Department for Orthopaedic Surgery, University Hospital, "Sveti Duh", Sveti Duh 64, 10000 Zagreb, Croatia.
Faculty of Kinesiology, University of Zagreb, Horvaćanski zavoj 15, 10000 Zagreb, Croatia.
Int J Environ Res Public Health. 2023 Mar 14;20(6):5088. doi: 10.3390/ijerph20065088.
Increased knowledge of the long-term destructive consequences of meniscectomy has created a shift towards operative repair of isolated meniscus lesions. However, in the literature the results of isolated meniscal repair in athletes currently remain underreported. Our objective was to investigate the clinical and functional outcomes as well as survival and return to sport in patients who underwent meniscal repair after isolated meniscal tear, with a focus on athletes (both professional and recreational) in the study population. This retrospective study included 52 athletes who underwent knee surgery for isolated meniscal tear between 2014 and 2020. Patients with concomitant ligamentous and/or chondral injury were not included in this study. The mean age of the patients was 25.5 years (ranging from 12 to 57 years). The mean follow-up period of all patients was 33.3 months (ranging 10 to 80 months). The mean purpose of the study was to report the return to sport. The International Knee Documentation Committee rating (IKDC), Lysholm score, the Knee Osteoarthritis Outcome Score (KOOS) and Tegner activity level were determined at the follow-up. Failure was defined as re-operation with meniscectomy or revision meniscal repair. In total, 44 out of 52 patients (85%) returned to their previous sports activities. At follow-up, the mean Lysholm score was 90, representing a good to excellent result. Assessment of KOOS (mean value 88.8) and IKDC (mean value 89) scores also showed good to excellent results. A mean level of Tegner scale was 6.2, indicating a relatively high level of sports participation. Failure was encountered in 8 out of 52 knees (15%). Therefore, isolated meniscal repair resulted in good to excellent knee function and most athletes can return to their previous level of sports participation.
人们越来越了解半月板切除术的长期破坏性后果，这促使人们转而选择手术修复孤立性半月板损伤。然而，目前文献中孤立性半月板修复的结果在运动员中仍报道不足。我们的目的是研究临床和功能结果以及接受孤立性半月板撕裂修复的患者的存活率和重返运动情况，重点关注研究人群中的运动员（包括专业和业余运动员）。本回顾性研究纳入了 2014 年至 2020 年间因孤立性半月板撕裂接受膝关节手术的 52 名运动员。本研究不包括合并韧带和/或软骨损伤的患者。患者的平均年龄为 25.5 岁（12-57 岁）。所有患者的平均随访时间为 33.3 个月（10-80 个月）。本研究的平均目的是报告重返运动情况。国际膝关节文献委员会评分（IKDC）、Lysholm 评分、膝关节骨关节炎结局评分（KOOS）和 Tegner 活动水平在随访时进行评估。失败定义为再次接受半月板切除术或半月板修复翻修手术。在总共 52 例患者中，有 44 例（85%）返回之前的运动活动。随访时，Lysholm 评分为 90 分，代表良好至优秀的结果。KOOS（平均 88.8 分）和 IKDC（平均 89 分）评分也显示出良好至优秀的结果。Tegner 量表平均评分为 6.2，表明运动参与度较高。52 个膝关节中有 8 个（15%）出现失败。因此，孤立性半月板修复可获得良好至优秀的膝关节功能，大多数运动员可以恢复到之前的运动水平。
