The consequences of meniscectomy.

@article{McDermott2006TheCO,
  title={The consequences of meniscectomy.},
  author={I. D. McDermott and Andrew A. Amis},
  journal={The Journal of bone and joint surgery. British volume},
  year={2006},
  volume={88 12},
  pages={
          1549-56
        }
}
  • I. McDermottA. Amis
  • Published 1 December 2006
  • Medicine
  • The Journal of bone and joint surgery. British volume
The menisci of the knee have an important role in load-bearing and shock absorption within the joint. They may also function as secondary stabilisers, have a proprioceptive role, and aid the lubrication and nutrition of the articular cartilage. Complete or partial loss of a meniscus can have damaging effects on a knee, leading to serious long-term sequelae. This paper reviews the consequences of meniscectomy and summarises the body of evidence in the literature regarding those factors most… 
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478 Citations
Highly Influential Citations
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Background Citations
213
Methods Citations
9
Results Citations
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References

SHOWING 1-10 OF 96 REFERENCES

Knee joint changes after meniscectomy.

  • T. Fairbank
  • Medicine
    The Journal of bone and joint surgery. British volume
  • 1948
It seems likely that narrowing of the joint space will predispose to early degenerative changes, but a connection between these appearances and later osteoarthritis is not yet established and is too indefinite to justify clinical deductions.

Factors effecting late results after meniscectomy.

Statistical analysis of data obtained from the histories, physical examinations, and roentgenographic and electrogoniometric studies of ninety-nine patients with a mean follow-up of 17.5 years after meniscectomy revealed a high incidence of poor results, degenerative arthritis, ligamentous laxity, and decreased stance-phase flexion.

In defence of the meniscus. A prospective study of 200 meniscectomy patients.

  • J. NobleK. Erat
  • Medicine
    The Journal of bone and joint surgery. British volume
  • 1980
It is shown that the risks of removing a normal meniscus far exceed those of leaving a tear in the posterior third, and statistical analysis of clinical features revealed no reliable diagnostic pattern.

Meniscectomies in children

Twenty-six patients who underwent uncomplicated meniscectomy during a period of open epiphyseal plates were reviewed by personal followup; ligamentous laxity, early degenerative arthritis, and sympto matic knee pain were found.

Meniscal repair. An arthroscopic technique.

Repair of a longitudinal peripheral meniscal tear permits salvage of this structure in a high percentage of cases and is recommended only for the advanced arthroscopist who is advised first to establish clearly by cadaver dissections the anatomical relationships.

The long-term course of various meniscal treatments in anterior cruciate ligament deficient knees.

One hundred thirty-five patients were reviewed six to 16 years after anterior cruciate ligament repair or reconstruction. At follow-up evaluation, 60% of the patients demonstrated significant…

Options in meniscal repair.

Late degenerative changes after meniscectomy. Factors affecting the knee after operation.

These findings emphasise the important mechanical function of the meniscus and support the current cautious approach to meniscectomy, especially for patients in high risk groups, and indicate the value of early high tibial osteotomy for symptomatic varus deformity after medial menisCEctomy.

Arthroscopic partial lateral meniscectomy long-term results in athletes.

Deterioration of results after arthroscopic partial lateral meniscectomy is obvious and the extent of the resection is a significant factor.

Meniscal tears: The effect of meniscectomy and of repair on intraarticular contact areas and stress in the human knee

There was no difference in the weightbearing characteristics of the meniscus when repaired by open versus arthroscopic technique when the knee is loaded at 0° flexion, and data suggest that theMeniscus does have a weightbearing role.
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