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Endoscopic partial and total meniscectomy. A comparative study with a short term follow up
Acta Orthopaedica Scandinavica
|December 1, 1982
Summary
Partial and total endoscopic meniscectomy showed similar knee function outcomes. However, total meniscectomy patients with longer follow-up reported better knee function, suggesting a longer recovery period for total meniscectomy.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Knee Arthroscopy
Background:
- Meniscal tears are common knee injuries.
- Endoscopic meniscectomy is a standard surgical treatment.
- Partial and total meniscectomy are two surgical approaches.
Purpose of the Study:
- To compare the outcomes of partial versus total endoscopic meniscectomy.
- To evaluate knee function and complication rates between the two procedures.
Main Methods:
- Retrospective comparison of 89 patients undergoing partial meniscectomy and 78 patients undergoing total meniscectomy.
- Follow-up averaged 16 months using a knee function questionnaire.
- Analysis of operative time, intraoperative complications, and reoperation rates.
Main Results:
- Total meniscectomy was more time-consuming with higher intraoperative technical problems.
- Reoperation rates were higher after partial meniscectomy (9) compared to total meniscectomy (1).
- No significant difference in overall knee function scores between the groups was observed.
Conclusions:
- Both partial and total endoscopic meniscectomy yield similar knee function in the medium term.
- Patients undergoing total meniscectomy may experience continued improvement in knee function for over a year post-surgery.
- Partial meniscectomy may lead to earlier achievement of final knee function levels.