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Titolo:
RAPID FEMOROTIBIAL CHONDROLYSIS AFTER ART HROSCOPIC LATERAL MENISCECTOMY
Autore:
CHARROIS O; AYRAL X; BEAUFILS P;
Indirizzi:
CTR HOSP VERSAILLES,SERV ORTHOPEDIE TRAUMATOL F-78157 LE CHESNAY FRANCE
Titolo Testata:
Revue de chirurgie orthopedique et reparatrice de l'appareil moteur
fascicolo: 1, volume: 84, anno: 1998,
pagine: 88 - 92
SICI:
0035-1040(1998)84:1<88:RFCAAH>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
FRE
Soggetto:
ARTICULAR-CARTILAGE; KNEE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
14
Recensione:
Indirizzi per estratti:
Citazione:
O. Charrois et al., "RAPID FEMOROTIBIAL CHONDROLYSIS AFTER ART HROSCOPIC LATERAL MENISCECTOMY", Revue de chirurgie orthopedique et reparatrice de l'appareil moteur, 84(1), 1998, pp. 88-92

Abstract

The authors report 4 cases of rapid lateral femoro-tibial chondrolysis following arthroscopic lateral meniscectomy, All patients were youngathletes. At the time of meniscectomy, the cartilage of the lateral compartment was normal, Only one meniscectomy was done with the Ho Yag laser. Clinical symptoms were always identical : pain and important swelling, persisting despite intra articular injections of corticosteroids. A second-look arthroscopy was performed after a mean delay of 6 months (5 to 8), showing numerous cartilaginous debris floating in the joint (like in a chondromatosis desease) and a severe cartilaginous damage in the lateral compartmenl (grade 3 or 4). Swelling disappeared after arthroscopic lavage followed in two cases by a non weight bearing period of one to two months. But X-rays always demonstrated a narrowing of the lateral joint line on flexion-full weight bearing AP views. Rapid chondrolysis is a rare and severe complication of lateral meniscectomy. The etiology, which is mechanical, is not known. It probably represents an acute form of chronical, slow chondrolysis which is frequent after lateral meniscectomy. Rapid chondrolysis should be treated urgently by the following protocol : arthroscopic lavage, intra articular injections of corticosteroids and non weight bearing period.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/09/20 alle ore 20:07:35