Summary
In a study using matched pairs of 50 patients, meniscal repair was compared with partial meniscectomy in knees without major ligament injuries. There was a failure rate of 24% after meniscal repair in a follow up from 6 to 9 years after operation. A further meniscectomy was needed in 16% of those who had had a partial meniscectomy. Function was better after meniscal repair, but the compliance rate was lower because of the prolonged rehabilitation. Repair led to less osteoarthritis than menisectomy.
Résumé
On a comparé deux groupes de 50 malades ayant subi l'un une réparation méniscale et l'autre une méniscectomie partielle, sur des genoux sans lésion ligamentaire majeure. Après réparation méniscale le taux d'échec était de 24% lors d'une révision effectuée de 6 à 9 ans après l'opération. Une méniscectomie ultérieure avait été nécessaire chez 16% de ceux qui avaient eu une méniscectomie partielle. La fonction était meilleure après réparation méniscale, mais le taux de satisfaction était plus faible en raison de la longueur de la réeducation.
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Sommerlath, K.G. Results of meniscal repair and partial meniscectomy in stable knees. International Orthopaedics 15, 347–350 (1991). https://doi.org/10.1007/BF00186875
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DOI: https://doi.org/10.1007/BF00186875