Prospective Comparison of Arthroscopic Medial Meniscal Repair Technique
| Autor: | Kurt P. Spindler, Eric C. McCarty, Jason T. Connor, Todd A. Warren, Clinton J. Devin |
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| Rok vydání: | 2003 |
| Předmět: |
Fibrous joint
030222 orthopedics medicine.medical_specialty medicine.diagnostic_test business.industry Anterior cruciate ligament Arthroscopy Physical Therapy Sports Therapy and Rehabilitation 030229 sport sciences Single surgeon Surgery Endoscopy Meniscal repair 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Orthopedic surgery Medicine Orthopedics and Sports Medicine business Prospective cohort study |
| Zdroj: | The American Journal of Sports Medicine. 31:929-934 |
| ISSN: | 1552-3365 0363-5465 |
| DOI: | 10.1177/03635465030310063101 |
| Popis: | Background: Medial meniscal repairs are commonly performed with inside-out sutures and entirely arthroscopic with arrows, but few comparative evaluations on failures have been performed.Hypothesis: No differences in failure rates exist between medial meniscal repairs performed with inside-out suture or entirely arthroscopic at the time of anterior cruciate ligament reconstruction.Study Design: Prospective cohort study.Materials: A single surgeon performed 47 consecutive inside-out suture repairs from August 1991 to June 1996 and 98 consecutive entirely arthroscopic repairs with arrows from June 1996 to December 1999. All data were derived from a prospective database and rehabilitation was held constant (nonweightbearing 5 weeks). Clinical success was defined as no reoperation for failed medial meniscal repair. Statistical evaluation was by Kaplan-Meier curves and Cox proportional hazards model.Results: The inside-out suture group had 85% follow-up (40 of 47) with a median 68 months and the entirely arthroscopic group had 87% follow-up (85 of 98) with a median 27 months. There were seven failures in each group. Both Kaplan-Meier curves and the Cox proportional hazards model showed no difference in time to reoperation between techniques (P = 0.85). Three-year success rates (proportions with no reoperations) were 88% for sutures versus 89% for arrows.Conclusions: Repairs of the longitudinal posterior horn of the medial meniscus during an anterior cruciate ligament reconstruction with nonweightbearing for 5 weeks can be performed with an equivalent high degree of clinical success for both repair techniques. |
| Databáze: | OpenAIRE |
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