관절경적 반월상 연골 전 절제술 후 퇴행성 슬관절염의 발생에 관한 연구

• Published in: The journal of the Korean Orthopaedic Association Vol. 43; no. 1; pp. 86 - 92
• Main Authors: 정비오(Bi O Jeong), 윤경호(Kyoung Ho Yoon), 배대경(Dae Kyung Bae), 이동훈(Dong Hun Lee)
• Format: Journal Article
• Language: Korean
• Published: 대한정형외과학회 01.02.2008
• Subjects: 정형외과학; Knee; Total meniscectomy; 퇴행성 관절염; Meniscal injury; 슬관절; 반월상 연골 손상; Degenerative osteoarthritis; 반월상 연골 전절제술
• ISSN: 1226-2102; 2005-8918

Purpose: This study compared the clinical and radiological incidence of osteoarthritis after a total meniscectomy. Materials and Methods: Seventy eight patients, who underwent a total meniscectomy, were evaluated after a minimum follow up of five years. The operations were a medial meniscectomy (group I) in 16 cases, a lateral meniscectomy (group II) in 17 cases, a discoid meniscus (group III) in 29 cases and medial meniscectomy with an anterior cruciate ligament reconstruction (group IV) in 16 cases. The development of degenerative osteoarthritis was analyzed using the Kaplan-Meyer survivorship. Results: At postoperative 5 years and 7 years, degenerative osteoarthritis developed in 17% and 36% of patients, respectively. The incidence ofdegenerative osteoarthritis at postoperative 5 years and 7 years in groups I, II, III and IV was 9% and 18%, 14% and 29%, 25% and 46%, and 28% and 55%, respectively. The difference was statistically significant. Conclusion: The meniscus deficient knee joint which varies according to the patterns of a meniscal injury, had a higher incidence of degenerative osteoarthritis. Careful attention should be paid to the treatment of meniscal tears. KCI Citation Count: 4