Results of partial meniscectomy related to the state of the anterior
cruciate ligament. Review at 20 to 35 years. Neyret-P. Donell-S-T. Dejour-H. Centre Hospitalier Lyon Sud, France. J-Bone-Joint-Surg-Br. 1993 Jan. 75(1). P 36-40. We reviewed 195 knees in 167 patients at least 20 years after a rim-preserving meniscectomy. They were considered in two groups: 102 knees had had an intact anterior cruciate ligament (ACL), and 93 had had an unrepaired rupture. More patients with a ruptured ACL had downgraded their sport activity by five years after meniscectomy. The incidence of radiographic osteoarthritis was about 65% at 27 years in patients with a ruptured ligament, and 86% in those followed up for over 30 years. In the ligament-deficient group 10% had had operations for osteoarthritis, and another 28% had had other operations, mainly further meniscectomies. Only 6% of those with an intact ligament had needed a second operation after meniscectomy and at long-term follow-up 92% of them were satisfied or very satisfied. Only 74% of the ligament-deficient patients were satisfied with their result. The long-term outcome after rim-preserving meniscectomy depends mainly upon the state of the anterior cruciate ligament. Author-abstract.
Original Text by Clifford R. Wheeless, III, MD.
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