KMID : 0828620080120020107
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Journal of Korean Arthroscopy Society 2008 Volume.12 No. 2 p.107 ~ p.111
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Arthroscopic Meniscectomy in Patients Aged Over 50 - More than 3 Years Follow-Up Result -
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Cho Sung-Do
Youm Yoon-Seok Ko Sang-Hun Jung Kwang-Hwan Jeong Ji-Young Seo Dong-Kyo Lee Chae-Chil Cha Jae-Ryong
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Abstract
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Purpose: To evaluate the clinical and radiographical results of arthroscopic meniscectomy in patients aged over 50 with minimum 3-year follow-up.
Materials and Methods: Of the patients who had undergone arthroscopic meniscectomies between Dec. 1997 and Dec. 2003, 36 patients(36 knees) were available for retrospective evaluation. The average age at the time of surgery was 56.4 years and the mean follow-up period was 63 months. According to the Kellgren-Lawrence classification, grade I change were noted in 16 patients, II in 12, III in 6 and IV in 2. According to Outerbridge classification, grade I articular lesions were noted in 16 patients, II in 10, III in 7 and IV in 3. Postoperative Lysholm score, patient s subjective satisfaction and radiographic changes were evaluated retrospectively.
Results: Twenty-four patients(66.7%) were good or excellent for the Lysholm score and 26 patients(72.2%) were satisfied at final follow-up. Tibiofemoral angle was changes from mean valgus 3.9 degrees to mean valgus 2.6 degrees and 22 patients(61.1%) showed the progression of osteoarthritic changes.
Conclusion: The satisfactory results could be obtained in 72.2% of patients aged over 50 with a minimal follow-up of 3 years after arthroscopic meniscectomy. The results tended to be worse in patients with moderate or severe tibiofemoral osteoarthritic changes or with articular cartilage lesions.
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KEYWORD
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Knee, Arthroscopic meniscectomy, 50 years of age
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