The outcome of all-inside meniscal repair with relation to previous anterior cruciate ligament reconstruction

2.50
Hdl Handle:
http://hdl.handle.net/11287/593806
Title:
The outcome of all-inside meniscal repair with relation to previous anterior cruciate ligament reconstruction
Authors:
Walter, R. P.; Dhadwal, A. S.; Schranz, Peter J.; Mandalia, Vipul
Abstract:
BACKGROUND: Arthroscopically assisted all-inside meniscal repair has become a popular treatment for meniscal tears. Previous studies have suggested a beneficial effect of concomitant anterior cruciate ligament reconstruction on meniscal repair outcomes. The effect of prior cruciate ligament reconstruction (predating the meniscal injury) on meniscal repair success is unreported. The aim of this study was to assess the success of meniscal repair in our practice. Further aims were to analyze the effect of concomitant- and past-anterior cruciate ligament reconstruction on meniscal repair outcomes. METHODS: Retrospective review of all patients undergoing arthroscopic meniscal repair during a 53 month period was performed. Mean followup was 13.5 months (mean 6-50). The primary outcome measure was meniscal reoperation. RESULTS: Sixteen of 104 patients required reoperation, giving an overall meniscal repair success rate of 85%. Patients undergoing concomitant anterior cruciate ligament reconstruction enjoyed significantly improved outcomes (91%, p=0.049), while those with a past history of anterior cruciate ligament reconstruction had significantly worse meniscal repair success rates (63%, p=0.016). CONCLUSIONS: Arthroscopic meniscal repair in a selected patient group offers good success rates, especially when performed with concomitant anterior cruciate ligament reconstruction. We have identified a subgroup of patients, those with a past history of anterior cruciate ligament reconstruction predating the meniscal injury, who appear to have relatively poor outcomes from meniscal repair. Potential reasons for this finding are discussed. LEVEL OF EVIDENCE: Level IV, case series.
Citation:
Knee. 2014 Dec;21(6):1156-9.
Publisher:
Elsevier
Journal:
The Knee
Issue Date:
1-Dec-2014
URI:
http://hdl.handle.net/11287/593806
DOI:
10.1016/j.knee.2014.08.014
PubMed ID:
25257778
Additional Links:
http://linkinghub.elsevier.com/retrieve/pii/S0968-0160(14)00205-1
Type:
Journal Article
Language:
eng
ISSN:
1873-5800
Appears in Collections:
General Trauma & Orthopaedics; 2014 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorWalter, R. P.en
dc.contributor.authorDhadwal, A. S.en
dc.contributor.authorSchranz, Peter J.en
dc.contributor.authorMandalia, Vipulen
dc.date.accessioned2016-01-19T12:35:08Zen
dc.date.available2016-01-19T12:35:08Zen
dc.date.issued2014-12-01en
dc.identifier.citationKnee. 2014 Dec;21(6):1156-9.en
dc.identifier.issn1873-5800en
dc.identifier.pmid25257778en
dc.identifier.doi10.1016/j.knee.2014.08.014en
dc.identifier.urihttp://hdl.handle.net/11287/593806en
dc.description.abstractBACKGROUND: Arthroscopically assisted all-inside meniscal repair has become a popular treatment for meniscal tears. Previous studies have suggested a beneficial effect of concomitant anterior cruciate ligament reconstruction on meniscal repair outcomes. The effect of prior cruciate ligament reconstruction (predating the meniscal injury) on meniscal repair success is unreported. The aim of this study was to assess the success of meniscal repair in our practice. Further aims were to analyze the effect of concomitant- and past-anterior cruciate ligament reconstruction on meniscal repair outcomes. METHODS: Retrospective review of all patients undergoing arthroscopic meniscal repair during a 53 month period was performed. Mean followup was 13.5 months (mean 6-50). The primary outcome measure was meniscal reoperation. RESULTS: Sixteen of 104 patients required reoperation, giving an overall meniscal repair success rate of 85%. Patients undergoing concomitant anterior cruciate ligament reconstruction enjoyed significantly improved outcomes (91%, p=0.049), while those with a past history of anterior cruciate ligament reconstruction had significantly worse meniscal repair success rates (63%, p=0.016). CONCLUSIONS: Arthroscopic meniscal repair in a selected patient group offers good success rates, especially when performed with concomitant anterior cruciate ligament reconstruction. We have identified a subgroup of patients, those with a past history of anterior cruciate ligament reconstruction predating the meniscal injury, who appear to have relatively poor outcomes from meniscal repair. Potential reasons for this finding are discussed. LEVEL OF EVIDENCE: Level IV, case series.en
dc.language.isoengen
dc.publisherElsevieren
dc.relation.urlhttp://linkinghub.elsevier.com/retrieve/pii/S0968-0160(14)00205-1en
dc.titleThe outcome of all-inside meniscal repair with relation to previous anterior cruciate ligament reconstructionen
dc.typeJournal Articleen
dc.identifier.journalThe Kneeen

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