Children's Health Andrews Institute, Plano, Texas.
Children's Hospital Orange County, Orange, California.
J Knee Surg. 2024 Dec;37(14):933-940. doi: 10.1055/a-2368-4049. Epub 2024 Jul 17.
Meniscus repair has increased in frequency, especially among surgeons who focus on youth sports injuries. The aim of this study was to determine current trends in meniscus repair among a specific subset of meniscus repair surgeons. A cross-sectional survey utilizing several clinical vignettes was administered to orthopaedic surgeon members of the Pediatric Research in Sports Medicine (PRiSM) Society to investigate surgeon experience and training, number of meniscus repair procedures performed, and surgical and rehabilitation preferences. A statistical analysis of the responses was performed to determine associations between years in practice or type of fellowship training and the number of meniscus repair procedures performed, surgical indications, and rehabilitation preferences. The response rate to various questions ranged from 61.5 (59/96) to 63.5% (61/96). In all vignettes, a majority favored repair as well as some degree of weight-bearing and range-of-motion restrictions. Surgeons who had been in practice for 6 to 10 years performed significantly more meniscus repairs per year than those who had been in practice for greater than 20 years ( = 0.009) and those who had been in practice for 0 to 5 years ( = 0.05). Surgeons who had been in practice for greater than 20 years performed a significantly higher percentage of meniscectomies relative to meniscus repairs, compared with those in practice for 0 to 5 years ( = 0.002) or 6 to 10 years ( = 0.0003). When surgeons were grouped into those with less than 10 years of experience and those with greater than 10 years of experience, the former group performed a significantly higher number of meniscus repairs relative to meniscectomies than the latter group of surgeons ( < 0.0001). Less experienced surgeons are more likely to perform meniscus repair than meniscectomy, but all surgeons surveyed had a general preference for repair in all clinical vignettes. Repair technique preferences as well as rehabilitation protocols varied widely among surgeons.
半月板修复的频率有所增加，尤其是在专注于青年运动损伤的外科医生中。本研究的目的是确定特定半月板修复外科医生亚组中半月板修复的当前趋势。一项横断面调查利用了几个临床病例，向小儿运动医学研究（PRiSM）学会的骨科外科医生成员进行了调查，以调查外科医生的经验和培训、半月板修复程序的数量以及手术和康复偏好。对这些反应进行了统计分析，以确定在实践中的年限或 fellowship 培训类型与半月板修复程序的数量、手术指征和康复偏好之间的关联。对各种问题的回复率从 61.5%（59/96）到 63.5%（61/96）不等。在所有病例中，大多数人都赞成修复，以及一定程度的负重和活动范围限制。在实践中工作 6 至 10 年的外科医生每年进行的半月板修复明显多于实践 20 年以上的外科医生（=0.009）和实践 0 至 5 年的外科医生（=0.05）。在实践中工作 20 年以上的外科医生与实践 0 至 5 年的外科医生（=0.002）或 6 至 10 年的外科医生（=0.0003）相比，行半月板切除术的比例明显更高。当外科医生分为经验不足 10 年和经验超过 10 年的两组时，前者行半月板修复的数量明显多于后者（<0.0001）。经验不足的外科医生更倾向于进行半月板修复而不是半月板切除术，但所有接受调查的外科医生在所有临床病例中都普遍倾向于修复。修复技术偏好以及康复方案在外科医生之间差异很大。
