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Operative Treatment of Isolated Meniscus Injuries in Adolescent Patients: A Meta-Analysis and Review

机译：青少年患者孤立弯月球损伤的手术治疗：荟萃分析和审查

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摘要

Context: With the rise in sports participation and increased athleticism in the adolescent population, there is an ever-growing need to better understand adolescent meniscus pathology and treatment. Objective: To better understand the operative management of meniscus tears in the adolescent population. Data Sources: A systematic review of PubMed (MEDLINE) and Google Scholar was performed for all archived years. Study Selection: Studies that reported on isolated meniscus tears in adolescent patients (age, 10-19 years) were included. Study Design: Systematic review and meta-analysis. Level of Evidence: Level 4. Data Extraction: Two authors reviewed and extracted data from studies that fulfilled all inclusion criteria. Results: Nine studies on isolated meniscus tears in adolescent patients were found, with level of evidence ranging from 3 to 4. These studies evaluated a total of 373 patients (248 males, 125 females) and 390 knees. Seven studies were published between 1979 and 2000, all of which discuss meniscectomy as the primary treatment. Two studies were published after 2000 and report on meniscus repair surgery. The mean patient age was 14.4 years. A total of 308 meniscectomies and 64 meniscus repairs were performed. Follow-up ranged from 1.8 to 30 years (mean, 10.8 years). A 37% retear rate was reported for patients undergoing meniscus repair. Different outcome measures were used for meniscectomy versus meniscus repair. Three studies evaluating meniscectomy reported Tapper-Hoover scores, showing 54 patients with an excellent result, 58 with good, 57 with fair, and 23 with poor results. Conclusion: A shift in the management of isolated adolescent meniscal tears is reflected in the literature, with a recent increase in operative repair. This is likely secondary to poor outcomes after meniscectomy reflected in long-term follow-up studies. The current literature highlights the need for improved description of tear patterns, standardized reporting of outcome measures, and improved study methodologies to help guide orthopaedic surgeons on operative treatment of meniscal tears in adolescent patients.
机译：背景：随着体育参与的增加和青少年人口的运动能力增加，需要不断增长的需要更好地了解青少年弯月面病理和治疗。目的：更好地了解青少年人口中弯腰椎的手术管理。数据来源：对所有存档的年份进行了对PubMed（Medline）和Google Scholar的系统审查。学习选择：在包括青少年患者（年龄，10-19岁）的孤立弯月面眼泪上报告的研究。研究设计：系统评论和荟萃分析。证据水平：级别4.数据提取：两位作者审查并提取了履行所有纳入标准的研究中的数据。结果：发现青少年患者中孤立半月板泪液的九种研究，证据水平范围为3至4.这些研究评估了共373名患者（248名男性，125名女性）和390膝盖。七项研究发表于1979年至2000年之间，所有这些研究都讨论了Mensiccectomy作为主要治疗。 2000年后发表了两项研究，并报告了弯月球修复手术。平均患者年龄为14.4岁。共有308个Meniskcentomies和64台弯月液修理。随访范围从1.8到30年（平均，10.8岁）。据报道，为经历半月板修复的患者报告了37％的固定率。不同的结果措施用于半月岩与弯月面维修。三项研究评估乳白切除术报告Tapper-Hoover分数，显示54名患者，优秀的患者，58例，良好，57例，展会，结果不佳。结论：在文献中反映了孤立青少年半月板眼泪的管理的转变，近期有手术修复。在长期随访研究中反映了裂缝切除后，这可能是差的差。目前的文献突出了改进撕裂模式的描述，结果措施标准化报告，以及改进的研究方法，帮助指导矫形外科医生在青少年患者中的半月岩泪液的手术治疗方面。

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  • 来源
    《Sports health》 |2018年第4期|共6页
  • 作者

    Gina M. Mosich; Virginia Lieu; Edward Ebramzadeh; Jennifer J. Beck;

  • 作者单位

    Department of Orthopaedic Surgery David Geffen School of Medicine at UCLA Los Angeles California;

    Department of Orthopaedic Surgery David Geffen School of Medicine at UCLA Los Angeles California;

    Orthopaedic Institute for Children UCLA Los Angeles California;

    Department of Orthopaedic Surgery David Geffen School of Medicine at UCLA Los Angeles California;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 运动医学;
  • 关键词

    meniscus; adolescent; pediatric; operative;

    机译：半月板;青少年;小儿;手术;

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