Document Detail


Clinical, Radiological, and Morphological Evaluations of Posterior Horn Tears of the Lateral Meniscus Left In Situ During Anterior Cruciate Ligament Reconstruction.
MedLine Citation:
PMID:  24305649     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND:Recent studies have shown that lateral menisci have a higher healing potential and that they can be treated successfully without symptoms by being left in situ during anterior cruciate ligament (ACL) reconstruction. However, few studies have reported morphological results. HYPOTHESIS:Stable posterior horn tears of the lateral meniscus left in situ during ACL reconstruction could be healed spontaneously and would result in not only successful clinical outcomes but also morphological restoration. STUDY DESIGN:Cohort study; Level of evidence, 3. METHODS:Among 367 patients who underwent primary ACL reconstruction between 2008 and 2010, 53 patients who had lateral meniscus tears that were left in situ were analyzed. These patients were evaluated subjectively and radiologically and compared with a matched control group that underwent ACL reconstruction without any other structural disorders. Of the 53 patients with stable posterior horn tears of the lateral meniscus left in situ, 28 patients were assessed by second-look arthroscopic surgery and magnetic resonance imaging (MRI). RESULTS:The mean follow-up of the study group and the control group was 36.47 and 37.26 months, respectively. There were no statistical differences in postoperative clinical outcomes between the 2 groups. Clinical results of both groups including the Lysholm score, Tegner activity score, and International Knee Documentation Committee (IKDC) score significantly improved. In the subgroup composed of 28 patients, follow-up MRI showed 25 (89%) and 24 (86%) healed menisci in sagittal and coronal views, respectively. Twenty-one (75%) were considered to be completely healed, and 5 (18%) were incompletely healed on second-look arthroscopic surgery. CONCLUSION:Stable posterior horn tears of the lateral meniscus left in situ at the time of ACL reconstruction revealed successful clinical outcomes compared with isolated ACL injuries and showed considerable healing and functional restoration of tears with repeat MRI and second-look arthroscopic surgery. Therefore, leaving stable posterior horn tears of the lateral meniscus in situ during ACL reconstruction should be considered.
Authors:
Dhong Won Lee; Hyoung Won Jang; Sung Rak Lee; Jung Ho Park; Jeong Ku Ha; Jin Goo Kim
Related Documents :
8844349 - Hyaluronic acid impedes reepithelialization of skin graft donor sites.
16369719 - Treatment of mammary duct fistula by fistulectomy and saucerization.
24448689 - A meta-analysis of minimally invasive and conventional medial parapatella approaches fo...
23212189 - One-stage bilateral anterior cruciate ligament reconstruction.
2658639 - Heated laser doppler flow measurements to determine depth of burn injury.
23601259 - Reinsertion of the stylet does not affect incidence of post dural puncture headaches (p...
21822919 - Results of the total evolutive shoulder system (tess(®)): a single-centre study of 56 c...
19842609 - Prospective randomized trial of limbal relaxing incisions combined with microincision c...
23752719 - Is two (antibiotics) better than one?
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-12-4
Journal Detail:
Title:  The American journal of sports medicine     Volume:  -     ISSN:  1552-3365     ISO Abbreviation:  Am J Sports Med     Publication Date:  2013 Dec 
Date Detail:
Created Date:  2013-12-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7609541     Medline TA:  Am J Sports Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Orthopedic Surgery, Seoul Paik Hospital, Inje University, Seoul, Korea.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Anterior Cruciate Ligament Tears in Children and Adolescents: A Meta-analysis of Nonoperative Versus...
Next Document:  Virus-induced gene complementation in tomato.