教室20年間に於ける膝関節メニスクス障害

(その2) 術後愁訴及びレ線的観察

抄録

Questionnaires were sent to those who were treated in our department during 1951-1970. The questionnaire was designed to determine the patient's current symptoms, the level of his physical activity and the presence of any disability related to his knee.
Of the questionnaires which were sent to the patients in our previous report, 51 were completed and returned; 26 of these patients returned to our clinic for examination.
The results were as follows:
1. 89.4% of patients in our series had satisfactory clinical results in their daily activity and occupation, but five cases were graded poor.
2. In any cases the post-operative osteoarthritis was so apparent that we could identify the site of meniscectomy. It was, however, independent of the symptoms.
3. The problems pertinent to our series were:
(i) persistent dysesthesia and pain due to the injury to the infrapatellar branch of the saphenous nerve in the medial meniscectomy,
(ii) few recovery of the quadricipital atrophy even twenty years after the procedure,
(iii) slow recovery of ability to sit in Japanese form (Seiza) ranging from four months to two years,
(iv) occasional difficulty for active younger patients eager to sports and to a full power run,
(v) necessity of the meticulous consideration to the associated injuries or diseases.