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

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.