Meniscus repair with simultaneous anterior cruciate ligament reconstruction: Clinical outcomes, failure rates and subsequent processing

Abstract

Purpose To retrospectively analyze the clinical outcomes of meniscus repair with simultaneous anterior cruciate ligament (ACL) reconstruction and explore the causes of failure of meniscus repair. Methods From May 2013 to July 2018, the clinical data of 165 patients who were treated with meniscus surgery and simultaneous ACL reconstruction, including 69 cases of meniscus repair (repair group) and 96 cases of partial meniscectomy (partial meniscectomy group) were retrospectively analyzed. The exclusion criteria were as follows: (1) ACL rupture associated with fracture, collateral ligament injury, or complex ligament injury; (2) a history of knee surgery; or (3) a significant degree of osteoarthritis. The 69 patients in the repair group were divided into the non-failure group (62 cases) and the failure group (7 cases) depending on the repair effect. Postoperative outcomes of the repair group and the partial meniscectomy group were compared. General conditions and postoperative outcomes of the failure group and the non-failure group were compared. During the median follow-up period of 28 months (range, 4 - 65 months) after the second arthroscopy, postoperative outcomes of seven patients in the failure group were summarized. SPSS 25.0 statistical software was used for statistical analysis. A p value less than 0.05 was considered statistically significant. Results Seven patients in the failure group who underwent the second arthroscopy were followed up for (30 ± 17.4) months and their postoperative outcomes were summarized. Compared with the partial meniscectomy group, the International Knee Documentation Committee scores of patients in the repair group improved significantly ( p = 0.031). Compared with the non-failure group, more patients in the failure group were younger than 24 years ( p = 0.030). The median follow-up period was 39.5 months. All patients recovered well after subsequent partial meniscectomy and relieved clinical symptoms. Visual analog scale scores decreased significantly ( p = 0.026), and the International Knee Documentation Committee and Lysholm scores improved significantly ( p = 0.046 for both). Conclusion The failure rate of meniscus repair in this study was 10.1% (7/69), all of which were medial meniscus tears. However, the surgical outcomes of ACL reconstruction were not affected, and there might be a role for graft protection. Therefore, meniscus retears can be successful treated by performing subsequent partial meniscectomy in patients with repair failure.

Differences in Postoperative Knee Function Based on Concomitant Treatment of Lateral Meniscal Injury in the Setting of Primary ACL Reconstruction

“…While some subjective knee scores may be slower to recover after ACLR with LM repair compared to isolated ACLR,[18] numerous studies have shown the long term bene t of repairing meniscal lesions in the setting of ACLR, resulting in improved quality of life and decreased risk of osteoarthritis development. [29,[32][33][34] Yet, in this study, mean KOOS Symptoms scores were signi cantly lower for the ACLR + LM repair group compared to isolated ACLR and ACLR + LM injury left in situ groups. It is possible that the nature of non-surgically treated LM tears in this study was different compared to surgically treated LM injuries.…”

Model-Based Computational Analysis on the Effectiveness of Enhanced Recovery after Surgery in the Operating Room with Nursing

“…This surgical treatment is commonly known as “operation”. The purpose is to treat or diagnose diseases to improve the body’s function and shape, such as removing diseased tissues ( 1 , 2 ), repairing injuries ( 3 , 4 ), and organ transplantation ( 5 , 6 ). Early surgery is limited to cutting and suturing on the body surface by simple manual methods such as abscess drainage, tumor resection, and trauma suturing.…”

Impact of Meniscus Repair in Conjunction With Anterior Cruciate Ligament Reconstruction on Functional Outcomes at Six Months

“…It has also been well established that meniscectomy during ACLR increases the chances of OA in patients; therefore, menisci preservation through repair has garnered increased interest among surgeons [ 5 ]. There are various techniques to repair menisci that have been studied and described like open and arthroscopic procedures, outside-in sutures, inside-out sutures, and all-inside sutures.…”

“…There have been studies that demonstrate good short- and medium-term results after these suturing procedures with various factors influencing the outcome of menisci repair (MR) and ACLR being one of them [ 6 ]. The success rate of MR was reported between 75% and 92% [ 5 ]. Due to the multitude of factors involved, there have been higher reoperation rates in patients who undergo meniscal repair [ 4 ].…”