Long-term clinical and radiological outcomes after arthroscopic partial meniscectomy on stable knees are better for traumatic tears when compared to degenerative lesions: A systematic review.

IF 3.3 2区医学 Q1 ORTHOPEDICS Knee Surgery, Sports Traumatology, Arthroscopy Pub Date : 2025-01-01 Epub Date: 2024-06-21 DOI:10.1002/ksa.12329

Héloïse Bogas Droy, Théopol Dardenne, Azeddine Djebara, Nicolas Pujol

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Abstract

Purpose: An arthroscopic partial meniscectomy (APM) for degenerative meniscus lesions and traumatic meniscus tears are two distinct entities and their long-term outcomes are rarely reported. The aim of this review was to compare the long-term (clinical and radiological) results of APM performed on stable knees for traumatic tears (TT) or degenerative lesions (DL).

Methods: Pubmed, Scopus and Embase databases were searched to identify relevant studies published between 2010 and 2023 using the keywords 'meniscectomy' OR 'meniscectomies' OR 'meniscal resection'. English-language, Levels I-IV evidence studies reporting either radiographic or clinical outcome measures with a minimum of 6 years' follow-up after APM were included. Studies including discoid meniscus, open meniscectomy, unstable knee and combination with other procedures were excluded. To rate the quality of evidence, the methodological index for non-randomized studies was used.

Results: Thirty-two studies were included, with follow-up periods ranging from 6 to 22 years. Eleven studies dealt with TT with a mean age of 31.5 ± 6.6 years and a mean follow-up of 11.6 ± 6.9 years. At the last follow-up, radiographic osteoarthritis (OA) ranged from 36% to 76%, with an average rate of 48 ± 19%; functional scores ranged from 71 to 97, with a mean of 90 ± 4 for the Lysholm score, 86 ± 10 for the International Knee Documentation Committee (IKDC) and 94 ± 16 for the knee injury and osteoarthritis outcome (KOOS). Twenty-one studies dealt with DL with a mean age of 49.9 ± 7.2 years and a mean follow-up of 14.9 ± 6.3 years. At the last follow-up, radiographic OA ranged from 23% to 97%, with an average rate of 77 ± 28%; functional scores ranged from 40 to 87, with a mean of 79 ± 10 for the Lysholm score and 71 ± 16 for the IKDC.

Conclusion: Ten-year clinical outcomes of APM are better for TTs when compared to DLs. Rates of OA are difficult to compare but lower for TTs.

Level of evidence: Level IV.

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与退行性病变相比，创伤性撕裂的稳定膝关节在关节镜下进行部分半月板切除术后的长期临床和放射学效果更好：系统综述。

目的：关节镜下半月板部分切除术（APM）治疗退行性半月板病变和创伤性半月板撕裂是两种截然不同的治疗方法，其长期疗效鲜有报道。本综述旨在比较在稳定膝关节上针对创伤性撕裂（TT）或退行性病变（DL）实施的半月板部分切除术的长期（临床和放射学）效果：方法：使用关键词 "半月板切除术 "或 "半月板切除术 "或 "半月板切除术 "检索Pubmed、Scopus和Embase数据库，以确定2010年至2023年间发表的相关研究。纳入的研究均为英文，证据等级为I-IV级，报告了APM术后至少6年随访的放射学或临床结果测量。不包括盘状半月板、开放性半月板切除术、不稳定膝关节以及与其他手术合并的研究。在评价证据质量时，采用了非随机研究的方法学指数：结果：共纳入 32 项研究，随访时间从 6 年到 22 年不等。11项研究涉及的TT平均年龄为（31.5±6.6）岁，平均随访时间为（11.6±6.9）年。在最后一次随访中，放射性骨关节炎（OA）的发生率从36%到76%不等，平均发生率为（48±19%）；功能评分从71分到97分不等，Lysholm评分的平均值为（90±4）分，国际膝关节文献委员会（IKDC）评分的平均值为（86±10）分，膝关节损伤和骨关节炎结果（KOOS）的平均值为（94±16）分。21项研究涉及的DL平均年龄为（49.9 ± 7.2）岁，平均随访时间为（14.9 ± 6.3）年。在最后一次随访中，放射性OA的比例从23%到97%不等，平均比例为（77±28%）；功能评分从40到87分不等，Lysholm评分的平均值为（79±10）分，IKDC评分的平均值为（71±16）分：结论：与DL相比，TT的APM十年临床疗效更好。OA发生率难以比较，但TTs发生率较低：证据等级：IV级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Knee Surgery, Sports Traumatology, Arthroscopy 医学-外科

CiteScore

8.10

自引率

18.40%

发文量

418

审稿时长

2 months

期刊介绍： Few other areas of orthopedic surgery and traumatology have undergone such a dramatic evolution in the last 10 years as knee surgery, arthroscopy and sports traumatology. Ranked among the top 33% of journals in both Orthopedics and Sports Sciences, the goal of this European journal is to publish papers about innovative knee surgery, sports trauma surgery and arthroscopy. Each issue features a series of peer-reviewed articles that deal with diagnosis and management and with basic research. Each issue also contains at least one review article about an important clinical problem. Case presentations or short notes about technical innovations are also accepted for publication. The articles cover all aspects of knee surgery and all types of sports trauma; in addition, epidemiology, diagnosis, treatment and prevention, and all types of arthroscopy (not only the knee but also the shoulder, elbow, wrist, hip, ankle, etc.) are addressed. Articles on new diagnostic techniques such as MRI and ultrasound and high-quality articles about the biomechanics of joints, muscles and tendons are included. Although this is largely a clinical journal, it is also open to basic research with clinical relevance. Because the journal is supported by a distinguished European Editorial Board, assisted by an international Advisory Board, you can be assured that the journal maintains the highest standards. Official Clinical Journal of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA).