Long-term outcomes of all-inside meniscal repair

Abstract

Case series, Level IV.

Meniscectomy versus meniscal repair: 10years radiological and clinical results in vertical lesions in stable knee

“…The present study found a protective effect of repair against osteoarthritis, in agreement with the literature: long-term cartilage degradation rates range from 8% to 43% after repair, versus 21% to 64% after meniscectomy [8,10,20,23,24,[28][29][30][31]33,35,36]: i.e., a factor of 2. Table 2 Correlation between functional and quantitative radiological scores, both groups taken together.…”

“…There are numerous reports of results in meniscectomy [2][3][4][5][6][7][8]10,[22][23][24] and meniscal repair [25][26][27][28][29], comparisons between the two [20,30,31] and meta-analyses [32][33][34]. Interpretation, however, is hindered by numerous biases: meniscal surgery was either isolated or associated to anterior cruciate ligament surgery; patient ages and clinical and radiological assessment scoring systems differed; follow-up was short or variable; and initial meniscal lesion type, repair technique, meniscectomy extent and initial chondral status were not always specified.…”

Magnetic Resonance Imaging of the Postoperative Meniscus

“…These end points may be discordant, in part because partially healed menisci may or may not be symptomatic. 122 MR imaging findings After a repair procedure, the meniscus can be categorized as healed if there is no fluid signal in the repair, partially healed if fluid signal extends into less than 50% of the repair site, or not healed if fluid signal extends into greater than 50% of the repair site (Figs. 20 and 21).…”

Midterm follow-up after implantation of a polyurethane meniscal scaffold for segmental medial meniscus loss: maintenance of good clinical and MRI outcome

“…Meniscus repair with sutures or suture anchor systems represents the gold standard treatment especially in the young and active patient [4,23]. However, meniscal repair…”