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Arthroscopic side-to-side repair for complete radial posterior lateral meniscus root tears

BACKGROUND: The aim of this study was to determine the radiographic, second-look, and functional outcomes after arthroscopic side-to-side repair for complete radial posterior lateral meniscus root tears (PLMRTs). METHODS: Patients who underwent arthroscopic side-to-side repair for complete radial PL...

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Autores principales: Zhuo, Hongwu, Chen, Qiang, Zhu, Fugui, Li, Jian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7049216/
https://www.ncbi.nlm.nih.gov/pubmed/32111224
http://dx.doi.org/10.1186/s12891-020-3156-1
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author Zhuo, Hongwu
Chen, Qiang
Zhu, Fugui
Li, Jian
author_facet Zhuo, Hongwu
Chen, Qiang
Zhu, Fugui
Li, Jian
author_sort Zhuo, Hongwu
collection PubMed
description BACKGROUND: The aim of this study was to determine the radiographic, second-look, and functional outcomes after arthroscopic side-to-side repair for complete radial posterior lateral meniscus root tears (PLMRTs). METHODS: Patients who underwent arthroscopic side-to-side repair for complete radial PLMRTs were identified. Clinical assessment consisted of symptoms (locking, catching, giving way and effusion), examinations of joint-line tenderness and McMurray test, and subjective scores of International Knee Documentation Committee (IKDC), Lysholm, and Tegner. In addition, postoperative MRI scan and second-look arthroscopy were performed to assess the healing status of the repaired meniscus. RESULTS: Twenty-nine patients met the inclusion criteria. The mean age was 25.41 years. The mean follow-up period was 26.68 months. During the follow-up, none of the patients had symptoms of meniscal retear, lateral joint-line tenderness or a positive McMurray test. The postoperative subjective scores of IKDC, Lysholm, and Tegner improved significantly compared to the preoperative values (P = 0.01). Postoperative MRI scan showed that 28/29 (96.6%) patients achieved meniscus healing. Twenty-two patients underwent second-look arthroscopy, among whom 19 (86.4%) patients showed complete meniscus healing and 3 (13.6%) patients showed partial healing. CONCLUSION: Arthroscopic side-to-side repair was a valuable surgical repair technique for complete radial PLMRTs, which leaded to significant improvements in both objective and subjective functional outcomes with a high rate of meniscus healing. LEVEL OF EVIDENCE: Level IV, case series.
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spelling pubmed-70492162020-03-05 Arthroscopic side-to-side repair for complete radial posterior lateral meniscus root tears Zhuo, Hongwu Chen, Qiang Zhu, Fugui Li, Jian BMC Musculoskelet Disord Research Article BACKGROUND: The aim of this study was to determine the radiographic, second-look, and functional outcomes after arthroscopic side-to-side repair for complete radial posterior lateral meniscus root tears (PLMRTs). METHODS: Patients who underwent arthroscopic side-to-side repair for complete radial PLMRTs were identified. Clinical assessment consisted of symptoms (locking, catching, giving way and effusion), examinations of joint-line tenderness and McMurray test, and subjective scores of International Knee Documentation Committee (IKDC), Lysholm, and Tegner. In addition, postoperative MRI scan and second-look arthroscopy were performed to assess the healing status of the repaired meniscus. RESULTS: Twenty-nine patients met the inclusion criteria. The mean age was 25.41 years. The mean follow-up period was 26.68 months. During the follow-up, none of the patients had symptoms of meniscal retear, lateral joint-line tenderness or a positive McMurray test. The postoperative subjective scores of IKDC, Lysholm, and Tegner improved significantly compared to the preoperative values (P = 0.01). Postoperative MRI scan showed that 28/29 (96.6%) patients achieved meniscus healing. Twenty-two patients underwent second-look arthroscopy, among whom 19 (86.4%) patients showed complete meniscus healing and 3 (13.6%) patients showed partial healing. CONCLUSION: Arthroscopic side-to-side repair was a valuable surgical repair technique for complete radial PLMRTs, which leaded to significant improvements in both objective and subjective functional outcomes with a high rate of meniscus healing. LEVEL OF EVIDENCE: Level IV, case series. BioMed Central 2020-02-28 /pmc/articles/PMC7049216/ /pubmed/32111224 http://dx.doi.org/10.1186/s12891-020-3156-1 Text en © The Author(s). 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Zhuo, Hongwu
Chen, Qiang
Zhu, Fugui
Li, Jian
Arthroscopic side-to-side repair for complete radial posterior lateral meniscus root tears
title Arthroscopic side-to-side repair for complete radial posterior lateral meniscus root tears
title_full Arthroscopic side-to-side repair for complete radial posterior lateral meniscus root tears
title_fullStr Arthroscopic side-to-side repair for complete radial posterior lateral meniscus root tears
title_full_unstemmed Arthroscopic side-to-side repair for complete radial posterior lateral meniscus root tears
title_short Arthroscopic side-to-side repair for complete radial posterior lateral meniscus root tears
title_sort arthroscopic side-to-side repair for complete radial posterior lateral meniscus root tears
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7049216/
https://www.ncbi.nlm.nih.gov/pubmed/32111224
http://dx.doi.org/10.1186/s12891-020-3156-1
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