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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Evaluation of Midterm Clinical and Radiographic Outcomes of Arthroscopically Repaired Vertical Longitudinal and Bucket-Handle Lateral Meniscal Tears
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Evaluation of Midterm Clinical and Radiographic Outcomes of Arthroscopically Repaired Vertical Longitudinal and Bucket-Handle Lateral Meniscal Tears

机译：关节镜修复垂直纵向和桶柄侧半月板眼泪的中期临床和影像学评估

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Background: Lateral meniscal tears in the stable knee are rare. There are few comparative studies evaluating functional and radiological outcomes of vertical longitudinal and bucket-handle lateral meniscal tears. Purpose: To evaluate the midterm clinical and radiological outcomes of arthroscopically repaired traumatic vertical longitudinal and bucket-handle lateral meniscal tears. Study Design: Case series; Level of evidence, 4. Methods: A total of 43 full-thickness lateral meniscal repairs, including 22 (51.2%) for vertical longitudinal tears and 21 (48.8%) for bucket-handle tears, were evaluated. A clinical assessment was performed according to the Barrett criteria, and patient outcomes were measured with the Lysholm knee score, Tegner activity scale, and overall satisfaction scale. Magnetic resonance imaging was used as the radiological re-examination method preoperatively and at final follow-up. A subgroup analysis examining isolated repair versus repair with concurrent anterior cruciate ligament (ACL) reconstruction was performed. Results: The mean follow-up period was 63.2 months (range, 24-86 months). Based on clinical and radiological outcomes, 38 of the 43 repairs (88.3%) were successful, and the remaining 5 (11.6%) cases were considered to be failures. Overall, the combined results for both groups demonstrated an improvement in the Lysholm score, Tegner score, and patient satisfaction. There was no significant difference in the postoperative Lysholm score (91.4 vs 87.0, respectively; P = .223), Tegner score (5.4 vs 5.5, respectively; P = .872), or patient satisfaction (7.2 vs 7.4, respectively; P = .624) between bucket-handle repair and vertical longitudinal repair. The subgroup analysis demonstrated no difference in outcome scores for isolated repair versus repair with concurrent ACL reconstruction. Smoking was identified as a risk factor for repair failure. Conclusion: Comparable clinical and radiological outcomes were obtained after vertical longitudinal and bucket-handle lateral meniscal repairs using the all-inside or hybrid suture technique with different suture configurations, regardless of whether ACL reconstruction was performed. Smoking was identified as a risk factor for failure.
机译：背景：稳定的膝关节半月板撕裂很少见。很少有比较研究评估垂直纵向和桶柄侧半月板撕裂的功能和放射学结果。目的：评估关节镜修复的外伤性纵向和半月板半月板撕裂的中期临床和影像学结果。研究设计：案例系列;证据等级：4。方法：总共评估了43次全厚度侧半月板修复，包括垂直纵向撕裂22次（51.2％）和桶柄撕裂21次（48.8％）。根据Barrett标准进行临床评估，并用Lysholm膝关节评分，Tegner活动量表和总体满意度量表测量患者预后。术前和最终随访中将磁共振成像用作放射学复查方法。进行了亚组分析，研究了孤立修复与同时前交叉韧带（ACL）修复的修复。结果：平均随访期为63.2个月（范围24-86个月）。根据临床和放射学结果，43例修复中有38例（88.3％）成功，其余5例（11.6％）被视为失败。总体而言，两组的综合结果均显示Lysholm评分，Tegner评分和患者满意度得到改善。术后Lysholm评分（分别为91.4和87.0; P = .223），Tegner评分（分别为5.4和5.5; P = .872）或患者满意度（分别为7.2和7.4; P = .624）在铲斗手柄修理和垂直纵向修理之间。亚组分析表明，单独修复与同时进行ACL修复的结果得分没有差异。吸烟被确定为维修失败的危险因素。结论：使用不同缝线配置的全内缝或混合缝线技术对垂直的纵向和桶柄侧半月板修复后，可获得相同的临床和放射学结果，无论是否进行了ACL重建。吸烟被确定为失败的危险因素。

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