Risk factors of incomplete healing following medial meniscus posterior root tear repair with gracilis tendon
Abstract To evaluate the clinical efficacy and meniscus healing rates of the arthroscopically assisted tendon graft fixation of the medial meniscus posterior root tears (MMPRTs), and to identify some independent risk factors correlated with meniscal root healing status. We conducted a retrospective...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2023-12-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-50358-z |
| _version_ | 1797371248024485888 |
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| author | Xingen Liao Hongbo Li Si Nie Min Lan |
| author_facet | Xingen Liao Hongbo Li Si Nie Min Lan |
| author_sort | Xingen Liao |
| collection | DOAJ |
| description | Abstract To evaluate the clinical efficacy and meniscus healing rates of the arthroscopically assisted tendon graft fixation of the medial meniscus posterior root tears (MMPRTs), and to identify some independent risk factors correlated with meniscal root healing status. We conducted a retrospective study with 129 patients who received arthroscopically assisted tendon graft fixation of the MMPRTs between January 2018 and September 2021. Functional recovery of the knee was evaluated and meniscal root healing status was assessed. The associations between different clinical factors and meniscal root healing status were analyzed. 98 (76.0%) patients had complete meniscal root healing with a minimum 2-year follow-up, and the Lysholm score, international knee documentation committee score, and visual analogue scale score were significantly improved at final follow-up (P < 0.001; respectively). Binary logistic regression models analysis and the receiver operating characteristic curve was performed to detect independent risk factors for incomplete healing, and these results indicated that age (OR = 1.095, P = 0.039), body mass index (BMI) (OR = 1.259, P = 0.018), preoperative meniscus extrusion (OR = 5.181, P < 0.001) and varus degree (OR = 7.764, P < 0.001) were the independent risk factors correlated with incomplete healing in patients with repaired MMPRTs. In conclusion, the arthroscopically assisted tendon graft fixation of the MMPRTs can provide good clinical and radiological outcome. Additionally, we identified age > 37.5 years, BMI > 24.5 kg/m2, preoperative meniscus extrusion > 2.7 mm and varus degree > 3.3° as independent risk factors correlated with incomplete meniscus root healing status. |
| first_indexed | 2024-03-08T18:16:09Z |
| format | Article |
| id | doaj.art-f4960a7877154dbe8be79440dba5d51d |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-08T18:16:09Z |
| publishDate | 2023-12-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-f4960a7877154dbe8be79440dba5d51d2023-12-31T12:09:49ZengNature PortfolioScientific Reports2045-23222023-12-0113111010.1038/s41598-023-50358-zRisk factors of incomplete healing following medial meniscus posterior root tear repair with gracilis tendonXingen Liao0Hongbo Li1Si Nie2Min Lan3Department of Orthopedics, Jiangxi Provincial People’s Hospital (The First Affiliated Hospital of Nanchang Medical College)Department of Orthopedics, Jiangxi Provincial People’s Hospital (The First Affiliated Hospital of Nanchang Medical College)Department of Radiology, Jiangxi Provincial People’s Hospital (The First Affiliated Hospital of Nanchang Medical College)Department of Orthopedics, Jiangxi Provincial People’s Hospital (The First Affiliated Hospital of Nanchang Medical College)Abstract To evaluate the clinical efficacy and meniscus healing rates of the arthroscopically assisted tendon graft fixation of the medial meniscus posterior root tears (MMPRTs), and to identify some independent risk factors correlated with meniscal root healing status. We conducted a retrospective study with 129 patients who received arthroscopically assisted tendon graft fixation of the MMPRTs between January 2018 and September 2021. Functional recovery of the knee was evaluated and meniscal root healing status was assessed. The associations between different clinical factors and meniscal root healing status were analyzed. 98 (76.0%) patients had complete meniscal root healing with a minimum 2-year follow-up, and the Lysholm score, international knee documentation committee score, and visual analogue scale score were significantly improved at final follow-up (P < 0.001; respectively). Binary logistic regression models analysis and the receiver operating characteristic curve was performed to detect independent risk factors for incomplete healing, and these results indicated that age (OR = 1.095, P = 0.039), body mass index (BMI) (OR = 1.259, P = 0.018), preoperative meniscus extrusion (OR = 5.181, P < 0.001) and varus degree (OR = 7.764, P < 0.001) were the independent risk factors correlated with incomplete healing in patients with repaired MMPRTs. In conclusion, the arthroscopically assisted tendon graft fixation of the MMPRTs can provide good clinical and radiological outcome. Additionally, we identified age > 37.5 years, BMI > 24.5 kg/m2, preoperative meniscus extrusion > 2.7 mm and varus degree > 3.3° as independent risk factors correlated with incomplete meniscus root healing status.https://doi.org/10.1038/s41598-023-50358-z |
| spellingShingle | Xingen Liao Hongbo Li Si Nie Min Lan Risk factors of incomplete healing following medial meniscus posterior root tear repair with gracilis tendon Scientific Reports |
| title | Risk factors of incomplete healing following medial meniscus posterior root tear repair with gracilis tendon |
| title_full | Risk factors of incomplete healing following medial meniscus posterior root tear repair with gracilis tendon |
| title_fullStr | Risk factors of incomplete healing following medial meniscus posterior root tear repair with gracilis tendon |
| title_full_unstemmed | Risk factors of incomplete healing following medial meniscus posterior root tear repair with gracilis tendon |
| title_short | Risk factors of incomplete healing following medial meniscus posterior root tear repair with gracilis tendon |
| title_sort | risk factors of incomplete healing following medial meniscus posterior root tear repair with gracilis tendon |
| url | https://doi.org/10.1038/s41598-023-50358-z |
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