期刊论文详细信息
Knee Surgery & Related Research
High incidence of subsequent re-operation following treatments for medial meniscus tears combined with anterior cruciate ligament reconstruction: second-look arthroscopic study
Ki-Mo Jang1  Sang-Gyun Kim2  Jung-Heum Baek2  Jae-Gyoon Kim2  Ji-Hoon Bae3  Soo-Hyun Kim3  Hong-Chul Lim4 
[1] Department of Orthopaedic Surgery, Korea University Anam Hospital, Korea University College of Medicine;Department of Orthopaedic Surgery, Korea University Ansan Hospital;Department of Orthopaedic Surgery, Korea University Guro Hospital, Korea University College of Medicine;Department of Orthopaedic Surgery, Seoul Barunsesang Hospital;
关键词: Anterior cruciate ligament;    Meniscus;    Reconstruction;    Repair;    Second-look arthroscopy;   
DOI  :  10.1186/s43019-019-0009-z
来源: DOAJ
【 摘 要 】

Abstract Background The Multicenter Orthopaedic Outcomes Network (MOON) group recently reported that medial meniscus (MM) repairs are associated with more frequent re-operations when compared to lateral meniscus (LM) repairs. The purpose of this study was to compare the meniscal healing and the incidence of subsequent re-operation of medial and lateral meniscal tears that occurred concurrently with anterior cruciate ligament (ACL) injuries. Methods We retrospectively reviewed patients who underwent second-look arthroscopy after primary ACL reconstruction (ACLR) between June 2005 to December 2016. The healing of meniscal tears following repair or left in situ, and re-tear following partial meniscectomy, were evaluated via second-look arthroscopy and compared between medial and lateral meniscus. Moreover, the incidence of subsequent meniscal re-operation after the index ACLR were investigated and compared between medial and lateral meniscus. Subsequent meniscal re-operation was performed in cases of the following three symptomatic meniscus tears: re-tears at the meniscectomy site; new tears; and failed healing of repaired or left in situ meniscus. Results There were 148 meniscal tears in 121 patients at index ACLR. There were 62 MM tears, 38 LM tears, and 24 bilateral meniscus tears. At second-look arthroscopy, the “successful healing” rate for tears following repair was higher in LM tears (91.2%) compared to MM tears (80.0%), although it was not statistically significant (p > 0.05). No significant differences were observed in the healing of left in situ tears or re-tear of meniscectomy site between medial and lateral meniscus. Patients with MM tears combined with ACL injuries had a higher incidence of subsequent meniscal re-operation compared to patients with LM tears (25.6% vs 16.1%, p = 0.025). Conclusions There was a trend for the successful healing rate to be higher in LM repairs than MM repairs. Subsequent meniscal re-operations after ACLR were more frequent in patients with medial meniscal tears concurrently with ACL injuries in comparison to patients with lateral meniscal tears. Level of study Level IV, retrospective case series.

【 授权许可】

Unknown   

  文献评价指标  
  下载次数:0次 浏览次数:2次