Clinical and radiographic results of arthroscopic partial lateral meniscectomies in stable knees with a minimum follow up of 20 years
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| 024 | 7 | 0 | |a 10.1007/s00167-014-3245-5 |2 doi |
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| 245 | 0 | 0 | |a Clinical and radiographic results of arthroscopic partial lateral meniscectomies in stable knees with a minimum follow up of 20 years |h [Elektronische Daten] |c [Christophe Hulet, Jacques Menetrey, Philippe Beaufils, Pierre Chambat, Patrick Djian, Philippe Hardy, Jean-François Potel, Elvire Servien, Romain Seil] |
| 520 | 3 | |a Purpose: The purpose of this retrospective multicentric study was to evaluate the long-term effects of lateral meniscectomy and to identify those patients who are at the most risk of developing osteoarthritis (OA). Methods: Eighty-nine arthroscopic partial lateral meniscectomies in stable knees with a mean follow-up of 22±3years were included. The following influencing factors were analyzed: age, sex, body mass index (BMI), physical activity, alignment, the types of meniscal lesions, the extent of meniscal resections and the initially associated cartilage lesions. An independent examiner reviewed all patients, using subjective (KOOS and IKDC scores) and objective clinical and radiological evaluations (IKDC score). The contralateral knee was used as a reference to calculate the prevalence and the incidence of OA. Results: The mean age at the time of surgery was 35±13years. The main location of the lesions was the mid-section of the lateral meniscus (79% of the cases). At the latest follow-up, 48% of the patients had an active lifestyle with as many as 48% of the patients enjoying moderate to intense physical activity 22years after the procedure (vs. 71% before surgery). The KOOS score evolved from 82 to 69% during the same period. The prevalence of OA was 56% in the affected knee and the difference of prevalence between the operated and healthy knees was 44%. In those patients presenting with an OA of the operated knee and a normal contralateral knee, the incidence of OA was 53%. Predictors of OA were an age superior to 38years at the time of surgery, obesity (BMI >30), and valgus malalignment as well as the presence of cartilage and degenerative meniscal lesions at the time of surgery. Conclusion: In the long term, arthroscopic partial lateral meniscectomy in stable knees without initial cartilage lesions might yield good to excellent results in young patients. Patients are at higher risk to develop symptomatic OA if they are over 40, having a high BMI, valgus malalignment and cartilage lesions at the time of surgery. This study provides precise guidelines for the surgical treatment of lateral meniscus tears. Level of evidence: IV. | |
| 540 | |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 | ||
| 690 | 7 | |a Lateral meniscus |2 nationallicence | |
| 690 | 7 | |a Meniscus lesion |2 nationallicence | |
| 690 | 7 | |a Meniscectomy |2 nationallicence | |
| 690 | 7 | |a Osteoarthritis |2 nationallicence | |
| 700 | 1 | |a Hulet |D Christophe |u Unit Comete INSERM U1075 UCBN EA3917, Orthopedic Department, Caen University Hospital, Caen Lower Normandy University, Caen, France |4 aut | |
| 700 | 1 | |a Menetrey |D Jacques |u Service de chirurgie orthopédique et traumatologie de l'appareil moteur, Unité d'orthopédie et traumatologie du sport, Swiss Olympic Medical Center, Hôpitaux Universitaires de Genève, Geneva, Switzerland |4 aut | |
| 700 | 1 | |a Beaufils |D Philippe |u Department of Orthopedic Surgery, Centre Hospitalier de Versailles, Le Chesnay, France |4 aut | |
| 700 | 1 | |a Chambat |D Pierre |u Centre Orthopédique Santy, Lyon, France |4 aut | |
| 700 | 1 | |a Djian |D Patrick |u Cabinet Goethe, Paris, France |4 aut | |
| 700 | 1 | |a Hardy |D Philippe |u Hôpital Ambroise Paré CHU, Paris Ile de France Ouest, Paris, France |4 aut | |
| 700 | 1 | |a Potel |D Jean-François |u Department of Orthopedic Surgery, Médipôle Garonne Toulouse, Toulouse, France |4 aut | |
| 700 | 1 | |a Servien |D Elvire |u Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Lyon University Centre Albert Trillat, Lyon, France |4 aut | |
| 700 | 1 | |a Seil |D Romain |u Department of Orthopedic Surgery, Sports Medicine Research Laboratory, Public Research Center for Health, Centre Hospitalier Luxembourg, Luxembourg, Luxembourg |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/1(2015-01-01), 225-231 |x 0942-2056 |q 23:1<225 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-014-3245-5 |q text/html |z Onlinezugriff via DOI |
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| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-014-3245-5 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Hulet |D Christophe |u Unit Comete INSERM U1075 UCBN EA3917, Orthopedic Department, Caen University Hospital, Caen Lower Normandy University, Caen, France |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Menetrey |D Jacques |u Service de chirurgie orthopédique et traumatologie de l'appareil moteur, Unité d'orthopédie et traumatologie du sport, Swiss Olympic Medical Center, Hôpitaux Universitaires de Genève, Geneva, Switzerland |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Beaufils |D Philippe |u Department of Orthopedic Surgery, Centre Hospitalier de Versailles, Le Chesnay, France |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Chambat |D Pierre |u Centre Orthopédique Santy, Lyon, France |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Djian |D Patrick |u Cabinet Goethe, Paris, France |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Hardy |D Philippe |u Hôpital Ambroise Paré CHU, Paris Ile de France Ouest, Paris, France |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Potel |D Jean-François |u Department of Orthopedic Surgery, Médipôle Garonne Toulouse, Toulouse, France |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Servien |D Elvire |u Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Lyon University Centre Albert Trillat, Lyon, France |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Seil |D Romain |u Department of Orthopedic Surgery, Sports Medicine Research Laboratory, Public Research Center for Health, Centre Hospitalier Luxembourg, Luxembourg, Luxembourg |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/1(2015-01-01), 225-231 |x 0942-2056 |q 23:1<225 |1 2015 |2 23 |o 167 | ||