Influence of a Concomitant Medial Meniscus Injury on Knee Joint Function and Osteoarthritis Presence after Anterior Cruciate Ligament Reconstruction.

Autor: Bayerl D; Department for Orthopedics and Traumatology, Karl Landsteiner University of Health Sciences, 3500 Krems, Austria.; Division of Orthopaedics and Traumatology, University Hospital Krems, Mitterweg 10, 3500 Krems, Austria.; Medical Practice Sport&Trauma, Pelikangasse 15 A/5, 1090 Vienna, Austria., Moser LB; Department for Orthopedics and Traumatology, Karl Landsteiner University of Health Sciences, 3500 Krems, Austria.; Division of Orthopaedics and Traumatology, University Hospital Krems, Mitterweg 10, 3500 Krems, Austria.; Center for Regenerative Medicine, Danube University Krems, 3500 Krems, Austria., Neubauer M; Department for Orthopedics and Traumatology, Karl Landsteiner University of Health Sciences, 3500 Krems, Austria.; Division of Orthopaedics and Traumatology, University Hospital Krems, Mitterweg 10, 3500 Krems, Austria.; Center for Regenerative Medicine, Danube University Krems, 3500 Krems, Austria., Neugebauer J; Department for Orthopedics and Traumatology, Karl Landsteiner University of Health Sciences, 3500 Krems, Austria.; Division of Orthopaedics and Traumatology, University Hospital Krems, Mitterweg 10, 3500 Krems, Austria., Dammerer D; Department for Orthopedics and Traumatology, Karl Landsteiner University of Health Sciences, 3500 Krems, Austria.; Division of Orthopaedics and Traumatology, University Hospital Krems, Mitterweg 10, 3500 Krems, Austria., Winnisch M; Medical Practice Sport&Trauma, Pelikangasse 15 A/5, 1090 Vienna, Austria., Schabus R; Medical Practice Sport&Trauma, Pelikangasse 15 A/5, 1090 Vienna, Austria.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2024 Apr 22; Vol. 13 (8). Date of Electronic Publication: 2024 Apr 22.
DOI: 10.3390/jcm13082433
Abstrakt: (1) Background: The aim of this study was to investigate how a medial meniscus injury accompanying an anterior cruciate ligament rupture affects the clinical outcome 10 years after ACL reconstruction. (2) Methods: A total of 37 patients who received anterior cruciate ligament reconstruction (ACLR) were included in this retrospective study. Two groups were analyzed at a single follow-up of 10 years: (i) "isolated (ACLR)" ( n = 20) and (ii) "ACLR with medial meniscal injury" ( n = 17). The following clinical scores were recorded: International Knee Documentation Committee (IKDC), the Knee Injury and Osteoarthritis Outcome Score (KOOS), Lysholm Score and Tegner Activity Score. To determine the degree of osteoarthritis the Kellgren-Lawrence score was used. (3) Results: The "isolated ACLR" study group scored significantly higher ( p < 0.05) on the IKDC subjective questionnaire (mean: 88.4) than the "ACLR with medial meniscus injury" group (mean: 81). The KOOS category "activities of daily living" showed significantly better results in the isolated ACLR group ( p < 0.05). The "ACLR with medial meniscus injury" group had significantly higher degree of osteoarthritis ( p < 0.05). No significant differences were found in all the other clinical scores. (4) Conclusions: The results of this study further indicate that patients with a concomitant medial meniscus injury have slightly more discomfort in everyday life and increased risk of developing osteoarthritis 10 years after surgery.
Databáze: MEDLINE
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