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[Intermediate term results after arthroscopic meniscus suture]

A Villiger1, M Mayer

  • 1Chirurgische Abteilung, Bezirksspital, Zofingen.

Swiss Surgery = Schweizer Chirurgie = Chirurgie Suisse = Chirurgia Svizzera
|January 1, 1997
PubMed
Summary

Arthroscopic meniscal repair offers better knee function and osteoarthrosis outcomes than partial meniscectomy, especially for younger patients. Proper rehabilitation and addressing ligament instability are crucial for successful outcomes.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Knee Arthroscopy

Background:

  • Arthroscopic meniscal repair involves surgically mending a torn meniscus using minimally invasive techniques.
  • Arthroscopic meniscectomy involves surgically removing the damaged portion of the meniscus.
  • The study compares the long-term outcomes of arthroscopic meniscal repair versus meniscectomy.

Purpose of the Study:

  • To evaluate if arthroscopic meniscal repair's outcomes justify its higher cost and longer rehabilitation compared to arthroscopic meniscectomy.
  • To assess functional recovery and patient satisfaction after arthroscopic meniscal repair.

Main Methods:

  • Arthroscopic meniscal repair using an inside-out technique was performed by a single surgeon on 35 patients.
  • Standardized rehabilitation protocols were followed.

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  • Patients were evaluated at a mean follow-up of 43 months, including those with and without concurrent anterior cruciate ligament (ACL) reconstruction.

    • Main Results:

    • A rerupture rate of 14.8% was observed, with higher incidence in isolated meniscal repairs compared to those with ACL reconstruction.
    • Functional outcomes (Lysholm score, knee mobility) and subjective results were good in patients without reruptures.
    • Return-to-work and return-to-sport timelines were significantly longer for patients undergoing concurrent ACL reconstruction.

    Conclusions:

    • Arthroscopic meniscal repair demonstrates superior knee function and potentially better long-term osteoarthrosis outcomes compared to partial meniscectomy.
    • Meniscal repair should be prioritized, particularly in younger individuals, with attention to adequate suturing and concurrent ligamentous instability repair.
    • A comprehensive rehabilitation program is vital for optimal patient recovery and outcomes.