Department of Orthopaedics, Bangalore Medical College and Research Institute, Bangalore, India.
Department of Orthopaedics, Mysore Medical College, Mysore, India.
Knee Surg Sports Traumatol Arthrosc. 2019 Nov;27(11):3454-3460. doi: 10.1007/s00167-019-05377-7. Epub 2019 Feb 8.
Traditionally, MRI has not been used to predict meniscus tear reparability. An attempt has been made in this study to predict meniscal reparability using MRI, and a new scoring system to help with the same has been developed and tested.
Thirty repaired menisci were compared with equal number of meniscectomy cases retrospectively. Various clinical and radiological (radiographs and MRI) characteristics like chronicity of tear, pattern of tear, etc, were tabulated. Based on their association with the outcome of repair or meniscectomy, odds ratio of each attribute were calculated. A scoring system-Ortho One PROMT Score (Prediction of Reparability of Meniscal Tears)-to predict meniscal repair was formulated. Using this score, meniscus surgery outcomes were prospectively predicted in 120 cases and results tabulated.
The newly devised Ortho One PROMT score predicted medial meniscus repair with a sensitivity of 90.9% and a specificity of 93.2% and medial meniscectomy with a sensitivity of 93.2% and a specificity of 90.9%. It predicts lateral meniscus repair with a sensitivity of 69.2% of patients and lateral meniscectomy with a sensitivity of 78.8% of patients.
Ortho One PROMT score is a useful scoring system to predict the outcomes of meniscus surgery preoperatively. It uses a combination of clinical and radiological (MRI and plain radiograph) characteristics. With this scoring system, both the surgeon and the patient are better prepared preoperatively regarding the outcome of a particular meniscus surgery. The scoring shall make day-to-day arthroscopic meniscus surgery less stressful.
III.
传统上，MRI 并未用于预测半月板撕裂的可修复性。本研究试图使用 MRI 预测半月板的可修复性，并开发和测试了一种新的评分系统来帮助预测。
回顾性比较了 30 例修复半月板和等量半月板切除术病例。记录各种临床和影像学（X 线和 MRI）特征，如撕裂的慢性程度、撕裂模式等。根据它们与修复或半月板切除术结果的关系，计算每个属性的优势比。制定了一种评分系统-Ortho One PROMT 评分（预测半月板撕裂的可修复性）-以预测半月板修复。使用该评分，前瞻性预测了 120 例半月板手术的结果并进行了制表。
新设计的 Ortho One PROMT 评分预测内侧半月板修复的敏感性为 90.9%，特异性为 93.2%，内侧半月板切除术的敏感性为 93.2%，特异性为 90.9%。它预测外侧半月板修复的敏感性为 69.2%的患者，外侧半月板切除术的敏感性为 78.8%的患者。
Ortho One PROMT 评分是一种有用的评分系统，可在术前预测半月板手术的结果。它使用了临床和影像学（MRI 和 X 线平片）特征的组合。使用该评分系统，外科医生和患者都可以更好地为特定的半月板手术结果做好术前准备。评分系统将使日常关节镜半月板手术的压力更小。
III。
