Results of partial meniscectomy related to the state of the anterior cruciate ligament. Review at 20 to 35 years

J Bone Joint Surg Br. 1993 Jan;75(1):36-40. doi: 10.1302/0301-620X.75B1.8421030.


We reviewed 195 knees in 167 patients at least 20 years after a rim-preserving meniscectomy. They were considered in two groups: 102 knees had had an intact anterior cruciate ligament (ACL), and 93 had had an unrepaired rupture. More patients with a ruptured ACL had downgraded their sport activity by five years after meniscectomy. The incidence of radiographic osteoarthritis was about 65% at 27 years in patients with a ruptured ligament, and 86% in those followed up for over 30 years. In the ligament-deficient group 10% had had operations for osteoarthritis, and another 28% had had other operations, mainly further meniscectomies. Only 6% of those with an intact ligament had needed a second operation after meniscectomy and at long-term follow-up 92% of them were satisfied or very satisfied. Only 74% of the ligament-deficient patients were satisfied with their result. The long-term outcome after rim-preserving meniscectomy depends mainly upon the state of the anterior cruciate ligament.

Publication types

  • Comparative Study

MeSH terms

  • Activities of Daily Living
  • Adult
  • Aged
  • Aged, 80 and over
  • Anterior Cruciate Ligament Injuries*
  • Female
  • Humans
  • Knee Injuries / complications
  • Male
  • Menisci, Tibial / surgery*
  • Middle Aged
  • Osteoarthritis / physiopathology
  • Outcome Assessment, Health Care
  • Pain / physiopathology
  • Range of Motion, Articular
  • Retrospective Studies
  • Sports