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Surgical Outcomes After Arthroscopic Partial Meniscectomy

Mr. Fabricant is Medical Student, Yale University School of Medicine, New Haven, CT. Dr. Jokl is Professor and Vice-Chairman, Department of Orthopaedics and Rehabilitation, and Chief, Section of Yale Sports Medicine, Yale University School of Medicine.

None of the following authors or a member of their immediate families has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Mr. Fabricant and Dr. Jokl.

Reprint requests: Dr. Jokl, Yale University School of Medicine, Yale Physicians Building, 800 Howard Avenue, New Haven, CT 06520-8071.

Much research has been done to determine clinical and demographic variables associated with outcomes from arthroscopic partial meniscectomy for meniscal tears. We undertook a review of the literature to determine trends regarding outcomes from this procedure. Independent variables were analyzed for associations with outcome, and outcome measures and methods of statistical analysis were reviewed. Results of these studies demonstrate that patient age and sex had no significant association with any clinical or radiographic outcome variables at 8.5, 12, and 15 years. Patients with flap tears had slower return to sports and more revisions than did those with bucket handle tears. Osteoarthritis progressed more after medial partial meniscectomy in patients older than age 40 years than in younger patients. No statistically significant difference in medial versus lateral meniscectomy overall was shown. The best radiographic results in patients who underwent medial meniscectomy occurred in valgus knees compared with varus knees. Increased Modified Outerbridge cartilage scores at the time of surgery correlated with poorer physical results at 12 years.

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