Results of 1310 knees of meniscal treatment evaluated by arthroscopy / 中华外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To evaluate results of 1310 knees of meniscal treatments by arthroscopy and to present good method of meniscal treatment.</p><p><b>METHODS</b>Their age, traumatic mechanism and effects under arthroscopy were analysed in a series of 254 patients with meniscal injuries, there were 880 males and 374 females, the average of the patients was 25.5 years. The meniscal repair in 68 knee, partial meniscectomy in 756 knee, total meniscectomy in 480 knee and conservative treatment in 6 cases.</p><p><b>RESULTS</b>The patients were followed up 1 to 12 years with the average of 4 years and 3 months. The mean Lysholm score was 86.3 points in arthroscopic meniscal repair, 84.0 points in partial meniscectomy and 76.1 points in total meniscectomy. The mean Lysholm 98.7 points in all children patients with conservative treatment. They showed significant difference (P < 0.01) in the results of three treatments.</p><p><b>CONCLUSIONS</b>Meniscal injuries should not cut off as it, should be repaired in 5 mm from meniscus to synovium and or partial meniscectomy. The general adoption is not the surgical operation on meniscal injuries of the child.</p>