Oputa Tobenna Jerris, Shaw Sarah, Jain Neil
Trauma and Orthopaedics Surgery, Lancashire Teaching Hospitals, Royal Preston Hospital, Sharoe Green Lane, Fulwood, Preston, PR2 9HT, UK.
Trauma and Orthopaedics Surgery, Northern Care Alliance, Fairfield General Hospital, Rochdale Old, Road Bury, Lancashire, BL9 7TD, UK.
Eur J Orthop Surg Traumatol. 2024 Aug;34(6):3259-3264. doi: 10.1007/s00590-024-04061-y. Epub 2024 Aug 13.
The all-inside technique is now the most established treatment for meniscal repair, this usually involves a suture-based repair utilising interrupted sutures. A similar technique using continuous sutures can also be used; however there are no studies in the literature appraising this technique. This study aims to review outcomes for patients undergoing meniscal repair using a continuous suture all-inside technique.
We reviewed patients undergoing meniscal repair using a continuous suture all-inside technique over a 5 year period. We recorded demographic details, injury type, surgical procedure, incidence of reoperation, functional outcomes (Tegner-Lysholm and International Knee Documentation Committee (IKDC) score) return to sport and failure of repair.
Data were collected for 37 patients. Mean age was 25.8 years, 81%, were male, median time to theatre was 169 days, mean follow-up time was 2.9 years. Concurrent ACL ruptures were present in 57%, all underwent ACL reconstruction in the same sitting. The mean Tegner-Lysholm score was 89. Mean IKDC score was 90.2. 78% were able to return to sport. Overall failure rate was 10.81%. Increasing age was associated with a decreased IKDC score (p = 0.02). Tegner-Lysholm score was significantly greater in patients with concurrent ACL injuries (p = 0.03) and patients with lateral meniscal tears (p = 0.04).
In the first study to review outcomes following continuous all-inside suture-based meniscal repair we demonstrate excellent clinical outcomes with IKDC, Tegner-Lysholm, return to play and failure rates comparable to other commonly used techniques. We conclude that this is an acceptable and cost-effective technique.
全内技术目前是半月板修复最成熟的治疗方法，这通常涉及使用间断缝线进行基于缝线的修复。也可以使用类似的连续缝线技术；然而，文献中没有评估该技术的研究。本研究旨在回顾使用连续缝线全内技术进行半月板修复的患者的治疗结果。
我们回顾了在5年期间使用连续缝线全内技术进行半月板修复的患者。我们记录了人口统计学细节、损伤类型、手术过程、再次手术发生率、功能结果（Tegner-Lysholm评分和国际膝关节文献委员会（IKDC）评分）、恢复运动情况和修复失败情况。
收集了37例患者的数据。平均年龄为25.8岁，81%为男性，中位手术时间为169天，平均随访时间为2.9年。57%的患者同时存在前交叉韧带断裂，均在同一次手术中进行了前交叉韧带重建。平均Tegner-Lysholm评分为89分。平均IKDC评分为90.2分。78%的患者能够恢复运动。总体失败率为10.81%。年龄增加与IKDC评分降低相关（p = 0.02）。同时存在前交叉韧带损伤的患者（p = 0.03）和外侧半月板撕裂的患者（p = 0.04）的Tegner-Lysholm评分显著更高。
在第一项回顾基于连续全内缝线的半月板修复术后结果的研究中，我们证明了其具有出色的临床结果，IKDC评分、Tegner-Lysholm评分、恢复运动情况和失败率与其他常用技术相当。我们得出结论，这是一种可接受且具有成本效益的技术。
