在关节镜下对盘状外侧半月板进行碟形切除，并在必要时进行半月板修复，为 12 岁以下的儿科患者带来了极佳的疗效

Q3 Medicine Arthroscopy Sports Medicine and Rehabilitation Pub Date : 2024-03-08 DOI:10.1016/j.asmr.2024.100915

George A. Rublev M.D. , Levan Natchkebia M.D. , Vazha Gaprindashvili M.D. , Mohamed Ahmed Mohamed M.D. , Tamaz Tamazishvili M.D. , Irakli Kartozia M.D. , Mikheil Zimlitski M.D.

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引用次数: 0

摘要

方法我们回顾性地查看了 2013 年至 2021 年期间在我院接受非 Wrisberg 盘状半月板治疗的所有儿科患者的病历。患者分为两组：接受半月板部分切除术的患者（A 组）或接受半月板切除术、撕裂修复术和固定术的患者（B 组）。结果共有 20 名患者（22 个膝关节）接受了非 Wrisberg 盘状半月板治疗，并纳入本研究。9名患者接受了半月板部分切除术（A组），11名患者接受了半月板切除术、撕裂修复术和固定术（B组）。平均随访时间为 3 年（2-10 年不等）。结果显示，20 名患者中，17 人的疗效极佳，而另外 3 人在至少 2 年的随访后疗效良好。儿童膝关节损伤和骨关节炎结果评分（Knee Injury and Osteoarthritis Outcome Score for Children）的平均得分为 93 分。结论对有症状的非 Wrisberg 盘状外侧半月板进行关节镜手术，并根据情况进行额外修复，可为 12 岁以下儿童带来极佳或良好的疗效。

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Arthroscopic Saucerization of Discoid Lateral Meniscus, With Meniscus Repair as Indicated, Results in Excellent Outcomes in Pediatric Patients Younger Than 12 Years of Age

Purpose

To evaluate the experiences and outcomes of arthroscopic partial meniscectomy in symptomatic non-Wrisberg discoid lateral meniscus in children younger than 12 years old at a single center.

Methods

We retrospectively reviewed the medical records of all pediatric patients who were treated for non-Wrisberg discoid meniscus at our institute between 2013 and 2021. Patients were separated into 2 groups: Patients who underwent partial resection with saucerization (group A) or patients who underwent saucerization, tear repair, and fixation (group B). Clinical outcomes were compared between the 2 groups.

Results

A total of 20 patients (22 knees) were treated for non-Wrisberg discoid meniscus and included in this study. Nine patients underwent partial resection with saucerization (group A) whereas 11 patients underwent saucerization, tear repair, and fixation (group B). The average follow-up was 3 years (range 2-10 years). The results showed that 17 of the 20 patients had excellent outcomes whereas the other 3 had good outcomes after a minimum follow-up of 2 years. The average Knee Injury and Osteoarthritis Outcome Score for Children score was 93.

Conclusions

Arthroscopic saucerization of symptomatic non-Wrisberg discoid lateral meniscus, with additional repair as indicated results in excellent or good outcomes in children younger than 12 years of age.