Format

Send to

Choose Destination
Am J Sports Med. 2009 Jun;37(6):1131-4. doi: 10.1177/0363546508330138. Epub 2009 Mar 11.

Meniscal repair in the elite athlete: results of 45 repairs with a minimum 5-year follow-up.

Author information

1
Brisbane Orthopaedic and Sports Medicine Centre, Brisbane Private Hospital, 259 Wickham Terrace, Brisbane, Queensland 4000, Australia. mlogan100@hotmail.com

Abstract

BACKGROUND:

The preservation of meniscal tissue is important to protect joint surfaces.

PURPOSE:

We have an aggressive approach to meniscal repair, including repairing tears other than those classically suited to repair. Here we present the medium- to long-term outcome of meniscal repair (inside-out) in elite athletes.

STUDY DESIGN:

Case series; Level of evidence, 4.

METHODS:

Forty-two elite athletes underwent 45 meniscal repairs. All repairs were performed using an arthroscopically assisted inside-out technique. Eighty-three percent of these athletes had ACL reconstruction at the same time. Patients returned a completed questionnaire (including Lysholm and International Knee Documentation Committee [IKDC] scores). Mean follow-up was 8.5 years. Failure was defined by patients developing symptoms of joint line pain and/or locking or swelling requiring repeat arthroscopy and partial meniscectomy.

RESULTS:

The average Lysholm and subjective IKDC scores were 89.6 and 85.4, respectively. Eighty-one percent of patients returned to their main sport and most to a similar level at a mean time of 10.4 months after repair, reflecting the high level of ACL reconstruction in this group. We identified 11 definite failures, 10 medial and 1 lateral meniscus, that required excision; this represents a 24% failure rate. We identified 1 further patient who had possible failed repairs, giving a worst-case failure rate of 26.7% at a mean of 42 months after surgery. However, 7 of these failures were associated with a further injury. Therefore, the atraumatic failure rate was 11%. Age and size and location of the tears were not associated with a higher failure rate. Medial meniscal repairs were significantly more likely to fail than lateral meniscal repairs, with a failure rate of 36.4% and 5.6%, respectively (P < .05).

CONCLUSION:

Meniscal repair and healing are possible, and most elite athletes can return to their preinjury level of activity.

PMID:
19279222
DOI:
10.1177/0363546508330138
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Atypon
Loading ...
Support Center