Save the meniscus – Clinical outcomes of meniscectomy versus meniscal repair
Purpose: This study was designed to compare the clinical outcomes of meniscectomy versus repair and to study the effects of (1) duration of follow-up and (2) concomitant anterior cruciate ligament (ACL) reconstruction on clinical outcomes. Methods: A retrospective study was conducted, involving 112...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2019-05-01
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| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/2309499019849813 |
| _version_ | 1811333896041660416 |
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| author | Wen Qiang Lee Jonathan Zhi-Wei Gan Denny Tjiauw Tjoen Lie |
| author_facet | Wen Qiang Lee Jonathan Zhi-Wei Gan Denny Tjiauw Tjoen Lie |
| author_sort | Wen Qiang Lee |
| collection | DOAJ |
| description | Purpose: This study was designed to compare the clinical outcomes of meniscectomy versus repair and to study the effects of (1) duration of follow-up and (2) concomitant anterior cruciate ligament (ACL) reconstruction on clinical outcomes. Methods: A retrospective study was conducted, involving 112 knees of 106 patients who underwent meniscus surgery, either partial meniscectomy or meniscal repair between 2008 and 2016. There were 42 meniscectomies and 70 meniscal repairs. Patients were graded pre- and post-operatively using the International Knee Documentation Committee (IKDC) score and Tegner Activity Level Scale through case notes review. Statistical analysis was done using the paired Student’s t -test (two-tailed) or Wilcoxon signed-rank test for paired scores. The two-sample Student’s t -test (two-tailed) or Mann–Whitney U test was used for independent scores. Multiple variable linear regression analysis was used to assess the importance of the variables on outcomes. A statistical significance is taken as p < 0.05. Results: Meniscectomy and repair had good outcomes. IKDC scores improved from 46.6 to 81.7 after meniscectomy and from 45.9 to 84.4 after repair ( p < 0.001). Meniscectomy fared worse in late follow-up (>18 months), decreasing from 88.2 in early follow-up (≤18 months) to 72.1 ( p < 0.05). The post-operative scores in meniscal repair were maintained in the late follow-up group (82.9 compared to 87.1, p > 0.05). Concomitant ACL reconstruction improved the outcomes of meniscectomy (IKDC and Tegner: p < 0.05) and repair (IKDC and Tegner: p < 0.05). Conclusion: Both meniscectomy and meniscal repair are viable surgical techniques for meniscal injury and have good outcomes. Meniscal repair has a better prognosis in the long run. |
| first_indexed | 2024-04-13T16:59:42Z |
| format | Article |
| id | doaj.art-94ec31c23bb74f31b44230c11c99fe12 |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-04-13T16:59:42Z |
| publishDate | 2019-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-94ec31c23bb74f31b44230c11c99fe122022-12-22T02:38:42ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902019-05-012710.1177/2309499019849813Save the meniscus – Clinical outcomes of meniscectomy versus meniscal repairWen Qiang LeeJonathan Zhi-Wei GanDenny Tjiauw Tjoen LiePurpose: This study was designed to compare the clinical outcomes of meniscectomy versus repair and to study the effects of (1) duration of follow-up and (2) concomitant anterior cruciate ligament (ACL) reconstruction on clinical outcomes. Methods: A retrospective study was conducted, involving 112 knees of 106 patients who underwent meniscus surgery, either partial meniscectomy or meniscal repair between 2008 and 2016. There were 42 meniscectomies and 70 meniscal repairs. Patients were graded pre- and post-operatively using the International Knee Documentation Committee (IKDC) score and Tegner Activity Level Scale through case notes review. Statistical analysis was done using the paired Student’s t -test (two-tailed) or Wilcoxon signed-rank test for paired scores. The two-sample Student’s t -test (two-tailed) or Mann–Whitney U test was used for independent scores. Multiple variable linear regression analysis was used to assess the importance of the variables on outcomes. A statistical significance is taken as p < 0.05. Results: Meniscectomy and repair had good outcomes. IKDC scores improved from 46.6 to 81.7 after meniscectomy and from 45.9 to 84.4 after repair ( p < 0.001). Meniscectomy fared worse in late follow-up (>18 months), decreasing from 88.2 in early follow-up (≤18 months) to 72.1 ( p < 0.05). The post-operative scores in meniscal repair were maintained in the late follow-up group (82.9 compared to 87.1, p > 0.05). Concomitant ACL reconstruction improved the outcomes of meniscectomy (IKDC and Tegner: p < 0.05) and repair (IKDC and Tegner: p < 0.05). Conclusion: Both meniscectomy and meniscal repair are viable surgical techniques for meniscal injury and have good outcomes. Meniscal repair has a better prognosis in the long run.https://doi.org/10.1177/2309499019849813 |
| spellingShingle | Wen Qiang Lee Jonathan Zhi-Wei Gan Denny Tjiauw Tjoen Lie Save the meniscus – Clinical outcomes of meniscectomy versus meniscal repair Journal of Orthopaedic Surgery |
| title | Save the meniscus – Clinical outcomes of meniscectomy versus meniscal repair |
| title_full | Save the meniscus – Clinical outcomes of meniscectomy versus meniscal repair |
| title_fullStr | Save the meniscus – Clinical outcomes of meniscectomy versus meniscal repair |
| title_full_unstemmed | Save the meniscus – Clinical outcomes of meniscectomy versus meniscal repair |
| title_short | Save the meniscus – Clinical outcomes of meniscectomy versus meniscal repair |
| title_sort | save the meniscus clinical outcomes of meniscectomy versus meniscal repair |
| url | https://doi.org/10.1177/2309499019849813 |
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