Yıl: 2020 Cilt: 27 Sayı: 5 Sayfa Aralığı: 1374 - 1379 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2019.12.873 İndeks Tarihi: 08-10-2020

Evaluation of clinical results after arthroscopic meniscus repair and partial meniscectomy

Öz:
Aim: The aim of our study was to evaluate the clinical results of arthroscopic repair and partial meniscectomy in the patients whohad with meniscal tear.Material and Method: A total of 113 patients who were admitted to our clinic for meniscal tear between 2009 and 2017 were includedin our study. Sixty one patients who underwent arthroscopic meniscal repair and 52 underwent partial meniscectomy. All insidemeniscal repair technique was used for all meniscal repairs. Clinical assessments included physical examination findings, Lysholmscore, the IKDC score and visual analog score(VAS). Barret criteria were used for the clinical assessment of healing status.Results: The patients who underwent meniscal repair, 54 (88.5%) were male 7 (11.5%) were female. The mean age was 32 (19- 45)years. Our mean follow-up period was 47 (range; 24-109) months. Number of patients underwent only meniscal repair was 29 andconcurrent anterior cruciate ligament reconstruction was 32. According to the Barret’s criteria’s patients had 18% surgical failure.The patients who underwent partial meniscectomy33 were male 19 were female. Our mean follow-up period was 29.5 (range; 24-101) months. Eight patients (15.4%) had surgical failure. IKDC, Lysholm and VAS scores were statistically significantly improvedpostoperatively both in repair and partial meniscectomy groupConclusion: Meniscus repair should be performed whenever possible independent from age of patient. When repair is not possible,partial meniscectomy also have good results at least in short term follow-up.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Matteo B D, Tarabella V, Filardo G, at al. The first meniscus repair. Knee Surg Sports Travmatol Arthrosc 2013; 21:1936-6
  • 2. Scotti C, Hirschman M T, Antinofi P, at al. Meniscus repair and regeneration: Rewiew on current methods and research potential. European Cells and Materials 2013;26:150-70.
  • 3. Metcalf RW, Burks RT, Metcalf MS, McGinty JB. Arthroscopic meniscectomy, in McGinty JB, Caspari RB, Jackson RW, Poehling GG editors: Operative Arthroscopy, ed 2. Philadelphia, PA: Lippincott-Raven, 1996, p 263-297.
  • 4. Bonneux I, Vandekerckhove B. Arthroscopic partial lateral meniscectomy long-term results in athletes. ActaOrthop Belg 2002;68:356-61.
  • 5. Lozano J, Ma CB, Cannon WD. All inside meniscus repair. ClinOrthop Realat Res 2006; 455:134-41.
  • 6. Collins NJ, Misra D, Felson DT, at al. Measures of knee function: International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS), Knee Outcome Survey Activities of Daily Living Scale (KOSADL), Lysholm Knee Scoring Scale, Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Activity Rating Scale (ARS), and Tegner Activity Score (TAS). Arthritis Care Res. 2011;63):208-28.
  • 7. Celik D, Coskunsu D, Kılısoğlu OI. Lysholm and IKDC knee score translation into Turkish, cultural adaptation, validity and reliability. XI. Turkish Sports Injuries, Arthroscopy and Knee Surgery Congress, Ankara, 3-6 October 2012.
  • 8. Lysholm J and Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Am J S Med 1982;10:150-4.
  • 9. Papilla R, Del Buono A, Osti L, at al. Menisectomy as a risk factor for knee osteoarthtitis: a systematic review, Br Med Bull 2011; 99:89-106.
  • 10. Andersson Molina H, Karlsson H, Rockborn P. Artroscopic partial and total menisectomy: A longterm follow- up study with matched controls, Arthroscopy 2002;18:183-9.
  • 11. Petty CA Lubowitz JH. Does arthroscopic partial menisectomy always cause artritis? Sports Med Arthosc 2012;20:58-61
  • 12. Paxton ES, Stock MV, Brophy RH. Meniscal repair versus partial menisectomy: a systematic review comparing reoperation rates and clinical outcomes. Arthroscopy 2011; 27:1275-88.
  • 13. Barrett GR, Field MH, Treacy SH, Ruff CG. Clinical results of meniscus repair in patients 40 years old older. Arthroscopy 1998;14:824-9.
  • 14. Miao Y, Yu JK, Ao YF, at al. Diagnostic values of 3 methods for evaluating meniscal healing status after meniscal repair: comparison among secondlook arthroscopy, clinical assessment, and magnetic resonance imaging. Am J Sports Med 2011;39:735- 42.
  • 15. Eggli S, Wegmüller H, Kosina J, at al. Long term results of arthroscopic meniscal repair. Am J Sport Med 1995;23:715-20.
  • 16. Henning CE, Lynch MA, Yearout KM, at al. Arthroscopic meniscal repair using in xogenous fibrin clot. ClinOrthop 1990; 252:64-72.
  • 17. Scott GA, Jolly BL, Henning CE. Combined posterior incision and arthroscopic intra-articular repair of the meniscus. An examination of factors affecting healing. J Bone Joint Surg Am. 1986;68:847-61.
  • 18. Maffulli N, Longo UG, Campi S, Denaro V2. Meniscal tears. Open Access J Sports Med 2010;1:45–54.
  • 19. Alexander Zimmerer, Christian Sobau, Rainer Nietschke, at al. Long-term outcome after all inside meniscal repair using the FasT-Fixsystem. J Orthop 2018;15:602–5.
  • 20. Lee GP, Diduch DR. Deteriorating outcomes after meniscal repair using the Meniscus Arrow in knees undergoing concurrent anterior cruciate ligament reconstruction: increased failure rate with long-term follow-up. Am J Sports Med 2005;33:1138-41.
  • 21. Aslantürk O, Ergen E, Yılmaz O, at al. Clinical results of anterior cruciate ligament reconstruction with bonepatellartendon-bone autograft: A prospective study. Ann Med Res 2018;25:218-2.1
  • 22. Cannon WD Jr. Arthroscopic meniscal repair. Inside-out technique and results. Am J Knee Surg 1996;3:137-43.
  • 23. Paulos LE. Meniscus: Structure, function, injury, repair. Arthroscopy Association of North America, 1997 Speciality Day Meeting San Francisco USA. 1997:164- 9.
  • 24. Morgan CD, Wojtys EM, Casscells CD, Casscells SW. Arthroscopic meniscal repair evaluated by secod look arhroscopy. Am J Sports Med 1991;19:632-8.
  • 25. Laurendon L, Neri T, Farizon F, Philippot R. Prognostic factors for all-inside meniscal repair: A 87-case series. Orthop Traumatol Surg Res 2017;103:1017–20.
  • 26. Scott GA, Jolly BL, Henning CE. Combined posterior incision and arthroscopic intra-articular repair of the meniscus. An examination of factors affecting healing. J Bone Joint Surg Am 1986;68:847-61.
  • 27. De Haven KE, Arnoczky SP. Meniscus repair: Basic science, indications for repair, and open repair. In: Schafer M edition. Instructional Course Lectures, 1994;43: 65-76.
  • 28. 28. Warren RF. Meniscectomy and repair in the anterior cruciate ligament-deficient patient. ClinOrthopRelat Res. 1990 ;252:55-63.
  • 29. Erdal Uzun ,Abdulhamit Misir, Turan Bilge Kizkapan ,at al. Arthroscopic medial meniscal repair with or without concurrent anterior cruciate ligament reconstruction: A subgroup analysis. The Knee 2018;25:109–17.
  • 30. Jeffrey J. Nepple, Warren R Dunn, Rick W. Wright. meniscal repair outcomes at greater than five years. a systematic literature review and meta-analysis. J Bone Joint Surg Am 2012;94:2222-7.
APA Canbay A, SEVİMLİ R, görmeli g, Oklu Y, Ozdemir E (2020). Evaluation of clinical results after arthroscopic meniscus repair and partial meniscectomy. , 1374 - 1379. 10.5455/annalsmedres.2019.12.873
Chicago Canbay Ali,SEVİMLİ REŞİT,görmeli gökay,Oklu Yunus,Ozdemir Ekrem Evaluation of clinical results after arthroscopic meniscus repair and partial meniscectomy. (2020): 1374 - 1379. 10.5455/annalsmedres.2019.12.873
MLA Canbay Ali,SEVİMLİ REŞİT,görmeli gökay,Oklu Yunus,Ozdemir Ekrem Evaluation of clinical results after arthroscopic meniscus repair and partial meniscectomy. , 2020, ss.1374 - 1379. 10.5455/annalsmedres.2019.12.873
AMA Canbay A,SEVİMLİ R,görmeli g,Oklu Y,Ozdemir E Evaluation of clinical results after arthroscopic meniscus repair and partial meniscectomy. . 2020; 1374 - 1379. 10.5455/annalsmedres.2019.12.873
Vancouver Canbay A,SEVİMLİ R,görmeli g,Oklu Y,Ozdemir E Evaluation of clinical results after arthroscopic meniscus repair and partial meniscectomy. . 2020; 1374 - 1379. 10.5455/annalsmedres.2019.12.873
IEEE Canbay A,SEVİMLİ R,görmeli g,Oklu Y,Ozdemir E "Evaluation of clinical results after arthroscopic meniscus repair and partial meniscectomy." , ss.1374 - 1379, 2020. 10.5455/annalsmedres.2019.12.873
ISNAD Canbay, Ali vd. "Evaluation of clinical results after arthroscopic meniscus repair and partial meniscectomy". (2020), 1374-1379. https://doi.org/10.5455/annalsmedres.2019.12.873
APA Canbay A, SEVİMLİ R, görmeli g, Oklu Y, Ozdemir E (2020). Evaluation of clinical results after arthroscopic meniscus repair and partial meniscectomy. Annals of Medical Research, 27(5), 1374 - 1379. 10.5455/annalsmedres.2019.12.873
Chicago Canbay Ali,SEVİMLİ REŞİT,görmeli gökay,Oklu Yunus,Ozdemir Ekrem Evaluation of clinical results after arthroscopic meniscus repair and partial meniscectomy. Annals of Medical Research 27, no.5 (2020): 1374 - 1379. 10.5455/annalsmedres.2019.12.873
MLA Canbay Ali,SEVİMLİ REŞİT,görmeli gökay,Oklu Yunus,Ozdemir Ekrem Evaluation of clinical results after arthroscopic meniscus repair and partial meniscectomy. Annals of Medical Research, vol.27, no.5, 2020, ss.1374 - 1379. 10.5455/annalsmedres.2019.12.873
AMA Canbay A,SEVİMLİ R,görmeli g,Oklu Y,Ozdemir E Evaluation of clinical results after arthroscopic meniscus repair and partial meniscectomy. Annals of Medical Research. 2020; 27(5): 1374 - 1379. 10.5455/annalsmedres.2019.12.873
Vancouver Canbay A,SEVİMLİ R,görmeli g,Oklu Y,Ozdemir E Evaluation of clinical results after arthroscopic meniscus repair and partial meniscectomy. Annals of Medical Research. 2020; 27(5): 1374 - 1379. 10.5455/annalsmedres.2019.12.873
IEEE Canbay A,SEVİMLİ R,görmeli g,Oklu Y,Ozdemir E "Evaluation of clinical results after arthroscopic meniscus repair and partial meniscectomy." Annals of Medical Research, 27, ss.1374 - 1379, 2020. 10.5455/annalsmedres.2019.12.873
ISNAD Canbay, Ali vd. "Evaluation of clinical results after arthroscopic meniscus repair and partial meniscectomy". Annals of Medical Research 27/5 (2020), 1374-1379. https://doi.org/10.5455/annalsmedres.2019.12.873