Second-look arthroscopic findings and clinical outcomes of meniscal repair with concomitant anterior cruciate ligament reconstruction: comparison of suture and meniscus fixation device

Seo, Seung-Suk; Kim, Chang-Wan; Lee, Chang-Rack; Park, Dae-Hyun; Kwon, Yong-Uk; Kim, Ok-Gul; Kim, Chang-Kyu

doi:10.1007/s00402-019-03323-3

Cited by 14 publications

(14 citation statements)

References 32 publications

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“…A stable knee is paramount, especially in the young and active population who seek to return to their high activity level prior to incurring the injury. Preventing secondary degeneration and increased risk of meniscal tears in the knee after the ACL rupture are also goals of the treatment [ 1 – 3 ].…”

Section: Introductionmentioning

confidence: 99%

Quadriceps tendon vs. patellar tendon autograft for ACL reconstruction using a hardware-free press-fit fixation technique: comparable stability, function and return-to-sport level but less donor site morbidity in athletes after 10 years

Barié

Sprinckstub²,

Huber³

et al. 2020

Arch Orthop Trauma Surg

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Introduction The use of quadriceps tendon–patellar bone (QTB) autograft for anterior cruciate ligament (ACL) reconstruction is gaining momentum. Yet, long-term results that compare this procedure with established methods are lacking. The aim of this study was to report and compare long-term results of ACL reconstruction using QTB autografts versus bone–patellar tendon–bone (BPTB) autografts, both anchored using a hardware-free press-fit fixation technique. Materials and methods 60 athletes (Tegner score ≥6) with primary ACL rupture were prospectively randomized into two groups. 56 patients were evaluated after a mean duration of 12.2 ± 1.9 months (range 10–14) and 43 patients after 10.3 ± 0.2 years (range 10–11). Results On final follow-up, 90% of patients scored very good and good results in the functional Lysholm score (mean 99 ± 7.1, range 74–100 points). Normal or almost normal IKDC score was reported by 84% of the patients (mean 97 ± 9.5, range 60–100 points). The activity level decreased in the Tegner score from median of 7 before injury to 6 after 10 years. The KT-1000 arthrometer showed a difference in the anterior translation of less than 3 mm (mean 1.0 ± 1.2, range − 1 to 5 mm) in 91% of the patients. Significant degeneration was radiologically detected in one patient per group. No tunnel widening was seen in any patient. Up to 97% of all patients were satisfied with the operative procedure. No significant differences were found in the mentioned parameters between the two groups and also in comparison with the 1-year results. The only significant difference was in the donor site morbidity. Significantly more patients in the BPTB group had complaints during kneeling both at 1 (p < 0.001) and 10 years (p = 0.019). Squatting was also subjectively more problematic in the BPTB group than in the QTB group both after 1 (p = 0.003) and 10 years (p = 0.046). Conclusions This study shows equally good functional, clinical and radiological long-term results for both hardware-free methods of ACL reconstruction. These results clinically confirm the safety of press-fit anchoring after 10 years. The failure rate in this study was very low, with only one re-rupture in 10 years. The increased donor site morbidity when using the BPTB autograft compared to the QTB autograft supports already reported data. It was also seen in this study for the implant-free press-fit techniques. Study design Prospective and randomized, level of evidence 2.

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Section: Introductionmentioning

confidence: 99%

Quadriceps tendon vs. patellar tendon autograft for ACL reconstruction using a hardware-free press-fit fixation technique: comparable stability, function and return-to-sport level but less donor site morbidity in athletes after 10 years

Barié

Sprinckstub²,

Huber³

et al. 2020

Arch Orthop Trauma Surg

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“…There were 2 RCTs 5 , 28 and the remaining studies were observational studies. For the observational studies, 7 were judged to be at low risk of bias, 8 , 31 , 41 , 53 , 55 , 63 , 69 and 32 were judged to be at high risk of bias. ¶ The major weakness of the observational studies was the small sample size; in addition, most of the studies were from a single institution.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 7 studies 17 , 28 , 31 , 36 , 37 , 55 , 69 reported the BMI of the patients. When the BMI was ≥26, the complete healing rate was 64% (177/260 knees; 95% CI, 49%-76%; I 2 = 78%), the partial healing rate was 12% (47/260 knees; 95% CI, 2%-43%; I 2 = 94%), and the failure rate was 13% (36/260 knees; 95% CI, 8%-21%; I 2 = 54%).…”

Section: Resultsmentioning

confidence: 99%

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Second-Look Arthroscopic Evaluation of Healing Rates After Arthroscopic Repair of Meniscal Tears: A Systematic Review and Meta-analysis

Dai

Leng

Wang

et al. 2021

Orthopaedic Journal of Sports Medicine

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Background: Evaluation of meniscal healing status after repair is important, as it allows the surgeon to inform patients whether they can increase their activities or return to sports. Purpose: To identify the healing rates after arthroscopic repair of meniscal tears via second-look arthroscopic evaluation. Study Design: Systematic review; Level of evidence, 4. Methods: Searches of PubMed, Embase, Scopus, and the Cochrane databases were conducted to identify relevant studies published before June 1, 2020. Studies were eligible for this meta-analysis if they provided data regarding healing status of the meniscus at second-look arthroscopy. Random-effects meta-analyses were generated to provide pooled meniscal healing estimates. We further performed subgroup analysis to investigate the healing rates of the meniscus under different situations. Results: A total of 41 studies with 1908 individuals were included in the study. The pooled analysis showed the complete healing rate was 74% (95% confidence interval [CI], 67%-80%), the partial healing rate was 10% (95% CI, 6%-16%), and the failure rate was 12% (95% CI, 10%-15%) for arthroscopic repair of meniscal tears via second-look arthroscopic evaluation. Sensitivity analysis demonstrated that no individual study affected the overall healing rate by >1%. Subgroup analysis found higher meniscal healing rates in patients with the following characteristics: age <40 years, male, body mass index <26, red-red tear location, tear in posterior horn, vertical tear, outside-in technique, repair concomitant with anterior cruciate ligament reconstruction, weight-restricted rehabilitation, and time interval from meniscal repair to second-look arthroscopy >12 months. Conclusion: In this systematic review, the complete healing rate was 74%, the partial healing rate was 10%, and the failure rate was 12% for arthroscopic repair of meniscal tears via second-look arthroscopic evaluation.

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Comparison of new and old all-inside suture devices in meniscal cyst formation rates after meniscal repair

Kinoshita

Hashimoto

Nishino

et al. 2022

International Orthopaedics (SICOT)

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Second-look arthroscopic findings and clinical outcomes of meniscal repair with concomitant anterior cruciate ligament reconstruction: comparison of suture and meniscus fixation device

Cited by 14 publications

References 32 publications

Quadriceps tendon vs. patellar tendon autograft for ACL reconstruction using a hardware-free press-fit fixation technique: comparable stability, function and return-to-sport level but less donor site morbidity in athletes after 10 years

Quadriceps tendon vs. patellar tendon autograft for ACL reconstruction using a hardware-free press-fit fixation technique: comparable stability, function and return-to-sport level but less donor site morbidity in athletes after 10 years

Second-Look Arthroscopic Evaluation of Healing Rates After Arthroscopic Repair of Meniscal Tears: A Systematic Review and Meta-analysis

Comparison of new and old all-inside suture devices in meniscal cyst formation rates after meniscal repair

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