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Medicina Fluminensis : Medicina Fluminensis, Vol. 51 No. 1, 2015.

Professional paper

Current concept of the meniscal repair

Denis Tršek orcid id orcid.org/0000-0002-0845-5697 ; AKROMION, Hospital for Orthopeadic Surgery, Krapinske Toplice, Croatia
Miroslav Hašpl ; AKROMION, Hospital for Orthopeadic Surgery, Krapinske Toplice, Croatia
Damir Starčević orcid id orcid.org/0000-0003-4453-9414 ; AKROMION, Hospital for Orthopeadic Surgery, Krapinske Toplice, Croatia
Tomislav Tabak orcid id orcid.org/0000-0002-2574-7851 ; AKROMION, Hospital for Orthopeadic Surgery, Krapinske Toplice, Croatia

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Abstract

Objective: To present surgical treatment options, meniscal suturing techniques and surgery results. Materials and methods: Over a period from September 2008 till August 2014, we performed 203 meniscal suturing procedures in our hospital. We used outside-in, inside-out and all-inside repair techniques (Rapid Loc and FasT-Fix). In the research conducted in our hospital, we prospectively monitored 175 patients who were 27 (14-53) years old, 120 male (69 %) and 55 female (31 %). Of these 175 patients, 88 (50.3 %) participated in recreational sports and 42 (24 %) were actively engaged in sports. Almost 50 percent (87 patients) also had anterior cruciate ligament tear. We monitored the patients for 36 (7-66) months through regular medical examinations, and with Lysholm and Tegner functional tests before and after surgeries. Results: Before surgery, the Lysholm score showed the average result of 59, which increased to 92 after surgery. The Tegner questionnaire value was 6.3 before surgery, and 5.4 after it on average. Out of 135 patients who were active in sports before their surgeries, 68 (50 %) returned to the same activity level. Subsequent arthroscopies were performed on 27 patients (15.4 %), and 15 of those patients (56 %) had new knee injuries after meniscal repair. Meniscectomy had to be done on 24 patients and meniscus was to be fixed by one Omni span system on two patients. There were 84.6 % of patients with no complications. Conclusions: Meniscal repair is a procedure that allows healing of some torn menisci and thus prevents the occurrence of early osteoarthritis. Meniscal repair shows very good results, especially if the suturing is performed along with the anterior cruciate ligament reconstruction.

Keywords

anterior cruciate ligament reconstruction; knee; meniscus

Hrčak ID:

135693

URI

https://hrcak.srce.hr/135693

Publication date:

2.3.2015.

Article data in other languages: croatian

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