Objective
few studies approach with long follow up meniscal repair at amateur level, specially studying variables as quality of life and failure rate. We study medium to long-term clinical results in patients at amateur sports level, that have required meniscal sutures at our centre, with or without ACL reconstruction. We evaluate the objective function of the knee, as well as the patients’ return to sports activities, quality of life and the rate of failed repair and study the possible reasons.
Methods
We design an observational retrospective study, assessed 92 patients that required a meniscal repair in our centre from april 2007 until april 2018, who regularly perform amateur sports activities (Tegner 4 to 7), minimum follow-up period of 2 years, divided into 2 groups: group 1 isolated meniscal suture (43 cases), group 2 associated to ACL reconstruction (49 cases). Every patient have this tests in 2019: Lysholm and Tegner (validated for spanish) before the injury and after the surgical procedure, motivation to return to sports activity (Likert scale with 3 items: low, regular or high), quality of life (through SF-12 test).
Results
high return to amateur sports rate (92%), which was even higher in the isolated reconstruction group in comparison to the group with associated ACL, at a minimun follow-up of 2 years. We have not found statistically significant differences between sports return and: age, gender, injured meniscus, chondral injuries, preoperative Tegner score, or motivation. No significant differences in physical or mental health fields between both groups. Meniscal repair failed in 12 patients (13%,)and they finally required a partial meniscectomy, as complications just one debridement for superficial infection of ACL donor zone. Higher rate of failure in isolated bucket-handle tear injuries (p < 0.0062). We have not found a statistically significant association between the other variables studied.
Conclusions
92% of sports return and low meniscal repair failure rate, even lower when is associated to ACL reconstruction.
Objective: few studies have approach inlong term follow up of meniscal repair at amateur level, specially studying variables as quality of life and failure rate. We study mediumlongterm clinical results in amateur sports patients, that have required meniscal sutures at our centre, with or without ACL reconstruction. We evaluate the objective function of the knee, as well as patients’ return to sports activities, quality of life and the rate of failed repair and study of the possible reasons. Methods: this was an observational retrospective study, 92 patients were assesed who required a meniscal repair in our centre from april 2007 until april 2018, who regularly perform amateur sports activities (Tegner 4 to 7), minimum follow-up period of 2 years, divided into 2 groups: group 1 isolated meniscal suture (43 cases), group 2 associated to ACL reconstruction (49 cases). Each patient made this tests in 2019: Lysholm andTegner (validated for spanish) before the meniscal injury and after the surgical procedure, motivation to return to sports activity (Likert scale with 3 items: low, regular or high), quality of life (through SF-12 test). Results: high return to amateur sports rate (92%), which was even higher in the isolated meniscal repair group in comparison to the group with associated ACL, at a minimun follow-up of 2 years. We have not found statistically significant differences between sports return and: age, gender, injured meniscus, chondral injuries, preoperative Tegner score, or motivation. No significant differences in physical or mental health fields between both groups. Meniscal repair failed in 12 patients (13%,)and they finally required a partial meniscectomy, as complications just one debridement for superficial infection of ACL donor zone. Higher rate of failure in isolated bucket-handle tear injuries (p<0.0062). No statistically significant association were found between the other variables studied. Conclusions: 92% of sports return and low meniscal repair failure rate, even lower when is associated to ACL reconstruction.
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