Arthroscopic meniscectomy in athletes

Twenty arthroscopic meniscectomies were done in 19 patients (mean age 24 years). Twelve medial and eight lateral meniscus lesions were treated. In one patient, both a medial and a lateral meniscus tear were treated at the same time. There were 9 total meniscectomies and 11 partial. All patients were international or national top athletes. Arthroscopy was performed using the anterior midline approach. Arthroscopic meniscectomy was done by means of triangulation technique. Sixty-eight percent resumed their full athletic training and competition in 2 weeks or less. At followup 14.3 +/- 9.4 months after surgery, 74% had an excellent result (full activity, no symptoms) and 21% a good result (full activity, minimal symptoms). One international top weight lifter had to be reoperated on twice because of tearing of the meniscus remnant after partial meniscectomy. Our conclusion is that the result after arthroscopic meniscectomy in athletes is good with a short rehabilitation period. Under extreme circumstances, early strenuous activities might lead to a retear in the meniscus remnant after partial meniscectomy.