Comparison of Radiologic Results after Lateral Meniscal Allograft Transplantation with or without Capsulodesis Using an All-Soft Suture Anchor
<i>Background and Objectives</i>: Studies analyzing magnetic resonance imaging (MRI) after simultaneously performing lateral meniscal allograft transplantation (MAT) and capsulodesis are currently rare. This study aimed to compare the MRI results between the group that performed lateral...
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MDPI AG
2022-12-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/1/1 |
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| author | Dong Ryun Lee Young Je Woo Sung Gyu Moon Woo Jong Kim Dhong Won Lee |
| author_facet | Dong Ryun Lee Young Je Woo Sung Gyu Moon Woo Jong Kim Dhong Won Lee |
| author_sort | Dong Ryun Lee |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: Studies analyzing magnetic resonance imaging (MRI) after simultaneously performing lateral meniscal allograft transplantation (MAT) and capsulodesis are currently rare. This study aimed to compare the MRI results between the group that performed lateral MAT alone and the group that performed both lateral MAT and capsulodesis simultaneously. <i>Materials and Methods</i>: A total of 55 patients who underwent lateral MAT with a 1-year follow-up MRI were included. The patients were divided into two groups according to the surgical procedure: group I (isolated lateral MAT, n = 26) and group C (combined lateral MAT and capsulodesis, n = 29). Differences between groups were compared regarding subjective knee scores, graft extrusion, graft signal, articular cartilage loss, and joint space width (JSW). <i>Results</i>: The subjective knee scores improved significantly in both groups (all, <i>p</i> < 0.001), and there were no significant differences in these scores between both groups at the 1-year follow-up. Group C showed less coronal graft extrusion at the 1-year follow-up (1.1 ± 1.7 mm vs. 2.4 ± 1.8 mm, <i>p</i> < 0.001). Pathologic coronal graft extrusion (≥3 mm) was found in seven (26.9%) patients in group I and three (10.3%) in group C. Concerning the graft signal, group C showed less grade 3 signal intensity in the posterior root of the graft. There were no significant differences in preoperative and postoperative cartilage status between groups. Regarding JSW, there were no significant differences in postoperative JSW between both groups. However, in group C, JSW significantly increased from 3.9 ± 0.4 mm to 4.5 ± 1.4 mm (<i>p</i> = 0.031). <i>Conclusions</i>: In lateral MAT, capsulodesis (open decortication and suture anchor fixation) could reduce graft extrusion without complications. In the future, large-volume and long-term prospective comparative studies are needed to confirm the clinical effects following capsulodesis. |
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| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-12T10:17:00Z |
| publishDate | 2022-12-01 |
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| series | Medicina |
| spelling | doaj.art-a0aad8b564134e5c89d2e6a2e2df3c032023-09-02T10:25:56ZengMDPI AGMedicina1010-660X1648-91442022-12-01591110.3390/medicina59010001Comparison of Radiologic Results after Lateral Meniscal Allograft Transplantation with or without Capsulodesis Using an All-Soft Suture AnchorDong Ryun Lee0Young Je Woo1Sung Gyu Moon2Woo Jong Kim3Dhong Won Lee4Department of Orthopaedic Surgery, KonKuk University Medical Center, Konkuk University School of Medicine, Seoul 05030, Republic of KoreaDepartment of Orthopaedic Surgery, KonKuk University Medical Center, Konkuk University School of Medicine, Seoul 05030, Republic of KoreaDepartment of Radiology, KonKuk University Medical Center, Konkuk University School of Medicine, Seoul 05030, Republic of KoreaDepartment of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, Cheonan 31151, Republic of KoreaDepartment of Orthopaedic Surgery, KonKuk University Medical Center, Konkuk University School of Medicine, Seoul 05030, Republic of Korea<i>Background and Objectives</i>: Studies analyzing magnetic resonance imaging (MRI) after simultaneously performing lateral meniscal allograft transplantation (MAT) and capsulodesis are currently rare. This study aimed to compare the MRI results between the group that performed lateral MAT alone and the group that performed both lateral MAT and capsulodesis simultaneously. <i>Materials and Methods</i>: A total of 55 patients who underwent lateral MAT with a 1-year follow-up MRI were included. The patients were divided into two groups according to the surgical procedure: group I (isolated lateral MAT, n = 26) and group C (combined lateral MAT and capsulodesis, n = 29). Differences between groups were compared regarding subjective knee scores, graft extrusion, graft signal, articular cartilage loss, and joint space width (JSW). <i>Results</i>: The subjective knee scores improved significantly in both groups (all, <i>p</i> < 0.001), and there were no significant differences in these scores between both groups at the 1-year follow-up. Group C showed less coronal graft extrusion at the 1-year follow-up (1.1 ± 1.7 mm vs. 2.4 ± 1.8 mm, <i>p</i> < 0.001). Pathologic coronal graft extrusion (≥3 mm) was found in seven (26.9%) patients in group I and three (10.3%) in group C. Concerning the graft signal, group C showed less grade 3 signal intensity in the posterior root of the graft. There were no significant differences in preoperative and postoperative cartilage status between groups. Regarding JSW, there were no significant differences in postoperative JSW between both groups. However, in group C, JSW significantly increased from 3.9 ± 0.4 mm to 4.5 ± 1.4 mm (<i>p</i> = 0.031). <i>Conclusions</i>: In lateral MAT, capsulodesis (open decortication and suture anchor fixation) could reduce graft extrusion without complications. In the future, large-volume and long-term prospective comparative studies are needed to confirm the clinical effects following capsulodesis.https://www.mdpi.com/1648-9144/59/1/1meniscal allograft transplantationmeniscal extrusioncapsulodesismagnetic resonance imaging |
| spellingShingle | Dong Ryun Lee Young Je Woo Sung Gyu Moon Woo Jong Kim Dhong Won Lee Comparison of Radiologic Results after Lateral Meniscal Allograft Transplantation with or without Capsulodesis Using an All-Soft Suture Anchor Medicina meniscal allograft transplantation meniscal extrusion capsulodesis magnetic resonance imaging |
| title | Comparison of Radiologic Results after Lateral Meniscal Allograft Transplantation with or without Capsulodesis Using an All-Soft Suture Anchor |
| title_full | Comparison of Radiologic Results after Lateral Meniscal Allograft Transplantation with or without Capsulodesis Using an All-Soft Suture Anchor |
| title_fullStr | Comparison of Radiologic Results after Lateral Meniscal Allograft Transplantation with or without Capsulodesis Using an All-Soft Suture Anchor |
| title_full_unstemmed | Comparison of Radiologic Results after Lateral Meniscal Allograft Transplantation with or without Capsulodesis Using an All-Soft Suture Anchor |
| title_short | Comparison of Radiologic Results after Lateral Meniscal Allograft Transplantation with or without Capsulodesis Using an All-Soft Suture Anchor |
| title_sort | comparison of radiologic results after lateral meniscal allograft transplantation with or without capsulodesis using an all soft suture anchor |
| topic | meniscal allograft transplantation meniscal extrusion capsulodesis magnetic resonance imaging |
| url | https://www.mdpi.com/1648-9144/59/1/1 |
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