The Journal of Bone and Joint Surgery, Vol 61, Issue 3 338-342, Copyright © 1979 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Isolated lateral meniscectomy. A study of twenty-six patients with isolated tears

LA Yocum, RK Kerlan, FW Jobe, VS Carter, CL Shields, SJ Lombardo and HR Collins

To better define the role that the lateral meniscus plays in stabilizing the knee, a study was made of twenty-six patients who had an uncomplicated lateral meniscectomy between 1972 and 1977. Patients with any degree of ligament instability, cruciate or collateral, prior to lateral meniscectomy were eliminated from the study. Also eliminated were any patients with roentgenographic evidence of degenerative arthrits, osteochondritis dissecans, or loose bodies. Only patients whose operative reports stated that the articular cartilage of the lateral compartment was either grossly normal or showed Grade-1 chondromalacia (less than one centimeter in diameter and only softening of the cartilage) at the time of surgery were included in the review. The meniscal lesions included bucket-handle tears, horizontal cleavage tears, and multiple linear defects. No grossly cystic menisci were included in the study. Two menisci demonstrated cystic degenerative changes on histological section. In sixteen patients some degree of ligament instability developed. The longer the interval between injury to the meniscus and its excision, the less satisfactory the result. Only fifteen (54 per cent) of the patients reported satisfactory results, and twenty lost some motion of the knee. We concluded that stability of the knee joint is a multifactorial problem, in which the lateral meniscus certainly plays an important part.
CiteULike    Connotea    Del.icio.us    Technorati    What's this?

This article has been cited by other articles:

				P. D. Fabricant and P. Jokl Surgical Outcomes After Arthroscopic Partial Meniscectomy J. Am. Acad. Ortho. Surg., November 1, 2007; 15(11): 647 - 653. [Abstract] [Full Text] [PDF]

				S. J. Lee, K. J. Aadalen, P. Malaviya, E. P. Lorenz, J. K. Hayden, J. Farr, R. W. Kang, and B. J. Cole Tibiofemoral Contact Mechanics After Serial Medial Meniscectomies in the Human Cadaveric Knee Am. J. Sports Med., August 1, 2006; 34(8): 1334 - 1344. [Abstract] [Full Text] [PDF]

				B. J. Cole, M. G. Dennis, S. J. Lee, S. J. Nho, R. S. Kalsi, J. K. Hayden, and N. N. Verma Prospective Evaluation of Allograft Meniscus Transplantation: A Minimum 2-Year Follow-up Am. J. Sports Med., June 1, 2006; 34(6): 919 - 927. [Abstract] [Full Text] [PDF]

				M. Rankin, F. R. Noyes, S. D. Barber-Westin, S. G. Hushek, and A. Seow Human Meniscus Allografts' In Vivo Size and Motion Characteristics: Magnetic Resonance Imaging Assessment Under Weightbearing Conditions Am. J. Sports Med., January 1, 2006; 34(1): 98 - 107. [Abstract] [Full Text] [PDF]

				F. R. Noyes, S. D. Barber-Westin, and M. Rankin Meniscal Transplantation in Symptomatic Patients Less Than Fifty Years Old J. Bone Joint Surg. Am., July 1, 2004; 86(7): 1392 - 1404. [Abstract] [Full Text] [PDF]

				M. S. Kocher, J. R. Steadman, K. Briggs, D. Zurakowski, W. I. Sterett, and R. J. Hawkins Determinants of Patient Satisfaction with Outcome After Anterior Cruciate Ligament Reconstruction J. Bone Joint Surg. Am., September 3, 2002; 84(9): 1560 - 1572. [Abstract] [Full Text] [PDF]

				B. J. Cole, T. R. Carter, and S. A. Rodeo Allograft Meniscal Transplantation : Background, Techniques, and Results J. Bone Joint Surg. Am., July 9, 2002; 84(7): 1236 - 1250. [Full Text] [PDF]

				D. A. RÄBER, N. F. FRIEDERICH, and F. HEFTI Discoid Lateral Meniscus in Children. Long-Term Follow-up After Total Meniscectomy J. Bone Joint Surg. Am., November 1, 1998; 80(11): 1579 - 86. [Abstract] [Full Text]

				G. A. Paletta Jr, T. Manning, E. Snell, R. Parker, and J. Bergfeld The Effect of Allograft Meniscal Replacement on Intraarticular Contact Area and Pressures in the Human Knee: A Biomechanical Study Am. J. Sports Med., September 1, 1997; 25(5): 692 - 698. [Abstract] [PDF]

				R. E. Fitzgibbons and K. D. Shelbourne "Aggressive" Nontreatment of Lateral Meniscal Tears Seen During Anterior Cruciate Ligament Reconstruction Am. J. Sports Med., March 1, 1995; 23(2): 156 - 159. [Abstract] [PDF]

				C. Rangger, T. Klestil, W. Gloetzer, G. Kemmler, and K. P. Benedetto Osteoarthritis After Arthroscopic Partial Meniscectomy Am. J. Sports Med., March 1, 1995; 23(2): 240 - 244. [Abstract] [PDF]

				M. E. Baratz, D. C. Rehak, F. H. Fu, and M.J. Rudert Peripheral tears of the meniscus: The effect of open versus arthroscopic repair on intraarticular contact stresses in the human knee Am. J. Sports Med., January 1, 1988; 16(1): 1 - 6. [Abstract] [PDF]

				M. Manzione, P. D. Pizzutillo, A. B. Peoples, and P. A. Schweizer Meniscectomy in children: A long-term follow-up study Am. J. Sports Med., June 1, 1983; 11(3): 111 - 115. [Abstract] [PDF]