Radiographic Degeneration Research Articles

Meniscal injury in children: long-term results after meniscectomy.

Twenty-four children who underwent open total meniscectomy were reviewed and followed-up for an average of 16.1 years (range 6-33 years). There were 7 boys and 17 girls aged between 7 and 16 years (average 12.5 years). Excellent and good results were noted in 62.5% of the patients. Eighty-seven of the children showed radiographic degeneration of the knee joint. This study in a Chinese population indicates that meniscectomy is not a benign procedure in children, and total meniscectomy should be avoided as far as possible.

Reconstruction after malunion and nonunion of intra-articular fractures of the distal humerus. Methods and results in 13 adults

We reviewed the results of 13 adults of secondary reconstruction of malunited and ununited intraarticular distal humeral fractures. Their average age was 39.7 years, and preoperatively all had pain, loss of motion and functional disability; the average arc of motion was only 43 degrees and the average flexion contracture was 45 degrees. Nine patients had ulnar neuropathy. Elbow reconstruction, at an average of 13.4 months after the original injury, included osteotomy for malunion or debridement for nonunion, realignment with stable fixation and autogenous bone grafts, anterior and posterior capsulectomy and ulnar neurolysis. The elbows were mobilised 24 hours postoperatively. There were no early complications and all nonunions and intra-articular osteotomies healed. After a mean follow-up of 25 months, the average arc of motion was 97 degrees with no progressive radiographic degeneration. Ulnar nerve function improved in all cases and clinical assessment using the Morrey score showed two excellent, eight good and three fair results. Reconstruction of intra-articular malunion and nonunion of the distal humerus in young active adults is technically challenging, but can improve function by restoring the intrinsic anatomy of the elbow.