Meniscus Repair With Simultaneous ACL Reconstruction: Clinical Outcomes，Failure Rates And Subsequent Processing
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 165
- 试验地点
- 1
- 主要终点
- The result of partial meniscus resection
研究概览
简要总结
Our study has explored the causes of failure of meniscus repair and investigated the clinical effects of partial meniscectomy when meniscus repair failed.
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 13 Years 至 60 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients with intraoperatively confirmed ACL rupture combined with medial, lateral, or medial and lateral meniscal injury;
- •age <60 years
- •no history of previous ipsilateral knee meniscal injury.
排除标准
- •ACL rupture associated with fracture, collateral ligament injury, or complex ligament injury;
- •a history of knee surgery;
- •a significant degree of osteoarthritis.
结局指标
主要结局
The result of partial meniscus resection
时间窗: Two years after the surgery
Clinical signs were assessed after the surgery, including swelling of the joint, tenderness at the joint line, locked-in syndrome, and positive McMurray's sign.
Lysholm scores
时间窗: Two years after the surgery
The minimum is 0, the maximum is 100, and the higher the score, the better the result
International Knee Documentation Committee（IKDC）scores
时间窗: Two years after the surgery
The minimum is 0, the maximum is 100, and the higher the score, the better the result
Visual analog scale (VAS) scores
时间窗: Two years after the surgery
The minimum is 0, the maximum is 10, and the higher the score, the worse the result
次要结局
未报告次要终点