دورية أكاديمية
More Is Not Merrier: Increasing Numbers of All-Inside Implants Do Not Correlate with Higher Odds of Revision Surgery.
| العنوان: | More Is Not Merrier: Increasing Numbers of All-Inside Implants Do Not Correlate with Higher Odds of Revision Surgery. |
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| المؤلفون: | Oosten JD; The Ohio State University College of Medicine, Wexner Medical Center, Columbus, Ohio., DiBartola AC; Department of Orthopaedics, The Ohio State University, Wexner Medical Center, Columbus, Ohio., Wright JC; The Ohio State University College of Medicine, Wexner Medical Center, Columbus, Ohio., Cavendish PA; Department of Orthopaedics, The Ohio State University, Wexner Medical Center, Columbus, Ohio., Milliron EM; Department of Orthopaedics, The Ohio State University, Wexner Medical Center, Columbus, Ohio., Magnussen RA; Department of Orthopaedics, The Ohio State University, Wexner Medical Center, Columbus, Ohio., Duerr RA; Department of Orthopaedics, The Ohio State University, Wexner Medical Center, Columbus, Ohio., Kaeding CC; Department of Orthopaedics, The Ohio State University, Wexner Medical Center, Columbus, Ohio., Flanigan DC; Department of Orthopaedics, The Ohio State University, Wexner Medical Center, Columbus, Ohio. |
| المصدر: | The journal of knee surgery [J Knee Surg] 2024 Apr; Vol. 37 (5), pp. 361-367. Date of Electronic Publication: 2023 Jun 19. |
| 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, Humans ; Reoperation ; Retrospective Studies ; Knee Joint ; Anterior Cruciate Ligament/surgery ; Menisci, Tibial/surgery ; Rupture/surgery |
| مستخلص: | The purpose of this study was to evaluate the relationship between the number of all-inside meniscal repair implants placed and the risk of repair failure. We hypothesized that the use of higher numbers of all-inside meniscus repair implants would be associated with increased failure risk. A retrospective chart review identified 351 patients who underwent all-inside meniscus repair between 2006 and 2013 by a sports medicine fellowship-trained orthopaedic surgeon at a single institution. Patient demographics (age, body mass index [BMI], sex) and surgical data (number of implants used, concomitant anterior cruciate ligament reconstruction [cACLR], and tear type/size/location) were recorded. Patients who received repairs in both menisci or who had follow-up < 1-year postoperatively were excluded. Repair failure was identified through chart review or patient interviews defined as a revision surgery on the index knee such as partial meniscectomy, total knee arthroplasty, meniscus transplant, or repeat repair. Logistic regression modeling was utilized to evaluate the relationship between the number of implants used and repair failure. A total of 227 all-inside meniscus repairs were included with a mean follow-up of 5.0 ± 3.0 years following surgery. Repair failure was noted in 68 knees (30.3%)-in 28.1% of knees with fewer than four implants and in 35.8% of knees with four or more implants ( p = 0.31). No significant increase in failure was observed with increasing number of all-inside medial (odds ratio [OR]: 1.15; 95% confidence interval [CI]: 0.79-1.7; p = 0.46) or lateral (OR: 0.86; 95% CI: 0.47-1.57; p = 0.63) implants after controlling for patient age, BMI, cACLR, tear type, or size. Tears of the lateral meniscus located in the red-white and white-white zones had lower odds of failure (OR: 0.14; 95% CI: 0.02-0.88; p = 0.036) than tears within the red-red zone, and patients with cACLR had lower odds of repair failure (OR: 0.40; 95% CI: 0.18-0.86, p = 0.024) than those without. The number of all-inside implants placed during meniscus tear repair did not affect the likelihood of repair failure leading to reoperation after controlling for BMI, age, tear type, size, location, and cACLR. LEVEL OF EVIDENCE: III. Competing Interests: None declared. (Thieme. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20230619 Date Completed: 20240314 Latest Revision: 20240314 |
| رمز التحديث: | 20240314 |
| DOI: | 10.1055/a-2112-8158 |
| PMID: | 37336501 |
| قاعدة البيانات: | MEDLINE |
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