Carroll Colin Joseph, Klimstra Mikhail, Henderson Davishia, Shultz Christopher, Treme Gehron
University of New Mexico Department of Orthopaedic Surgery, Albuquerque, New Mexico, USA.
University of New Mexico School of Medicine Albuquerque, New Mexico, USA.
Orthop J Sports Med. 2025 Jun 5;13(6):23259671251340988. doi: 10.1177/23259671251340988. eCollection 2025 Jun.
There is a lack of research specifically looking at the rates of deep vein thrombosis (DVT) and pulmonary embolism (PE) in patients undergoing meniscal repair. Many studies view arthroscopic knee surgery as a single group including meniscal debridement, meniscal repair, and chondral surgery, as well as ligament reconstruction.
Patients who underwent meniscal repair, specifically meniscus root repair, at >40 years old would have higher rates of DVT and PE than those who underwent meniscal debridement regardless of age and meniscal repair at ≤40 years old.
Cohort study; Level of evidence, 3.
This study analyzed patients between the ages of 8 and 80 years who underwent arthroscopic meniscal repair versus meniscectomy at a single center. These 2 groups were then subdivided into patients who were >40 years of age and those ≤40 years of age. The 4 groups then had the rates of postoperative DVT and PE recorded and compared and the risk factors for DVT and PE analyzed.
Patients who underwent meniscal repair at >40 years of age were found to have significantly higher rates of DVT ( < .01) than those who underwent debridement regardless of age and those that underwent repair ≤40 years old ( = .02). All DVTs and PEs in the meniscal repair group >40 years old were in patients who had meniscus root repairs with a DVT incidence of 10.7% and PE incidence of 3.6%. Risk factors for the development of DVT were age as well as history of DVT.
Meniscal repairs, specifically root repairs, in patients aged >40 years had high rates of DVT, which has not been documented in the literature.
目前缺乏专门针对半月板修复患者深静脉血栓形成（DVT）和肺栓塞（PE）发生率的研究。许多研究将关节镜下膝关节手术视为一个单一的组，包括半月板清创术、半月板修复术、软骨手术以及韧带重建术。
40岁以上接受半月板修复（特别是半月板根部修复）的患者，其DVT和PE发生率高于无论年龄大小接受半月板清创术以及40岁及以下接受半月板修复的患者。
队列研究；证据等级，3级。
本研究分析了在单一中心接受关节镜下半月板修复术与半月板切除术的8至80岁患者。然后将这两组再细分为年龄大于40岁和年龄小于等于40岁的患者。接着记录并比较这4组患者术后DVT和PE的发生率，并分析DVT和PE的危险因素。
发现40岁以上接受半月板修复的患者，其DVT发生率（<0.01）显著高于无论年龄大小接受清创术的患者以及40岁及以下接受修复的患者（=0.02）。40岁以上半月板修复组的所有DVT和PE均发生在进行半月板根部修复的患者中，DVT发生率为10.7%，PE发生率为3.6%。DVT发生的危险因素包括年龄以及DVT病史。
40岁以上患者的半月板修复术，特别是根部修复术，DVT发生率较高，这在文献中尚未有记载。
