Journal article
Success of Meniscal Repair at Anterior Cruciate Ligament Reconstruction
American journal of sports medicine, Vol.37(6), pp.1111-1115
2009
DOI: 10.1177/0363546509337010
PMID: 19465734
Abstract
Background
Meniscal repair is performed in an attempt to prevent posttraumatic arthritis resulting from meniscal dysfunction after meniscal tears. The socioeconomic implications of premature arthritis are significant in the young patient population. Investigations and techniques focusing on meniscus preservation and healing are now at the forefront of orthopaedic sports medicine.
Hypothesis
Concomitant meniscal repair with anterior cruciate ligament reconstruction is a durable and successful procedure at 2-year follow-up.
Study Design
Case series; Level of evidence, 4.
Methods
All unilateral primary anterior cruciate ligament reconstructions entered in 2002 in a cohort who had meniscal repair at the time of anterior cruciate ligament reconstruction were evaluated. Validated patient-oriented outcome instruments were completed preoperatively and then again at the 2-year postoperative time point. Reoperation after the index procedure was also documented and confirmed by operative reports.
Results
A total of 437 unilateral primary anterior cruciate ligament reconstructions were performed with 82 concomitant meniscal repairs (54 medial, 28 lateral) in 80 patients during the study period. Patient follow-up was obtained on 94% (77 of 82) of the meniscal repairs, allowing confirmation of meniscal repair success (defined as no repeat arthroscopic procedure) or failure. The overall success rate for meniscal repairs was 96% (74 of 77 patients) at 2-year follow-up.
Conclusion
Meniscal repair is a successful procedure in conjunction with anterior cruciate ligament reconstruction. When confronted with a “repairable” meniscal tear at the time of anterior cruciate ligament reconstruction, orthopaedic surgeons can expect an estimated >90% clinical success rate at 2-year follow-up using a variety of methods as shown in our study.
Details
- Title: Subtitle
- Success of Meniscal Repair at Anterior Cruciate Ligament Reconstruction
- Creators
- Charles V TOMAN - Department of Orthopaedic Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missour, United StatesWarren R DUNN - Department of Orthopaedic Surgery and Rehabilitation, Vanderbilt University Medical School, Nashville, Tennessee, United StatesMatthew J MATAVA - Department of Orthopaedic Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missour, United StatesEric C MCCARTY - Department of Orthopaedic Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missour, United StatesRichard D PARKER - Department of Orthopaedic Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missour, United StatesMichelle WOLCOTT - Department of Orthopaedic Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missour, United StatesArmando VIDAL - Department of Orthopaedic Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missour, United StatesBrian R WOLF - Department of Orthopaedic Surgery, University of Iowa School of Medicine, Iowa City, Iowa, United StatesLaura J HUSTON - Department of Orthopaedic Surgery and Rehabilitation, Vanderbilt University Medical School, Nashville, Tennessee, United StatesFrank E HARRELL - Department of Biostatistics, Vanderbilt University Medical School, Nashville, Tennessee, United StatesRick W WRIGHT - Department of Orthopaedic Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missour, United StatesKurt P SPINDLER - Department of Orthopaedic Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missour, United StatesAnnunziata AMENDOLA - Department of Orthopaedic Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missour, United StatesJack T ANDRISH - Department of Orthopaedic Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missour, United StatesJohn A BERGFELD - Department of Orthopaedic Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missour, United StatesDavid FLANIGAN - Department of Orthopaedic Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missour, United StatesMorgan H JONES - Department of Orthopaedic Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missour, United StatesChristopher C KAEDING - Department of Orthopaedic Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missour, United StatesRobert G MARX - Department of Orthopaedic Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missour, United States
- Resource Type
- Journal article
- Publication Details
- American journal of sports medicine, Vol.37(6), pp.1111-1115
- Publisher
- Sage Publications; Thousand Oaks, CA
- DOI
- 10.1177/0363546509337010
- PMID
- 19465734
- ISSN
- 0363-5465
- eISSN
- 1552-3365
- Language
- English
- Date published
- 2009
- Academic Unit
- Orthopedics and Rehabilitation; Physical Therapy and Rehabilitation Science
- Record Identifier
- 9984040324602771
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