Clinical and radiographic outcomes of meniscus surgery and future targets for biologic intervention: A review of data from the MOON Group

Robert W Westermann; Morgan Jones; David Wasserstein; Kurt P Spindler

doi:10.1080/03008207.2017.1297808

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Clinical and radiographic outcomes of meniscus surgery and future targets for biologic intervention: A review of data from the MOON Group

Journal article

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Clinical and radiographic outcomes of meniscus surgery and future targets for biologic intervention: A review of data from the MOON Group

Robert W Westermann, Morgan Jones, David Wasserstein and Kurt P Spindler

Connective tissue research, Vol.58(3-4), pp.366-372

05/04/2017

DOI: 10.1080/03008207.2017.1297808

PMCID: PMC5770978

PMID: 28282214

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https://www.ncbi.nlm.nih.gov/pmc/articles/5770978View

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Abstract

Meniscus injury and treatment occurred with the majority of anterior cruciate ligament reconstructions (ACLR) in the multicenter orthopedic outcomes (MOON) cohort. We describe the patient-reported outcomes, radiographic outcomes, and predictors of pain from meniscus injuries and treatment in the setting of ACLR. Patient-reported outcomes improve significantly following meniscus repair with ACLR, but differences exist based on the meniscus injury laterally (medial or lateral). Patients undergoing medial meniscus repair have worse patient-reported outcomes and more pain compared to those with uninjured menisci. However, lateral meniscal tears can be repaired with similar outcomes as uninjured menisci. Medial meniscal treatment (meniscectomy or repair) results in a significant loss of joint space at 2 years compared to uninjured menisci. Menisci treated with excision had a greater degree of joint space loss compared to those treated with repair. Clinically significant knee pain is more common following injuries to the medial meniscus and increased in patients who undergo early re-operation after initial ACLR. Future research efforts aimed at improving outcomes after combined ACLR and meniscus treatment should focus on optimizing biologic and mechanical environments that promote healing of medial meniscal tears sustained during ACL injury.

Pain

repair

joint space

meniscus

patient-reported outcome

meniscectomy

ACL

Details

Title: Subtitle: Clinical and radiographic outcomes of meniscus surgery and future targets for biologic intervention: A review of data from the MOON Group
Creators: Robert W Westermann - Department of Orthopaedic Surgery, Cleveland Clinic
Morgan Jones - Department of Orthopaedic Surgery, Cleveland Clinic
David Wasserstein - Department of Orthopaedic Surgery, University of Toronto
Kurt P Spindler - Department of Orthopaedic Surgery, Cleveland Clinic
Resource Type: Journal article
Publication Details: Connective tissue research, Vol.58(3-4), pp.366-372
DOI: 10.1080/03008207.2017.1297808
PMID: 28282214
PMCID: PMC5770978
NLM abbreviation: Connect Tissue Res
ISSN: 0300-8207
eISSN: 1607-8438
Publisher: Taylor & Francis
Grant note: K23AR066133; R01 AR053684 / National Institute of Arthritis and Musculoskeletal and Skin Diseases (10.13039/100000069)
Language: English
Date published: 05/04/2017
Academic Unit: Orthopedics and Rehabilitation; Athletic Training Program
Record Identifier: 9984040282402771

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