６２例１６岁以下儿童和少年半月板全切除术后随诊１～３６年，虽然临床疗效比较理想，优良率为９３．６％，但Ｘ线检查提示关节退变率达４４．２％。尽管随诊时年龄仅１７～５１岁，但术后退变出现早而严重。认为对儿童和少年行半月板全切除术应持慎重态度。藉助关节镜早期诊断和治疗，尽可能地保留半月板是努力方向。 62 cases of children and adolescents under the age of 16 were followed up for 1 to 36 years after operation. Although the clinical effect was satisfactory and the excellent and good rate was 93.6%, the X-ray examination showed that the degeneration rate was 44.2%. Although the age of only 17 to 51 years of follow-up, but postoperative degeneration early and serious. That children and juvenile total meniscectomy should take a cautious attitude. With arthroscopic early diagnosis and treatment, as much as possible to retain the meniscus is the direction of efforts.