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KMID : 0828620050090020174
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Journal of Korean Arthroscopy Society
2005 Volume.9 No. 2 p.174 ~ p.179
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Long-Term Outcome of Arthroscopic Meniscectomy In Traumatic Patients
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Seo Jae-Sung
Yoon Ui-Seoung
Min Hak-Jin
Kim Yoon-Jong
Kim Hee-Sun
Kim Yoo-Mi
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Abstract
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목 적:To study the long-term outcome of arthroscopic meniscectomy with regard to clinical symptoms and radiographic signs of osteoarthritic change.
대상 및 방법:The materials for the investigation consisted of 79 individuals among 144 patients who underwent knee arthroscopy due to an isolated meniscal tear from October 1990 to September 1992 in our hospital. Those 79 individuals were followed up for 10~15 years after the knee arthroscopy and were took clinical examination through the review of knee radiographies obtained with weight bearing. 52 of the 79 patients were men, and the mean age of the total materials was 34.6 years old (in the range 17~48).
결 과:At follow-up, radiographic changes including Fairbank changes and joint space narrowing were seen from 45 of the 79 patients (56.2%). In other calculation, radiographic changes were seen in 23 out of 54 patients (42.6%) who had a partial meniscectomy, but were presented in 22 out of 25 patients (88.0%) who had a total meniscectomy. As a result, more radiographic changes were seen after total meniscectomy (p=0.03). In clinical results, 39 out of 54 patients (72.2%) after partial meniscectomy were satisfactory, and 14 out of 25 patients (56.0%) after total meniscectomy were satisfactory, therefore, more percentage of patients were satisfactory in partial meniscectomy group than in total meniscectomy group, but the statistical differences were absent (p=0.24).
결 론:The frequency of radiographic changes in 10~15 years after meniscectomy was related to the quantity of the meniscus removed, but the differences of these changes were low and had little influence on activity and knee function.
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KEYWORD
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Knee, Arthroscopy, Meniscectomy, Osteoarthritic changes
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