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Research Article| Volume 12, ISSUE 2, P150-155, April 1996

Results of isolated meniscal repair evaluated by second-look arthroscopy

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      Abstract

      Thirty-six isolated torn menisci in 35 patients (average age, 24 years) which had been repaired arthroscopically using an inside-out technique were evaluated by second-look arthroscopy. The time from meniscal repair to second-look arthroscopy ranged from 2 to 10 months with a mean of 5 months. The indications for meniscal repair were a longitudinal or oblique tear located at the outer half of the meniscus. Twenty (56%) were graded as excellent, 10 (28%) as good, and 6 (16%) were graded as poor. Neither age nor length of time between injury and repair affected meniscal healing. The medial meniscal repairs showed better results than the lateral repairs (rate of excellent results: medial, 82%; lateral, 44%; P < .01, χ-squared tes). The rate of excellent results for those with normal meniscal bodies at the time of repair was 79%, which was significantly higher than that seen in the cases with deformed and/or superficial damage to the meniscal body (36%; P < .05, χ-squared test).

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      Reference

        • Fairbank TJ
        Knee joint changes after meniscectomy.
        J Bone Joint Surg Br. 1948; 30: 664-670
        • Fox JM
        • Blazina ME
        • Carison GJ
        Mutiphasic view of medial meniscectomy.
        Am J Sports Med. 1979; 7: 161-164
        • Medlar RC
        • Mandiberg JJ
        • Lyne ED
        Meniscectomies in children.
        in: Report of long-term results (mean 8.3 years) of 26 children. Ed 3. Am J Sports Med. 8. 1980: 87-92
        • Jørgensen U
        • Sonne-holm S
        • Lauridsen F
        • Rosenklint A
        Long-term follow-up of meniscectomy in athletes: A prospective longitudinal study.
        J Bone Joint Surg Br. 1987; 69: 80-83
        • Walker PS
        • Erkman MJ
        The role of the menisci in the force transmission across the knee.
        Clin Orthop. 1975; 109: 184-192
        • Kurosawa H
        • Fukubayashi T
        • Nakajima H
        Load-bearing mode of the knee joint: Physical behavior of the knee joint with or without menisci.
        Clin Orthop. 1980; 149: 283-290
        • Scapinelli R
        Studies on the vasculature of the human knee joint.
        Acta Anat. 1968; 70: 305-331
        • Arnoczky SP
        • Warren RF
        The microvasculature of the human meniscus.
        Am J Sports Med. 1982; 10: 90-95
        • DeHaven KE
        Peripheral meniscus repair: An alternative to meniscectomy.
        J Bone Joint Surg Br. 1981; 63 (abstr): 463
        • Cassidy RE
        • Shaffer AJ
        Repair of peripheral meniscus tears.
        in: A preliminary report. Ed 3. Am J Sports Med. 9. 1981: 209-214
        • Hamberg P
        • Gillquist J
        • Lysholm J
        Suture of new and old peripheral meniscus tears.
        J Bone Joint Surg Am. 1983; 65: 193-197
        • Henning CE
        Arthroscopic repair of meniscus tears.
        Orthopedics. 1983; 6: 1130-1132
        • Hendler RC
        Arthroscopic meniscal repair.
        in: Surgical technique. Ed 3. Clin Orthop. 190. 1984: 163-169
        • Warren RF
        Arthroscopic meniscus repair.
        Arthroscopy. 1985; 1: 170-172
        • Scott GA
        • Jolly BL
        • Henning CE
        Combined posterior incision and arthroscopic intraarticular repair of the meniscus: An examination of factors affecting healing.
        J Bone Joint Surg Am. 1986; 68: 847-861
        • Morgan CD
        • Wojtys EM
        • Casscells CD
        • Casscells SW
        Arthroscopic meniscus repair evaluated by second arthroscopy.
        in: Presented at The 6th Congress of the International Society of the Knee, Rome1989
        • Cannon Jr, WD
        Arthroscopic meniscal repair.
        in: McGinty JB Caspari RB Jackson RW Poehling GG Operative arthroscopy. Raven Press, New York1991: 237-251
        • Buseck MS
        • Noyes FR
        Arthroscopic evaluation of meniscal repairs after anterior cruciate ligament reconstruction and immediate motion.
        Am J Sports Med. 1991; 19: 489-494
        • Rosenberg TD
        • Scott SM
        • Coward DB
        • Dunbar WH
        • Ewing JW
        • Johnson CL
        • Paulos LE
        Arthroscopic meniscal repair evaluated with repeat arthroscopy.
        Arthroscopy. 1986; 2: 14-20
        • Henning CE
        • Lynch MA
        • Yearout KM
        • Vequist SW
        • Stallbaumer RJ
        • Decker KA
        Meniscus repair with rasp abrasion of both near surfaces—A preliminary report.
        in: Presented at The 16th annual meeting of the American Orthopaedic Society for Sports Medicine, Sun ValleyJuly 1990
        • Cannon WD
        • Vittori JM
        The incidence of healing in arthoscopic meniscal repairs in anterior cruciate ligament-reconstructed knees versus stable knees.
        Am J Sports Med. 1992; 20: 176-181
        • Tenuta JJ
        • Arciero RA
        Arthroscopic evaluation of meniscal repairs.
        in: Factors that affect healing. Ed 3. Am J Sports Med. 22. 1994: 797-802