Meniscectomy in children and adolescents. A long-term follow-up study

Clin Orthop Relat Res. 1992 Jun:(279):180-9.


Thirty-nine patients treated with total meniscectomy younger than 16 years of age were studied. The average follow-up period was 21 years; 71% of the patients reported pain; 68%, stiffness; 54%, swelling; and 41%, giving way. Approximately half the patients described progression of symptoms, but only 27% were asymptomatic. Only 10% noted limitations at work, but 62% had limitations in sports. Twelve percent have had further knee surgery. Forty-nine percent received unsatisfactory subjective/functional ratings. On physical examination, 25% of patients had range of motion loss of greater than 5 degrees, 22% had thigh atrophy of greater than 1 cm, and 20% developed substantial instability. Overall, 27% received unsatisfactory objective ratings. Ninety percent of patients had abnormal roentgenograms. Changes occurred predominantly in the meniscectomized compartment. Forty-four percent of patients had unsatisfactory roentgenographic ratings. Overall ratings indicated that 63% of patients' results rated unsatisfactory. More unsatisfactory results occurred in patients with a follow-up period of longer than 26 years, in those with substantial instability, and in males. Few differences existed between medial and lateral meniscectomies or with increasing durations of symptoms preoperatively.

MeSH terms

  • Adolescent
  • Athletic Injuries / surgery
  • Child
  • Edema / etiology
  • Female
  • Follow-Up Studies
  • Humans
  • Knee Injuries / surgery
  • Knee Joint / diagnostic imaging
  • Knee Joint / physiology
  • Male
  • Menisci, Tibial / surgery*
  • Pain / etiology
  • Radiography
  • Range of Motion, Articular
  • Risk Factors