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Reoperation Rates Following Meniscus Transplantation Using the Truven Database
Kyle R Sochacki1, Kunal Varshneya2, Marc R Safran2
1Department of Orthopaedic Surgery, Stanford University Medical Center, Palo Alto, California, U.S.A..
Purpose:
The purpose of this study was to determine the (1) reoperation rate and (2) 30-day complication rate in a large insurance database.
Methods:
The Truven Database was queried for subjects that underwent meniscus allograft transplantation (Current Procedural Terminology code 29868) in the outpatient setting with minimal 2-year follow-up. Patients without confirmed laterality and patients that underwent concomitant ligament reconstruction were excluded. Reoperation was defined by ipsilateral knee procedure after the index surgery. The 30-day postoperative complication rates were assessed using International Classification of Diseases, 9th Revision, Clinical Modification codes.
Results:
A total of 284 patients (mean age of 26.2 ± 10.4 years; 49.6% females) were included in this study with mean follow up of 43.2 ± 19.2 months. One hundred and sixty-seven subjects (58.8%) undergoing meniscus allograft transplantation underwent reoperation at an average of 11.9 ± 12.2 months postoperatively. There was a low number of subjects that required ipsilateral unicompartmental knee arthroplasty and total knee arthroplasty postoperatively (0.7% and 1.1%, respectively). The overall 30-day complication rate following meniscus allograft transplantation was 1.4%.
Conclusions:
Patients undergoing meniscus allograft transplantation have a 58.8% reoperation rate at final follow up with low (1.4%) 30-day complication rates in a large insurance database.
Level Of Evidence:
Level IV, case series.
