دورية أكاديمية
Clinical and Radiologic Outcomes after Meniscal Root Repair: A Case Series.
| العنوان: | Clinical and Radiologic Outcomes after Meniscal Root Repair: A Case Series. |
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| المؤلفون: | Young BL; Department of Orthopaedic Surgery, Atrium Health, Charlotte, North Carolina., Ruder JA; Department of Orthopaedic Surgery, Atrium Health, Charlotte, North Carolina., Scarola GT; Department of Orthopedic Surgery Research, OrthoCarolina Research Institute, Charlotte, North Carolina., Hong IS; Department of Sports Medicine, OrthoCarolina Sports Medicine Center, Charlotte, North Carolina.; Atrium Health, Musculoskeletal Institute, Charlotte, North Carolina., Meade JD; Department of Sports Medicine, OrthoCarolina Sports Medicine Center, Charlotte, North Carolina.; Atrium Health, Musculoskeletal Institute, Charlotte, North Carolina., Piasecki DP; Department of Sports Medicine, OrthoCarolina Sports Medicine Center, Charlotte, North Carolina.; Atrium Health, Musculoskeletal Institute, Charlotte, North Carolina., Saltzman BM; Department of Sports Medicine, OrthoCarolina Sports Medicine Center, Charlotte, North Carolina.; Atrium Health, Musculoskeletal Institute, Charlotte, North Carolina., Fleischli JE; Department of Sports Medicine, OrthoCarolina Sports Medicine Center, Charlotte, North Carolina.; Atrium Health, Musculoskeletal Institute, Charlotte, North Carolina. |
| المصدر: | The journal of knee surgery [J Knee Surg] 2023 Jul; Vol. 36 (9), pp. 971-976. Date of Electronic Publication: 2022 Jul 28. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Thieme Medical Country of Publication: Germany NLM ID: 101137599 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1938-2480 (Electronic) Linking ISSN: 15388506 NLM ISO Abbreviation: J Knee Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2010- : Stuttgart : Thieme Medical Original Publication: Thorofare, N.J. : Slack, c2002- |
| مواضيع طبية MeSH: | Anterior Cruciate Ligament Injuries*/surgery , Knee Injuries*/diagnostic imaging , Knee Injuries*/surgery , Cartilage Diseases*, Humans ; Male ; Adult ; Female ; Retrospective Studies ; Prospective Studies |
| مستخلص: | This study aimed to describe the demographics, clinical outcomes, and radiologic outcomes of patients who underwent meniscal root repair at a single, large academic institution. Patients who underwent meniscal root repair between January 2011 and April 2015 were identified. Patient demographics, injury characteristics, and intraoperative findings of medial femoral condyle chondromalacia and other concomitant pathology were retrospectively recorded. Enrolled patients returned to clinic for prospectively collected International Knee Documentation Committee (IKDC) subjective and objective forms, knee radiographs, and magnetic resonance imaging (MRI). A total of 25 root injuries (23 patients) were included in the final analysis. Majority of root injuries were medial menisci (68%) and repaired using transosseous pull-out technique (80%). Most patients (65%) were male, relatively young (median age = 37 years), overweight (median body mass index [BMI] = 26 kg/m 2 ), and reported a traumatic event associated with their injury (60%). Also, 36% (9/25) of root repairs were performed concomitantly with an anterior cruciate ligament (ACL) reconstruction; 100% (8/8) lateral meniscal root injuries were associated with a concomitant ACL injury compared with 6% (1/17) of medial root injuries. Overall, 53% (9/17) of medial meniscal root repairs were performed in the setting of high-grade (Outerbridge's grade III/IV) chondral pathology of the ipsilateral femoral condyle. Median follow-up was 16 months. The Kellgren-Lawrence radiographic scale progressed in two knees that underwent meniscal root repair based on comparison of preoperative to follow-up radiographs. MRI showed 88% (22/25) of meniscal roots had completely healed, 6% (1/17) of the medial root repairs showed evidence of extrusion, and 44% (11/25) of repairs were associated with progressive chondromalacia. All patients had normal or near normal IKDC objective scores at time of follow-up. Surgeons should have a high suspicion for concomitant ACL injuries in the setting of lateral meniscal root tears, and be wary of concomitant high-grade chondral damage in the setting of medial meniscal root tears. Most meniscal root repairs appeared completely healed with low rates of medial meniscal extrusion on MRI at short-term follow-up, despite a high rate of chondromalacia progression. Present study is a large case series with prospective follow-up and reflects level of evidence IV. Competing Interests: J.E.F. received research support from Arthrex, Inc. and Smith & Nephew; however, received no reimbursements, fees, funding, or salary in relation to this study and manuscript.The rest authors declare no conflict of interest. (Thieme. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20220728 Date Completed: 20230626 Latest Revision: 20230626 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1055/s-0042-1755421 |
| PMID: | 35901800 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1938-2480 |
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| DOI: | 10.1055/s-0042-1755421 |