Total meniscectomy in adolescents : a forty year follow-up

Pengas, IP, Assiotis, A, Nash, W, Hatcher, J ORCID:, Banks, J and McNicholas, M 2012, 'Total meniscectomy in adolescents : a forty year follow-up' , Bone and Joint Journal, 94-B (12) , pp. 1649-1654.

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We continued a prospective longitudinal follow-up study of 53 remaining patients who underwent open total meniscectomy as adolescents and who at that time had no other intra-articular pathology of the knee. Their clinical, radiological and patient-reported outcomes are described at a mean follow-up of 40 years (33 to 50). The cohort of patients who had undergone radiological evaluation previously after 30 years were invited for clinical examination, radiological evaluation and review using two patient-reported outcome measures. A total of seven patients (13.2%) had already undergone total knee replacement at the time of follow-up. A significant difference was observed between the operated and non-operated knee in terms of range of movement and osteoarthritis of the tibiofemoral joint, indicating a greater than fourfold relative risk of osteoarthritis at 40 years post-operatively. All patients were symptomatic as defined by the Knee Injury and Osteoarthritis Outcome Score. This study represents the longest follow-up to date and it can be concluded that meniscectomy leads to symptomatic osteoarthritis of the knee later in life, with a resultant 132-fold increase in the rate of total knee replacement in comparison to their geographical and age-matched peers.

Item Type: Article
Schools: Schools > School of Health and Society
Journal or Publication Title: Bone and Joint Journal
Publisher: British Editorial Society of Bone and Joint Surgery
ISSN: 2049-4394
Related URLs:
Depositing User: JO Hatcher
Date Deposited: 04 Aug 2020 07:20
Last Modified: 27 Aug 2021 21:43

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