inform surgical decision-making and patient counseling regarding expectations after meniscectomy.