Vital Hastanesi Ortopedi ve Travmatoloji Bölümü, 34180 Bahçelievler, İstanbul, Türkiye.
Jt Dis Relat Surg. 2021;32(2):363-370. doi: 10.52312/jdrs.2021.46. Epub 2021 Jun 11.
The aim of this study was to evaluate clinical and functional outcomes following the arthroscopic medial meniscal repair.
A total of 50 patients (42 males, 8 females; mean age: 32.9±7.6 years; range, 17 to 48 years) who underwent arthroscopic repair for longitudinal and bucket-handle medial meniscal tears between March 2005 and October 2011 were retrospectively evaluated. The patients were divided into two groups as those having a longitudinal tear (patient group, n=31) and having a bucket-handle tear (control group, n=19). Preoperative and final follow-up functional outcomes were evaluated using the Lysholm Knee Score (LKS), International Knee Documentation Committee (IKDC) score, Tegner Activity Scale (TAS) score, and Knee Injury and Osteoarthritis Outcome Score (KOOS).
The mean follow-up was 61.7±22.8 (range, 36 to 110) months. The mean preoperative LKS, IKDC score, TAS, and KOOS scores were significantly improved at the final postoperative follow-up (p<0.05). There was no significant difference in functional outcome scores between longitudinal and bucket-handle repairs (p>0.05), and isolated repairs and concomitant meniscal repair and anterior cruciate ligament reconstruction (p>0.05).
Arthroscopic meniscal repair provides similar mid-term functional and clinical outcomes for longitudinal and bucket-handle medial meniscal tears. Concomitant meniscal repair does not seem to affect meniscal healing.
本研究旨在评估关节镜下内侧半月板修复后的临床和功能结果。
回顾性分析了 2005 年 3 月至 2011 年 10 月期间因纵向和桶柄状内侧半月板撕裂接受关节镜修复的 50 例患者(42 名男性,8 名女性;平均年龄:32.9±7.6 岁;年龄范围 17 至 48 岁)。将患者分为两组:纵向撕裂组(患者组,n=31)和桶柄状撕裂组(对照组,n=19)。使用 Lysholm 膝关节评分(LKS)、国际膝关节文献委员会(IKDC)评分、Tegner 活动量表(TAS)评分和膝关节损伤和骨关节炎结果评分(KOOS)评估术前和最终随访的功能结果。
平均随访时间为 61.7±22.8(范围 36 至 110)个月。术前 LKS、IKDC 评分、TAS 和 KOOS 评分在最终术后随访时均显著改善(p<0.05)。纵向和桶柄状修复之间的功能结果评分无显著差异(p>0.05),并且孤立修复和同时进行半月板修复和前交叉韧带重建之间也无显著差异(p>0.05)。
关节镜下半月板修复可为纵向和桶柄状内侧半月板撕裂提供相似的中期功能和临床结果。同时进行半月板修复似乎不会影响半月板愈合。