Meniscal survival rate after anterior cruciate ligament reconstruction

Rochcongar, Goulven; Cucurulo, T.; Ameline, T.; Potel, J.-F.; Dalmay, François; Pujol, Nicolas; Chou, E. Salle de; Lutz, Christian; Ehkirch, F.-P.; Henaff, G. Le; Laporte, Camille; Seil, Romain; Gunepin, François-Xavier; Sonnery‐Cottet, Bertrand; Sfa, la

doi:10.1016/j.otsr.2015.09.005

Cited by 44 publications

(45 citation statements)

References 16 publications

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“…Asahina et al [17] found that five patients requiring reoperation for failed meniscus repairs had no obvious cause. One possible cause of subsequent meniscal tears in the absence of trauma or sports injury is residual rotational instability despite ACLR [8]. Considering that 8/11 meniscal tears in our study were located at the MM PH, residual rotational instability may have played a role in the repeated shearing forces placed on the MM PH, which is similar to the situation in chronic ACL insufficiency [18][19][20][21].…”

Section: Discussionmentioning

confidence: 63%

“…Values represent mean ± standard deviation BMI body mass index, STSD side-to-side differences, BPTB bone patellar tendon bone, A-B anterior horn to body, B-P body to posterior horn, A-P anterior horn to posterior horn a Hamstring autograft + tibialis allograft [1]. The MOON group's findings that discuss the inferior outcomes after MM injuries have been supported by the recent literature [7,8]. The Swedish National Knee Ligament Register study found that performance of a MM suture or resection at the time of ACLR was a predictor for non-satisfactory results [7].…”

Section: Discussionmentioning

confidence: 91%

“…The Swedish National Knee Ligament Register study found that performance of a MM suture or resection at the time of ACLR was a predictor for non-satisfactory results [7]. The French multicenter study also reported that the risk of recurrence was higher for medial meniscal tears than for lateral meniscal tears at five years after ACLR [8]. Similarly, our study identified a higher rate of failed healing after MM repairs in comparison to the rates of failed healing after LM repairs (20% vs 8.8%), although it was not statistically significant.…”

Section: Discussionmentioning

confidence: 99%

“…Recent literature have reported the superior biologic healing potential of the lateral meniscus (LM) compared to the medial meniscus (MM) [1,[7][8][9][10]. These studies compared the healing rate of repaired or left in situ meniscus between MM and LM.…”

Section: Introductionmentioning

confidence: 99%

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High incidence of subsequent re-operation following treatments for medial meniscus tears combined with anterior cruciate ligament reconstruction: second-look arthroscopic study

Kim

Baek

et al. 2019

Knee Surg & Relat Res

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Background: The Multicenter Orthopaedic Outcomes Network (MOON) group recently reported that medial meniscus (MM) repairs are associated with more frequent re-operations when compared to lateral meniscus (LM) repairs. The purpose of this study was to compare the meniscal healing and the incidence of subsequent reoperation of medial and lateral meniscal tears that occurred concurrently with anterior cruciate ligament (ACL) injuries. Methods: We retrospectively reviewed patients who underwent second-look arthroscopy after primary ACL reconstruction (ACLR) between June 2005 to December 2016. The healing of meniscal tears following repair or left in situ, and re-tear following partial meniscectomy, were evaluated via second-look arthroscopy and compared between medial and lateral meniscus. Moreover, the incidence of subsequent meniscal re-operation after the index ACLR were investigated and compared between medial and lateral meniscus. Subsequent meniscal re-operation was performed in cases of the following three symptomatic meniscus tears: re-tears at the meniscectomy site; new tears; and failed healing of repaired or left in situ meniscus. Results: There were 148 meniscal tears in 121 patients at index ACLR. There were 62 MM tears, 38 LM tears, and 24 bilateral meniscus tears. At second-look arthroscopy, the "successful healing" rate for tears following repair was higher in LM tears (91.2%) compared to MM tears (80.0%), although it was not statistically significant (p > 0.05). No significant differences were observed in the healing of left in situ tears or re-tear of meniscectomy site between medial and lateral meniscus. Patients with MM tears combined with ACL injuries had a higher incidence of subsequent meniscal re-operation compared to patients with LM tears (25.6% vs 16.1%, p = 0.025). Conclusions: There was a trend for the successful healing rate to be higher in LM repairs than MM repairs. Subsequent meniscal re-operations after ACLR were more frequent in patients with medial meniscal tears concurrently with ACL injuries in comparison to patients with lateral meniscal tears. Level of study: Level IV, retrospective case series.

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Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

High incidence of subsequent re-operation following treatments for medial meniscus tears combined with anterior cruciate ligament reconstruction: second-look arthroscopic study

Kim

Baek

et al. 2019

Knee Surg & Relat Res

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“…Treatment of associated lesions: Three times the suture was associated with ligamentoplasty type DIDT ACL. This double repair is recommended by ROCHCONGAR [21] because he says, the effect is synergistic. So for him 80% of these double lesions should be repaired once at a time to optimize the final result.…”

Section: Diagnosismentioning

confidence: 99%

Arthroscopic Sutures of the External and Internal Meniscus at Ordre De Malte Hospital in Dakar: The Case of 13 Patients

Cva¹

2017

JOBD

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Introduction:The management of traumatic lesions of the menisci is an up to date topic. The treatment has for long remained mutilating and the evolution towards osteoarthritis inevitable. In the light of the original work, important progress has been noted, which now allows conservative arthroscopic treatment in about 20% of cases. The scarcity of data in the West African literature on this topic and the need for a retrospective look at such a treatment which has been practiced at Ordre de Malte Hospital since 2012, motivate this study. Material and Method:This is a retrospective study from 2012 to 2015. A series of 13 meniscal sutures or 10.5% of 124 lesions explored and treated arthroscopically. This exclusive male series whose mean age is 28 years (20 -49) was followed with a average follow-up of 38 months (23 -62). Results:The average consultation time was 2 years and for 11 times (85%) the lesion had occurred following an accident during sport, of a contact + / pivot type . The lesions being found 11 times on the right, 9 times on the medial meniscus, 10 times on the posterior segment, and 9 times on the average segment. It was a bucket handle in 9 cases including 4 dislocated cases. The suture was performed "from outside to inside" and was made stable with an average of 2 points with Prolene 2/0. In 3 cases, this suture was associated with ACL DIDT Ligamentoplasty. We noted as complications: a case of intraoperative failure that led to partial regulation, an early superficial infection of the operative site and a thromboembolic event that had evolved well under treatment. At the last follow-up, 11 patients were satisfied or very satisfied compared to 2 disappointed. The average Lysholm score was 94.7 / 100 with 12 good or excellent results; the IKS score was 100% in all patients and the average knee IKS was 95.6 / 100. IKDC clinical evaluation of 10 patients seen at last follow-up reported 07 patients ranked "A" and 03 ranked "B". Anatomically, the MRI and the Arthro-CT found Research Article

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Meniscal survival rate after anterior cruciate ligament reconstruction

Abstract: IV, retrospective study.

Cited by 44 publications

References 16 publications

High incidence of subsequent re-operation following treatments for medial meniscus tears combined with anterior cruciate ligament reconstruction: second-look arthroscopic study

High incidence of subsequent re-operation following treatments for medial meniscus tears combined with anterior cruciate ligament reconstruction: second-look arthroscopic study

Arthroscopic Sutures of the External and Internal Meniscus at Ordre De Malte Hospital in Dakar: The Case of 13 Patients

Similar failure rate in immediate post-operative weight bearing versus protected weight bearing following meniscal repair on peripheral, vertical meniscal tears

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