Outcomes of Lateral Meniscal Oblique Radial Tear Repair Compared With Intact Meniscus After ACL Reconstruction: A Cohort Study.
Autor: | Therrien, Erik, Langhans, Mark T., Lamba, Abhinav, Daniel, Adam V., Stuart, Michael J., Levy, Bruce A., Smith, Patrick A., Krych, Aaron J. |
---|---|
Předmět: |
RESEARCH
STATISTICAL power analysis MENISCUS (Anatomy) ACADEMIC medical centers ARTHROSCOPY HEALTH outcome assessment RETROSPECTIVE studies CASE-control method SURGERY PATIENTS ACQUISITION of data SURGICAL complications POSTOPERATIVE care QUANTITATIVE research TREATMENT effectiveness FUNCTIONAL assessment T-test (Statistics) QUALITATIVE research PEARSON correlation (Statistics) ANTERIOR cruciate ligament injuries RESEARCH funding MEDICAL records REOPERATION DESCRIPTIVE statistics CHI-squared test ANTERIOR cruciate ligament surgery DATA analysis software MENISCUS injuries LONGITUDINAL method COMPLICATIONS of prosthesis REHABILITATION |
Zdroj: | Orthopaedic Journal of Sports Medicine; Dec2023, Vol. 11 Issue 12, p1-6, 6p |
Abstrakt: | Background: Recently, the posterior horn lateral meniscal oblique radial tear (LMORT) was identified in 12% of acute anterior cruciate ligament (ACL) injuries. However, patient-reported outcomes for repair of this relatively common tear have not been reported. Purpose: To determine the minimum 2-year functional outcomes after LMORT repair at the time of ACL reconstruction (ACLR) compared to a matched cohort of patients who underwent isolated ACLR (iACLR). Study Design: Cohort study; Level of evidence, 3. Methods: Included were 100 patients (mean age at surgery, 21 years; range, 13-45 years) who underwent primary ACLR between 2010 and 2018. The mean follow-up period was 4.1 ± 2.0 years (range, 2.0-9.2 years). A total of 50 patients with surgically repaired LMORT type 3 or type 4 lesions, defined as partial or complete tears >10 mm from the root (LMORT group) were matched 1:1 based on age, date of surgery, and graft choice with 50 patients who underwent iACLR (iACLR group). The postoperative outcomes were compared between groups using the International Knee Documentation Committee subjective score (sIKDC) and the Tegner activity scale. An updated medical history was obtained via the electronic medical record to determine any subsequent complications and reoperations. Results: There was 1 ACL graft failure in each group as well as 5 (10%) reoperations per group. None of the patients in the LMORT group necessitated a lateral meniscal revision repair or partial meniscectomy. The LMORT and iACLR groups reported comparable sIKDC scores (92.5 ± 6.8 vs 91.9 ± 8.2, respectively; P =.712) as well as Tegner scores (6.7 ± 1.8 vs 6.6 ± 1.8, respectively; P =.910) at final follow-up. No failures of the LMORT repairs were reported. Conclusion: The study findings demonstrated that reoperations, graft failure rates, patient-reported outcomes, and patient activity levels at ≥2 years after type 3 and 4 LMORT repairs at the time of ACLR compared favorably with those of a matched cohort of patients who underwent iACLR with intact meniscus. [ABSTRACT FROM AUTHOR] |
Databáze: | Complementary Index |
Externí odkaz: |