دورية أكاديمية
أعرض في EDS

Bucket-Handle Meniscus Tear Management With Meniscectomy Versus Repair Correlates With Patient, Socioeconomic, and Hospital Factors.

التفاصيل البيبلوغرافية
العنوان: Bucket-Handle Meniscus Tear Management With Meniscectomy Versus Repair Correlates With Patient, Socioeconomic, and Hospital Factors.
المؤلفون: Mercier MR; From the Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT (Mercier, Galivanche, Efthymiou, Wilhelm, Grauer, and Gardner), the Division of Orthopaedics, Department of Surgery, University of Toronto, Toronto, Ontario, Canada (Mercier), and the Department of Orthopaedic Surgery, San Francisco School of Medicine, University of California, San Francisco, CA (Galivanche)., Galivanche AR, Efthymiou L, Wilhelm CV, Grauer JN, Gardner EC
المصدر: The Journal of the American Academy of Orthopaedic Surgeons [J Am Acad Orthop Surg] 2023 Jun 01; Vol. 31 (11), pp. 565-573. Date of Electronic Publication: 2022 Nov 09.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Country of Publication: United States NLM ID: 9417468 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1940-5480 (Electronic) Linking ISSN: 1067151X NLM ISO Abbreviation: J Am Acad Orthop Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: 2016- : Philadelphia : Wolters Kluwer
Original Publication: Rosemont, IL : American Academy of Orthopaedic Surgeons, c1993-
مواضيع طبية MeSH: Knee Injuries*/surgery , Tibial Meniscus Injuries*/surgery , Tibial Meniscus Injuries*/complications, Humans ; Meniscectomy ; Menisci, Tibial/surgery ; Hospitals, Teaching ; Socioeconomic Factors ; Arthroscopy/methods ; Retrospective Studies
مستخلص: Introduction: Bucket-handle meniscus tears are common knee injuries that are often treated surgically with meniscectomy or meniscal repair. Although clinical factors may influence the choice of one treatment approach over the other, the influence of patient, socioeconomic, and hospital factors remains poorly characterized. This study aimed to estimate the relative nationwide utilization of these two procedures and delineate a variety of factors that are associated with the selection of one treatment approach over the other.
Methods: Meniscal repair and meniscectomy procedures conducted for isolated bucket-handle meniscus tears in 2016 and 2017 were identified in the Nationwide Ambulatory Surgery Sample database. Cases were weighted using nationally representative discharge weights. Univariate analyses and a multivariable logistic regression model were used to compare patient, socioeconomic, and hospital factors associated with meniscal repair versus meniscectomy.
Results: In total, 12,239 cases were identified, which represented 17,236 cases after weighting. Of these, meniscal repair was conducted for 4,138 (24.0%). Based on the logistic regression model, meniscal repair was less likely for older and sicker patients. By contrast, several factors were associated with markedly higher odds of undergoing meniscal repair compared with meniscectomy. These included urban teaching hospitals; geographic location in the midwest, south, and west; and higher median household income.
Discussion: Using a large nationally representative cohort, the current data revealed that only 24.0% of surgically treated bucket-handle meniscus tears were treated using repair. Identification of patient, socioeconomic, and hospital factors differentially associated with meniscal repair suggest that other factors may systematically influence surgical decision-making for this patient population. Surgeons should be conscious of these potential healthcare disparities when determining the optimal treatment for their patients.
Level of Evidence: Level III.
(Copyright © 2022 by the American Academy of Orthopaedic Surgeons.)
References: Hede A, Jensen DB, Blyme P, Sonne-Holm S, Hede A: Epidemiology of meniscal lesions in the knee. 1, 215 open operations in Copenhagen 1982-84. Acta Orthop Scand 1990;61:435-437.
Morgan CD, Wojtys EM, Casscells CD, Casscells SW: Arthroscopic meniscal repair evaluated by second-look arthroscopy. Am J Sports Med 1991;19:632-637.
Ververidis AN, Verettas DA, Kazakos KJ, Tilkeridis CE, Chatzipapas CN: Meniscal bucket handle tears: A retrospective study of arthroscopy and the relation to MRI. Knee Surg Sports Traumatol Arthrosc 2006;14:343-349.
Metcalf MH, Barrett GR: Prospective evaluation of 1485 meniscal tear patterns in patients with stable knees. Am J Sports Med 2004;32:675-680.
Maffulli N, Longo UG, Campi S, Denaro V: Meniscal tears. Open Access J Sports Med 2010;1:45-54.
Shakespeare DT, Rigby HS: The bucket-handle tear of the meniscus. A clinical and arthrographic study. J Bone Joint Surg Br 1983;65:383-387.
Ciminero ML, Huntley SR, Ghasem AD, Pitcher JD: Self-reduction of displaced bucket-handle medial meniscal tear in a 71-year-old patient: A case report. Geriatr Orthop Surg Rehabil 2015;6:334-337.
Shelbourne KD, Carr DR: Meniscal repair compared with meniscectomy for bucket-handle medial meniscal tears in anterior cruciate ligament-reconstructed knees. Am J Sports Med 2003;31:718-723.
Shelbourne KD, Dersam MD: Comparison of partial meniscectomy versus meniscus repair for bucket-handle lateral meniscus tears in anterior cruciate ligament reconstructed knees. Arthroscopy 2004;20:581-585.
FAIRBANK TJ: Knee joint changes after meniscectomy. J Bone Joint Surg Br 1948;30B:664-670.
Krause WR, Pope MH, Johnson RJ, Wilder DG: Mechanical changes in the knee after meniscectomy. J Bone Joint Surg Am 1976;58:599-604.
Montgomery SR, Zhang A, Ngo SS, Wang JC, Hame SL: Cross-sectional analysis of trends in meniscectomy and meniscus repair. Orthopedics 2013;36:e1007-e1013.
Musahl V, Citak M, O'Loughlin PF, Choi D, Bedi A, Pearle AD: The effect of medial versus lateral meniscectomy on the stability of the anterior cruciate ligament-deficient knee. Am J Sports Med 2010;38:1591-1597.
Xu C, Zhao J: A meta-analysis comparing meniscal repair with meniscectomy in the treatment of meniscal tears: The more meniscus, the better outcome? Knee Surg Sports Traumatol Arthrosc 2015;23:164-170.
Mordecai SC, Al-Hadithy N, Ware HE, Gupte CM: Treatment of meniscal tears: An evidence based approach. World J Orthop 2014;5:233-241.
Schairer WW, Nwachukwu BU, Warren RF, Dines DM, Gulotta LV: Operative fixation for clavicle fractures-socioeconomic differences persist despite overall population increases in utilization. J Orthop Trauma 2017;31:e167-e172.
Zelle BA, Morton-Gonzaba NA, Adcock CF, Lacci JV, Dang KH, Seifi A: Healthcare disparities among orthopedic trauma patients in the USA: Socio-demographic factors influence the management of calcaneus fractures. J Orthop Surg Res 2019;14:359.
Singh JA, Lu X, Rosenthal GE, Ibrahim S, Cram P: Racial disparities in knee and hip total joint arthroplasty: An 18-year analysis of national medicare data. Ann Rheum Dis 2014;73:2107-2115.
Jancuska JM, Hutzler L, Protopsaltis TS, Bendo JA, Bosco J: Utilization of lumbar spinal fusion in New York State: Trends and disparities. Spine (Phila Pa 1976) 2016;41:1508-1514.
Dodwell E, Wright J, Widmann R, Edobor-Osula F, Pan T-J, Lyman S: Socioeconomic factors are associated with trends in treatment of pediatric femoral shaft fractures, and subsequent implant removal in New York State. J Pediatr Orthop 2016;36:459-464.
Day CS, Makhni EC, Mejia E, Lage DE, Rozental TD: Carpal and cubital tunnel syndrome: Who gets surgery? Clin Orthop Relat Res 2010;468:1796-1803.
Healthcare Cost and Utilization Project. Introduction to the HCUP Nationwide Ambulatory Surgery Sample, Rockville, MD: NASS, 2020.
Sharma N, Schwendimann R, Endrich O, Ausserhofer D, Simon M: Comparing charlson and elixhauser comorbidity indices with different weightings to predict in-hospital mortality: An analysis of national inpatient data. BMC Health Serv Res 2021;21:13.
Menendez ME, Neuhaus V, van Dijk CN, Ring D: The elixhauser comorbidity method outperforms the Charlson index in predicting inpatient death after orthopaedic surgery. Clin Orthop Relat Res 2014;472:2878-2886.
Stagg V: ELIXHAUSER: Stata module to calculate Elixhauser index of comorbidity, 2015.
Agency for Healthcare Research and Quality: Introduction to the HCUP Nationwide ambulatory surgery sample, Rockville, MD: NASS, 2020.
Kramer DE, Kalish LA, Martin DJ, et al.: Outcomes after the operative treatment of bucket-handle meniscal tears in children and adolescents. Orthop J Sports Med 2019;7:2325967118820305.
Paxton ES, Stock MV, Brophy RH: Meniscal repair versus partial meniscectomy: A systematic review comparing reoperation rates and clinical outcomes. Arthroscopy 2011;27:1275-1288.
Lutz C, Dalmay F, Ehkirch FP, et al.: Meniscectomy versus meniscal repair: 10 years radiological and clinical results in vertical lesions in stable knee. Orthop Traumatol Surg Res 2015;101:S327-S331.
Makris EA, Hadidi P, Athanasiou KA: The knee meniscus: Structure-function, pathophysiology, current repair techniques, and prospects for regeneration. Biomaterials 2011;32:7411-7431.
Clark CR, Ogden JA: Development of the menisci of the human knee joint. Morphological changes and their potential role in childhood meniscal injury. J Bone Joint Surg Am 1983;65:538-547.
Arnoczky SP, Warren RF: Microvasculature of the human meniscus. Am J Sports Med 1982;10:90-95.
Mintzer CM, Richmond JC, Taylor J: Meniscal repair in the young athlete. Am J Sports Med 1998;26:630-633.
Noyes FR, Barber-Westin SD: Arthroscopic repair of meniscal tears extending into the avascular zone in patients younger than twenty years of age. Am J Sports Med 2002;30:589-600.
Tenuta JJ, Arciero RA: Arthroscopic evaluation of meniscal repairs. Factors that effect healing. Am J Sports Med 1994;22:797-802.
Wukich DK: Diabetes and its negative impact on outcomes in orthopaedic surgery. World J Orthop 2015;6:331-339.
Dubay LC, Lebrun LA: Health, behavior, and health care disparities: Disentangling the effects of income and race in the United States. Int J Health Serv 2012;42:607-625.
Rios-Diaz AJ, Metcalfe D, Singh M, et al.: Inequalities in specialist hand surgeon distribution across the United States. Plast Reconstr Surg 2016;137:1516-1522.
Suchman KI, Behery OA, Mai DH, Anil U, Bosco JA: The demographic and geographic trends of meniscal procedures in New York State: An analysis of 649, 470 patients over 13 years. J Bone Joint Surg Am 2018;100:1581-1588.
Waterman BR, Rensing N, Cameron KL, Owens BD, Pallis M: Survivorship of meniscal allograft transplantation in an athletic patient population. Am J Sports Med 2016;44:1237-1242.
Austin DC, Torchia MT, Lurie JD, Jevsevar DS, Bell JE: Identifying regional characteristics influencing variation in the utilization of rotator cuff repair in the United States. J Shoulder Elbow Surg 2019;28:1568-1577.
Saving J, Ponzer S, Enocson A, Mellstrand Navarro C: Distal radius fractures—regional variation in treatment regimens. PLoS One 2018;13:e0207702.
Lyu HG, Haider AH, Landman AB, Raut CP: The opportunities and shortcomings of using big data and national databases for sarcoma research. Cancer 2019;125:2926-2934.
Garland A, Gershengorn HB, Marrie RA, Reider N, Wilcox ME: A practical, global perspective on using administrative data to conduct intensive care unit research. Ann Am Thorac Soc 2015;12:1373-1386.
تواريخ الأحداث: Date Created: 20230202 Date Completed: 20230522 Latest Revision: 20230714
رمز التحديث: 20231215
DOI: 10.5435/JAAOS-D-21-01052
PMID: 36730692
قاعدة البيانات: MEDLINE
الوصف
تدمد:1940-5480
DOI:10.5435/JAAOS-D-21-01052