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Evaluation of the Meniscal repair in Bucket handle. Systematic review

INTRODUCTION: Faced with a bucket meniscal lesion we have two treatment options. A frequently practiced option is to remove the bucket handle, another is to repair it. Generally, they are associated with ligament injuries. In this context, it has been shown that meniscal repair has a good result, bu...

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Detalles Bibliográficos
Autores principales: Bustos, Damián, Marangoni, Lucas, Bertiche, Pablo, Núñez, Javier, Bitar, Iván, Murillo, Bernardo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311577/
http://dx.doi.org/10.1177/2325967118S00209
Descripción
Sumario:INTRODUCTION: Faced with a bucket meniscal lesion we have two treatment options. A frequently practiced option is to remove the bucket handle, another is to repair it. Generally, they are associated with ligament injuries. In this context, it has been shown that meniscal repair has a good result, but the evolution of isolated meniscal repairs is not entirely clear. The purpose of this systematic review is to determine the results after the repair of bucket handle injuries. MATERIALS AND METHODS: A bibliographic search of the computerized database was carried out pubmed. Eight articles were included according to the inclusion and exclusion criteria. The results of interest included, level of evidence, number of patients, follow-up, average age, surgical technique,% cure,% failure, complications, associated injuries and average time from injury to surgical repair. RESULTS: The works studied, on average, 43 patients, with ages between 16 and 33 years making 341 patients. The follow-up period was focused on 58 months. The percentage of cure varies from 52% to 98%. CONCLUSION: The isolated repair of this type of meniscal lesions has a good overall evolution associated with a low rate of failure and complications LEVEL OF EVIDENCE: IV TYPE OF STUDY: systematic review