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Improved Outcomes After Reinforced Radial Meniscus Repair Augmented With Bone Marrow Aspirate Concentrate
Patrick A Massey1, Gabriel Sampognaro1, Ellie Starnes2
1Department of Orthopaedic Surgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA.
The reinforced suture bar (rebar) technique with bone marrow aspirate concentrate effectively treats radial meniscus tears, significantly improving knee function and reducing pain. Patients returned to high activity levels, with 100% showing clinically important improvement.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Regenerative Medicine
Background:
- Radial meniscus tears often lead to pain and functional deficits.
- Surgical repair aims to restore meniscus integrity and knee function.
- Advanced techniques and biologics are explored to enhance healing and outcomes.
Purpose of the Study:
- To evaluate the clinical outcomes of surgical repair for radial meniscus tears using the reinforced suture bar (rebar) technique.
- To assess the efficacy of bone marrow aspirate concentrate augmentation in meniscus repair.
- To analyze improvements in pain, function, and return to activity post-rebar repair.
Main Methods:
- Retrospective study of patients undergoing rebar repair for radial meniscus tears.
- Minimum 12-month follow-up with collection of Lysholm, IKDC Subjective Knee Form, and Tegner scale scores.
- Analysis of pain scores, functional outcomes, and return to preinjury activity levels.
Main Results:
- Significant improvements in pain scores (P < .001) and IKDC scores (P = .021) at 1 year.
- Lysholm scores also showed significant improvement (P = .025).
- 100% of patients exceeded the minimal clinically important difference (MCID), and 88% achieved the patient acceptable symptomatic state.
Conclusions:
- The rebar technique augmented with bone marrow aspirate concentrate demonstrates favorable outcomes for radial meniscus tears.
- The procedure effectively reduces pain and enhances knee function.
- Patients successfully return to high preinjury activity levels within one year post-surgery.
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