Mid-term evaluation of clinical and functional outcomes after arthroscopic medial longitudinal and bucket-handle meniscus repair
Raşit Özcafer1
, Ferdi Dırvar2, Abdülhamit Mısır3, Yaşar Maksut Dinçel4, Mehmet Özbey Büyükkuşçu5, Ümit Selçuk Aykut1
1Department of Orthopedics and Traumatology, Vital Hospital, Istanbul, Turkey
2Department of Orthopedics and Traumatology, Health Science University Metin Sabancı Baltalimani Bone Diseases Training and Research Hospital, Istanbul,Turkey
3Department of Orthopedics and Traumatology, Istanbul Başakşehir Çam ve Sakura City Training and Research Hospital, Istanbul, Turkey
4Department of Orthopedics and Traumatology, Namık Kemal University, Faculty of Medicine, Tekirdağ, Turkey
5Department of Orthopedics and Traumatology, Gaziosmanpaşa Training and Research Hospital, Istanbul, Turkey
Keywords: Anterior cruciate ligament, International Knee Documentation Committee, Lysholm Knee Score, meniscal repair, meniscal tear, meniscus
Abstract
Objectives: The aim of this study was to evaluate clinical and functional outcomes following the arthroscopic medial meniscal repair.
Patients and methods: A total of 50 patients (42 males, 8 females; mean age: 32.9±7.6 years; range, 17 to 48 years) who underwent arthroscopic repair for longitudinal and bucket-handle medial meniscal tears between March 2005 and October 2011 were retrospectively evaluated. The patients were divided into two groups as those having a longitudinal tear (patient group, n=31) and having a bucket-handle tear (control group, n=19). Preoperative and final follow-up functional outcomes were evaluated using the Lysholm Knee Score (LKS), International Knee Documentation Committee (IKDC) score, Tegner Activity Scale (TAS) score, and Knee Injury and Osteoarthritis Outcome Score (KOOS).
Results: The mean follow-up was 61.7±22.8 (range, 36 to 110) months. The mean preoperative LKS, IKDC score, TAS, and KOOS scores were significantly improved at the final postoperative follow-up (p<0.05). There was no significant difference in functional outcome scores between longitudinal and bucket-handle repairs (p>0.05), and isolated repairs and concomitant meniscal repair and anterior cruciate ligament reconstruction (p>0.05).
Conclusion: Arthroscopic meniscal repair provides similar mid-term functional and clinical outcomes for longitudinal and bucket-handle medial meniscal tears. Concomitant meniscal repair does not seem to affect meniscal healing.
Citation: Özcafer R, Dırvar F, Mısır A, Dinçel YM, Büyükkuşçu MÖ, Aykut ÜS. Mid-term evaluation of clinical and functional outcomes after arthroscopic medial longitudinal and bucket- handle meniscus repair. Jt Dis Relat Surg 2021;32(2):363-370.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors received no financial support for the research and/or authorship of this article.