MVP Journal of Medical Sciences

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The Functional Outcome of Simultaneous Anterior Cruciate Ligament Reconstruction with Meniscus Repair


Affiliations
1 Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, India
2 Assistant Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, India
3 Professor and Head, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, India
 

Background: Meniscal repair is performed in an attempt to prevent post-traumatic arthritis resulting from meniscal dysfunction after meniscal tears. The socio-economic implications of premature arthritis are significant in the young patient population. Investigations and techniques focusing on meniscus preservation and healing are now at the forefront of orthopaedic sports medicine. Methods: All unilateral primary ACL reconstructions in a prospective cohort who had meniscal repair at the time of ACLR were evaluated. Validated patient oriented outcome instruments were completed preoperatively and then again at follow up. Results: 65 unilateral primary ACL reconstructions were performed concomitant meniscal repairs during the study period. Patient follow-up was obtained, allowing confirmation of meniscal repair success (defined as no repeat arthroscopic procedure) or failure. Conclusions: Meniscal repair is a successful procedure in conjunction with ACL reconstruction. When confronted with a “repairable” meniscal tear at the time of ACL reconstruction, orthopaedic surgeons can expect an estimated >90% clinical success rate using a variety of methods as shown in our study.

Keywords

Anterior Cruciate Ligament, Meniscal Repair, Reconstruction, Meniscal Tear
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  • The Functional Outcome of Simultaneous Anterior Cruciate Ligament Reconstruction with Meniscus Repair

Abstract Views: 135  |  PDF Views: 96

Authors

Shantanu Hari Bhardwaj
Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, India
Sandeep Aware
Assistant Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, India
Sandeep Pangavane
Professor and Head, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, India
Aditya Apte
Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, India
Adit Maniar
Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, India
Akshay Fuse
Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, India

Abstract


Background: Meniscal repair is performed in an attempt to prevent post-traumatic arthritis resulting from meniscal dysfunction after meniscal tears. The socio-economic implications of premature arthritis are significant in the young patient population. Investigations and techniques focusing on meniscus preservation and healing are now at the forefront of orthopaedic sports medicine. Methods: All unilateral primary ACL reconstructions in a prospective cohort who had meniscal repair at the time of ACLR were evaluated. Validated patient oriented outcome instruments were completed preoperatively and then again at follow up. Results: 65 unilateral primary ACL reconstructions were performed concomitant meniscal repairs during the study period. Patient follow-up was obtained, allowing confirmation of meniscal repair success (defined as no repeat arthroscopic procedure) or failure. Conclusions: Meniscal repair is a successful procedure in conjunction with ACL reconstruction. When confronted with a “repairable” meniscal tear at the time of ACL reconstruction, orthopaedic surgeons can expect an estimated >90% clinical success rate using a variety of methods as shown in our study.

Keywords


Anterior Cruciate Ligament, Meniscal Repair, Reconstruction, Meniscal Tear

References