Zusammenfassung
Eine der wichtigsten Forderungen an die rekonstruktive Chirurgie des Kniegelenks ist die möglichst vollständige Erhaltung gesunden Meniskusgewebes. Die degenerativen Veränderungen des Kniegelenks im Anschluß an eine Meniskektomie sind schon 1948 deutlich von Fairbank beschrieben und später von anderen Autoren bestätigt worden (Fairbank 1948; Jackson 1968; Krause et al. 1976; Tapper u. Hoover 1969). Fairbank stellte als erster die vollständige Meniskektomie in Frage. Eine der beeindruckendsten Studien der Literatur ist diejenige von Johnson et al., die aufzeigt, daß 40% der Patienten 17 Jahre nach Meniskektomie die deutlichen Zeichen der Postmeniskektomiearthrose aufweisen, während das nicht operierte Gegenknie nur in 6% der Fälle arthrotisch verändert war (Johnson et al. 1974).
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Jakob, R.P., Ballmer, P.M., Zuber, K., Stäubli, HU. (1990). Meniskusrefixation unter besonderer Berücksichtigung der arthroskopischen Technik. In: Jakob, R.P., Stäubli, HU. (eds) Kniegelenk und Kreuzbänder. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-08124-2_38
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