Total meniscectomy in adolescenceA THIRTY-YEAR FOLLOW-UPM. J. McNicholas, FRCS Ed, FRCS G, Clinical Lecturer in Orthopaedic and Trauma Surgery; and D. I. Rowley, FRCS Ed, FRCS G, Professor of Orthopaedic and Trauma SurgeryUniversity Department of Orthopaedic and Trauma Surgery, Ninewells Hospital, Dundee DD1 9SY, UK D. McGurty, BSc, Research Statistician University Department of Orthopaedic and Trauma Surgery, Dundee Royal Infirmary, Barrack Road, Dundee DD1 9ND, UK. T. Adalberth, MD, Orthopaedic Specialist Department of Orthopaedics, Helsingborg Hospital, S-251 87 Helsingborg, Sweden. P. Abdon, PhD, Consultant Orthopaedic Surgeon Department of Orthopaedics, Ystad Hospital, S-271 36 Ystad, Sweden. A. Lindstrand, PhD, Professor of Orthopaedic Surgery; and L. S. Lohmander, PhD, Professor of Orthopaedic Surgery Department of Orthopaedics, University Hospital, S-221 85 Lund, Sweden. Correspondence should be sent to Mr M. J. McNicholas. We have carried out a prospective, longitudinal 30-year review of 95 adolescents who underwent total meniscectomy in one knee, and have compared the results with those observed 13 years earlier. All the medical records were scrutinised. Of the 63 patients reviewed clinically, 47 reported decreased sporting activity, although subjective satisfaction rose by 3% to 71%. The scores on the WOMAC osteoarthritis index differed significantly between patients grouped by subjective global assessment. Satisfactory function scores increased from 48% to 60%. In the 53 patients consenting to bilateral radiography of the knee, the incidence of narrowing of the articular cartilage in the operated knee increased significantly between the reviews (19% to 36%). Progression of degenerative change paralleled reduction in activity. Outcome measures were best after medial, intermediate after lateral and worst after double meniscectomy. This article has been cited by other articles:
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