Department of Biomedical Sciences, Humanitas University, Via Manzoni 113, 20089, Rozzano, MI, Italy.
II Clinica Ortopedica e Traumatologica, IRCCS Istituto Ortopedico Rizzoli, Via Giulio Cesare Pupilli 1, 40136, Bologna, Italy.
Knee Surg Sports Traumatol Arthrosc. 2022 Jul;30(7):2314-2319. doi: 10.1007/s00167-021-06779-2. Epub 2021 Nov 23.
To assess the return to sport rate of young professional athletes, to analyze their careers in terms of matches played and league participation over a minimum period of 6 years after Meniscal Allograft Transplantation (MAT), as well as to assess the long-term clinical subjective outcomes and satisfaction.
Thirteen professional athletes (ten soccer and one basketball players, one fencer and one wrestler) with a mean age at surgery of 23.4 ± 4.0 underwent MAT (six medial, seven lateral). The time required to return to sport, post-operative performance level and the number of reoperations were evaluated. At an average follow-up of 9.0 ± 2.8 years, Lysholm, KOOS and Cincinnati scores were administered and collected.
Thirteen patients (100%) returned to sports practice after an average period of 11.8 ± 3.8 months. Nine athletes (69%) returned to sports at the same pre-injury level. Overall, 93%, 85%, 62% and 55% were active until the 3rd, the 5th, the 7th and the 9th season after MAT, respectively. Seven patients (54%) underwent a reoperation after MAT, where only two of them (15%) were related to graft problems (one meniscectomy and one graft suture). Of the ten athletes that completed subjective evaluation, the mean Lysholm score was 72 ± 15 (0% "Excellent", 10% "Good", 60% "Fair", 30% "Poor"). Of the athletes with lower scores, one suffered from patellar tendon rupture, one from post-operative infection and one from a previous femoral fracture. The mean Cincinnati knee score was 77 ± 18, while the average KOOS values were 60 ± 34 for sports.
Meniscal Allograft Transplantation (MAT) in young professional athletes involved in strenuous activities allowed all patients to return to pre-injury sport and in nearly 70% of cases at their pre-injury level. After five seasons following MAT, 85% of patients were still active or playing more than 20-30 matches per season. On the other hand, nearly 50% underwent at least one reoperation and only 70% of patients were rated as "Good", or "Fair" using the Lysholm score.
IV.
评估年轻职业运动员半月板同种异体移植（MAT）后重返运动的比例，分析他们在 MAT 后至少 6 年内的比赛和联赛参与情况，评估长期临床主观结果和满意度。
13 名职业运动员（10 名足球运动员和 1 名篮球运动员、1 名击剑运动员和 1 名摔跤运动员），平均手术年龄为 23.4±4.0 岁，接受 MAT（6 例内侧，7 例外侧）。评估重返运动的时间、术后表现水平和再次手术的次数。平均随访 9.0±2.8 年后，进行 Lysholm、KOOS 和 Cincinnati 评分，并收集数据。
13 例患者（100%）平均 11.8±3.8 个月后重返运动。9 名运动员（69%）以相同的受伤前水平重返运动。总体而言，分别有 93%、85%、62%和 55%的运动员在 MAT 后第 3、5、7 和 9 个赛季仍活跃。7 名患者（54%）在 MAT 后再次手术，其中只有 2 名（15%）与移植物问题有关（1 例半月板切除术和 1 例移植物缝合术）。10 名完成主观评估的运动员中，平均 Lysholm 评分为 72±15（0%“优秀”，10%“良好”，60%“一般”，30%“差”）。评分较低的运动员中，1 人患有髌腱断裂，1 人患有术后感染，1 人患有股骨骨折。平均 Cincinnati 膝关节评分为 77±18，平均 KOOS 值为运动时 60±34。
在从事剧烈活动的年轻职业运动员中进行半月板同种异体移植（MAT），使所有患者都能重返受伤前的运动水平，近 70%的患者能达到受伤前的水平。在 MAT 后 5 个赛季，85%的患者仍活跃或每个赛季至少参加 20-30 场比赛。另一方面，近 50%的患者至少进行了一次再次手术，只有 70%的患者 Lysholm 评分评为“良好”或“一般”。
IV 级。
