Arthroscopic repair of bucket-handle tears of the lateral meniscus

Ahn, Jin Hwan; Kim, Kang‐Il; Wang, Joon Ho; Kyung, Bong Soo; Seo, Min Chul; Lee, Sang Hak

doi:10.1007/s00167-013-2764-9

Cited by 47 publications

(48 citation statements)

References 34 publications

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“…For comparison, other publications have reported even greater success in outcomes: Yilmaz et al 31 noted complete meniscal healing in all but one of 52 patients (mean age = 28.4 years) who underwent a combined inside-out and allinside technique for repair of bucket-handle meniscus tears at a mean 31.3-month follow-up. Ahn et al 32 retrospectively evaluated 13 patients with a median age of 20 years at a median 4.0 years follow-up after modified all-inside or combination all-inside/outside-in repair of lateral meniscus bucket-handle tears. The authors reported no reoperations during the follow-up period, no recurrence of mechanical locking symptoms, and significant improvements in Lysholm, HSS score, and Tegner activity levels.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopically Repaired Bucket-Handle Meniscus Tears: Patient Demographics, Postoperative Outcomes, and a Comparison of Success and Failure Cases

et al. 2018

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Objective To define patient demographics, preoperative, and intraoperative surgical variables associated with successful or failed repair of bucket-handle meniscal tears. Design All patients who underwent arthroscopic repair of a bucket-handle meniscus tear at a single institution between May 2011 and July 2016 with minimum 6-month follow-up were retrospectively identified. Patient demographic, preoperative (including imaging), and operative variables were collected and evaluated. A Kaplan-Meier curve was generated to demonstrate meniscus repair survivorship. Results In total, 75 patients (78 knees) with an average age of 26.53 ± 10.67 years met inclusion criteria. The average follow-up was 23.41 ± 16.43 months. Fifteen knees (19.2%) suffered re-tear of the repaired meniscus at an average 12.24 ± 9.50 months postoperatively. Survival analysis demonstrated 93.6% survival at 6 months, 84.6% survival at 1 year, 78.4% survival at 2 years, and 69.9% survival at 3 years. There was significant improvement from baseline to time of final follow-up in all patient-reported outcome ( P < 0.05) except Marx score ( P = 0.933) and SF-12 Mental Subscale ( P = 0.807). The absence of other knee pathology (including ligament tear, contralateral compartment meniscal tear, or cartilage lesions) noted intraoperatively was the only variable significantly associated with repair failure ( P = 0.024). Concurrent anterior cruciate ligament reconstruction (vs. no concurrent anterior cruciate ligament reconstruction) trended toward significance ( P = 0.059) as a factor associated with successful repair. Conclusions With the exception of the absence of other knee pathology (including ligament tear, contralateral compartment meniscal tear, or cartilage lesions) noted intraoperatively, no other variables were significantly associated with re-tear. The results are relatively durable with 84.6% survival at 1 year. Surgeons should attempt meniscal repair when presented with a bucket-handle tear.

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Section: Discussionmentioning

confidence: 99%

Arthroscopically Repaired Bucket-Handle Meniscus Tears: Patient Demographics, Postoperative Outcomes, and a Comparison of Success and Failure Cases

et al. 2018

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“…Fifty-nine (84%) of the patients in this cohort had concomitant ligament injuries, which may explain the outcome scores reported. Ahn et al 1 reported on outcomes after repair of isolated, displaced lateral meniscal bucket-handle tears in 13 patients at a median follow-up of 4 years. The authors reported full range of motion in all patients, a median Tegner score of 7, and a mean Lysholm of 94.6.…”

Section: Discussionmentioning

confidence: 99%

Comparable Outcomes After Bucket-Handle Meniscal Repair and Vertical Meniscal Repair Can Be Achieved at a Minimum 2 Years’ Follow-up

et al. 2017

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“…There is various nomenclature that describes this characteristic, such as recurrent subluxation of the lateral meniscus, popliteo-meniscal fascicle tear, hypermobile posterior horn of the lateral meniscus, and MRI negative bucket handle tear of the lateral meniscus3,4).…”

Section: Discussionmentioning

confidence: 99%

“…However, the lateral meniscus is relatively loosely attached to the capsule that is interrupted by the popliteal hiatus, which allows it to be quite mobile. Therefore, the posterior horn of the lateral meniscus is susceptible to subluxation resulting in a displaced bucket handle tear3,4). We report a rare case of a child with a displaced bucket-handle tear of the lateral meniscus in the stable knee that healed spontaneously without any surgical procedures.…”

mentioning

confidence: 96%

Spontaneous Healing of a Displaced Bucket-Handle Tear of the Lateral Meniscus in a Child

Han

Song

Kwon

et al. 2015

Knee Surg Relat Res

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Bucket-handle tears less frequently occur in the lateral meniscus than in the medial meniscus. An 11-year-old male patient complained of painful swelling and locking due to a displaced bucket-handle tear of the lateral meniscus. We recommended an arthroscopic surgery; however, the patient left the hospital without surgical treatment. Six weeks afterwards, he returned without any complain of pain and he regained full range of motion. The final follow-up magnetic resonance imaging showed reduction of the torn meniscal fragment without any signal changes suggestive of a meniscal tear. We report a rare case of an isolated displaced bucket-handle tear of the lateral meniscus in an 11-year-old patient that healed spontaneously without surgical intervention.

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Arthroscopic repair of bucket-handle tears of the lateral meniscus

Abstract: Case series, Level IV.

Cited by 47 publications

References 34 publications

Arthroscopically Repaired Bucket-Handle Meniscus Tears: Patient Demographics, Postoperative Outcomes, and a Comparison of Success and Failure Cases

Arthroscopically Repaired Bucket-Handle Meniscus Tears: Patient Demographics, Postoperative Outcomes, and a Comparison of Success and Failure Cases

Comparable Outcomes After Bucket-Handle Meniscal Repair and Vertical Meniscal Repair Can Be Achieved at a Minimum 2 Years’ Follow-up

Spontaneous Healing of a Displaced Bucket-Handle Tear of the Lateral Meniscus in a Child

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