Meniscus Repair With Simultaneous ACL Reconstruction: Clinical Outcomes，Failure Rates And Subsequent Processing

Peking University

Status: Completed

Conditions: The ACL Rupture; Meniscus Injury

Treatments: Procedure: Meniscus repair; partial meniscectomy

Study type: Observational

Funder types: Other

Identifiers

NCT04455516

M2020024

Details and patient eligibility

About

Our study has explored the causes of failure of meniscus repair and investigated the clinical effects of partial meniscectomy when meniscus repair failed.

Full description

Background: Meniscus repair performed during ACL reconstruction may fail and the subsequent treatment includes revision meniscal repair or partial meniscectomy.

Purpose: To retrospectively analyze the clinical outcomes of meniscus repair with simultaneous anterior cruciate ligament (ACL) reconstruction and explore the causes of failure of meniscus repair.

Methods: From May 2013 to July 2018, the clinical data of 165 patients who were treated with meniscus surgery and simultaneous ACL reconstruction by the same doctor, including 69 cases of meniscus repair (repair group) and 96 cases of partial meniscectomy (partial meniscectomy group), were retrospectively analyzed. The 69 patients of the repair group were divided into the nonfailure group (62 cases) and the failure group (7 cases) depending on the repair effect. The average follow-up period was 38 (±10.5) months. Postoperative outcomes of the repair group and the partial meniscectomy group were compared. General conditions and postoperative outcomes of the failure group and the nonfailure group were compared. Seven patients in the failure group who underwent second arthroscopy were followed up for 30 (±17.4) months, and their postoperative outcomes were summarized.

Enrollment: 165 patients

Sex: All

Ages: 13 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. patients with intraoperatively confirmed ACL rupture combined with medial, lateral, or medial and lateral meniscal injury;
2. age <60 years
3. no history of previous ipsilateral knee meniscal injury.

Exclusion criteria

1. ACL rupture associated with fracture, collateral ligament injury, or complex ligament injury;
2. a history of knee surgery;
3. a significant degree of osteoarthritis.

Trial design

165 participants in 3 patient groups

repair group

Description:

The first operation in these patients was meniscus repair

Treatment:

Procedure: Meniscus repair; partial meniscectomy

nonfailure group

Description:

These patients had a successful first operation

Treatment:

Procedure: Meniscus repair; partial meniscectomy

failure group

Description:

In these patients, the first meniscus repair operation failed

Treatment:

Procedure: Meniscus repair; partial meniscectomy