Meniscectomy as a risk factor for XXXX : a systematic review.

@entity1 @entity626 @entity571 @entity937
INTRODUCTION: This review defines the recognized risk factors responsible for the development of @entity626 after surgical management of @entity937 . SOURCES OF DATA: We performed a literature search using Medline, Ovid, Cochrane and Google Scholar using the keywords: ' @entity937 ', 'meniscectomy', ' @entity571 ', 'complications' and 'risk factors'. Thirty-two published studies were identified. AREAS OF AGREEMENT: In the long term, @entity571 develops in the knee of @entity1 undergoing surgery for @entity937 . The Coleman methodology score showed great heterogeneity in terms of @entity1 characteristics and outcome assessment. Amount of meniscus removed, duration of pre-operative symptoms and lateral meniscectomy show strong statistical association to onset of @entity626 . AREAS OF CONTROVERSY: We did not find univocal findings defining the risk factors responsible for the development of post-operative @entity626 . GROWING POINTS: There is a need for standardized clinical and imaging validated scale to improve definition of post-operative @entity626 to allow easier and more reliable comparison of outcomes in different studies. AREAS TIMELY FOR DEVELOPING RESEARCH: Appropriately powered randomized controlled trials reporting clinical and imaging-related outcomes in @entity1 undergoing arthroscopic minimally invasive procedures and meniscal suturing should be performed. Comparing imaging findings of @entity1 undergoing arthroscopic partial and open meniscectomy, a lower incidence of knee osteoarthritic evolution was detected after arthroscopy. The amount of removed meniscus is the most important predictor factor for the development of @entity571 . Minimally invasive procedures seem to reduce the incidence of long-term osteoarthritic changes of the knee compared with more invasive open and or arthroscopic procedures.
