| Autor: |
Pengas IP; Percivall Pott Rotation, Great Ormond Street Hospital, Great Ormond Street, London WC1N 3JH, UK. yiannispengas@yahoo.com, Assiotis A, Nash W, Hatcher J, Banks J, McNicholas MJ |
| Jazyk: |
angličtina |
| Zdroj: |
The Journal of bone and joint surgery. British volume [J Bone Joint Surg Br] 2012 Dec; Vol. 94 (12), pp. 1649-54. |
| DOI: |
10.1302/0301-620X.94B12.30562 |
| Abstrakt: |
We continued a prospective longitudinal follow-up study of 53 remaining patients who underwent open total meniscectomy as adolescents and who at that time had no other intra-articular pathology of the knee. Their clinical, radiological and patient-reported outcomes are described at a mean follow-up of 40 years (33 to 50). The cohort of patients who had undergone radiological evaluation previously after 30 years were invited for clinical examination, radiological evaluation and review using two patient-reported outcome measures. A total of seven patients (13.2%) had already undergone total knee replacement at the time of follow-up. A significant difference was observed between the operated and non-operated knee in terms of range of movement and osteoarthritis of the tibiofemoral joint, indicating a greater than fourfold relative risk of osteoarthritis at 40 years post-operatively. All patients were symptomatic as defined by the Knee Injury and Osteoarthritis Outcome Score. This study represents the longest follow-up to date and it can be concluded that meniscectomy leads to symptomatic osteoarthritis of the knee later in life, with a resultant 132-fold increase in the rate of total knee replacement in comparison to their geographical and age-matched peers. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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