Meniscus Injury, The ACL Rupture
Conditions
Keywords
meniscus, failure of repair, anterior cruciate ligament reconstruction, arthroscopy
Brief summary
Our study has explored the causes of failure of meniscus repair and investigated the clinical effects of partial meniscectomy when meniscus repair failed.
Detailed description
Background: Meniscus repair performed during ACL reconstruction may fail and the subsequent treatment includes revision meniscal repair or partial meniscectomy. Purpose: To retrospectively analyze the clinical outcomes of meniscus repair with simultaneous anterior cruciate ligament (ACL) reconstruction and explore the causes of failure of meniscus repair. Methods: From May 2013 to July 2018, the clinical data of 165 patients who were treated with meniscus surgery and simultaneous ACL reconstruction by the same doctor, including 69 cases of meniscus repair (repair group) and 96 cases of partial meniscectomy (partial meniscectomy group), were retrospectively analyzed. The 69 patients of the repair group were divided into the nonfailure group (62 cases) and the failure group (7 cases) depending on the repair effect. The average follow-up period was 38 (±10.5) months. Postoperative outcomes of the repair group and the partial meniscectomy group were compared. General conditions and postoperative outcomes of the failure group and the nonfailure group were compared. Seven patients in the failure group who underwent second arthroscopy were followed up for 30 (±17.4) months, and their postoperative outcomes were summarized.
Interventions
PROCEDUREMeniscus repair; partial meniscectomy
69 cases of meniscus repair (repair group) and 96 cases of partial meniscectomy (partial meniscectomy group), were retrospectively analyzed. The 69 patients of the repair group were divided into the nonfailure group (62 cases) and the failure group (7 cases) depending on the repair effect.
Sponsors
Peking University Third Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
13 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
1. patients with intraoperatively confirmed ACL rupture combined with medial, lateral, or medial and lateral meniscal injury; 2. age \<60 years 3. no history of previous ipsilateral knee meniscal injury.
Exclusion criteria
1. ACL rupture associated with fracture, collateral ligament injury, or complex ligament injury; 2. a history of knee surgery; 3. a significant degree of osteoarthritis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The result of partial meniscus resection | Two years after the surgery | Clinical signs were assessed after the surgery, including swelling of the joint, tenderness at the joint line, locked-in syndrome, and positive McMurray's sign. |
| International Knee Documentation Committee（IKDC）scores | Two years after the surgery | The minimum is 0, the maximum is 100, and the higher the score, the better the result |
| Visual analog scale (VAS) scores | Two years after the surgery | The minimum is 0, the maximum is 10, and the higher the score, the worse the result |
| Lysholm scores | Two years after the surgery | The minimum is 0, the maximum is 100, and the higher the score, the better the result |
Countries
China
Outcome results
None listed