Meniscal repair compared with meniscectomy for bucket-handle medial meniscal tears in anterior cruciate ligament-reconstructed knees
| Autor: | Donald R. Carr, K. Donald Shelbourne |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Anterior cruciate ligament Meniscal tears Physical Therapy Sports Therapy and Rehabilitation Menisci Tibial 03 medical and health sciences 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Orthopedic Procedures Anterior Cruciate Ligament Retrospective Studies Bucket Handle 030222 orthopedics business.industry Anterior Cruciate Ligament Injuries 030229 sport sciences Plastic Surgery Procedures Surgery Meniscal repair Tibial Meniscus Injuries medicine.anatomical_structure Treatment Outcome Orthopedic surgery Tears Female business Medial meniscus |
| Zdroj: | The American journal of sports medicine. 31(5) |
| ISSN: | 0363-5465 |
| Popis: | BackgroundRepair of meniscal tears is generally preferred over meniscectomy.HypothesisRepair of unstable bucket-handle tears of the medial meniscus leads to better outcomes than partial meniscectomy.Study DesignRetrospective review of prospectively collected data.MethodsWe reviewed the records of 155 patients who had isolated bucket-handle medial meniscal tears and anterior cruciate ligament tears. Fifty-six menisci were repaired; 99 that were degenerative and crushed beyond repair were removed. Patients were evaluated at a mean follow-up of 6 to 8 years after surgery with the International Knee Documentation Committee examination and a modified Noyes questionnaire.ResultsThe mean subjective scores were similar for patients in both the repair (N = 51) and meniscectomy (N = 87) groups. However, in the repair group, the mean subjective score of 93.9 for nondegenerative menisci was significantly better than the 87.1 for degenerative menisci. Objective grades for 25 patients in the repair group were normal or nearly normal in 22 patients (88%) and for 51 of 56 patients (91%) in the removal group. Radiographic subscores for the repair group were normal or nearly normal in 23 patients in the repair group and 49 in the removal group.ConclusionOutcomes from meniscal repair were not superior to those from partial removal. Patients with repaired degenerative tears had significantly lower subjective scores than those with nondegenerative tears. |
| Databáze: | OpenAIRE |
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