A Prospective Study Of The Clinical Outcome Of Arthroscopic Meniscus Repairs Done By Various Modalities
European Journal of Molecular & Clinical Medicine,
2023, Volume 10, Issue 4, Pages 812-818
AbstractThe meniscus plays an essential role in the knee as a load-transmitter and shock absorber. Healthy meniscus is usually injured by a combination of compression and rotation of the tibiofemoral joint. Arthroscopic meniscal repair has gained popularity because of the shortened surgery time, a smaller incision, and better access to the tear portion, which is particularly difficult during open surgery. Four types of arthroscopic repair techniques: inside-out techniques, outside-in techniques, all-inside techniques, and hybrid techniques that combine multiple techniques. We are discussing the outcome of meniscal repairs on follow-up at 12 months in comparison with preoperative status.
Materials and methods: Between 2019 and 2021, this prospective study evaluated patients with meniscal tears who underwent arthroscopic meniscal repair and studied their outcomes postoperatively. The study included three types of meniscal repair: outside in, all inside, and hybrid techniques, including both outside in and All inside. Patients were assessed on the 3rd, 6th, and 12th month based on the International Knee Documentation Committee (IKDC) rating, Lysholm score, and Tegner activity levels.
Results: IKDC was preoperatively (50.14±13.17), postoperatively at 3 months (74.56±5.06), at 6 months (85.67±3.62) and 1 year (88.23±2.69)( with P-value (0.001). Tegner Lysholm score was preoperatively (58.23±12.28), postoperatively at 3 months (84.41±7.45) at 6 months (90.34± 5.24) and 1 year (94.32±2.86) (with P-value (0.001). There were no postoperative complications at 3,6, and 12 months’ follow-up.
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