Meniscal Repair in the Setting of Revision Anterior Cruciate Ligament Reconstruction: Results From the MARS Cohort

被引:14
|
作者
Wright, Rick W. [1 ]
Huston, Laura J. [1 ]
Haas, Amanda K. [2 ]
Nwosu, Samuel K. [1 ]
Allen, Christina R. [3 ]
Anderson, Allen F. [4 ]
Cooper, Daniel E. [5 ]
DeBerardino, Thomas M. [6 ]
Dunn, Warren R. [7 ]
Lantz, Brett A. [8 ]
Mann, Barton [9 ]
Spindler, Kurt P. [10 ]
Stuart, Michael J. [11 ]
Pennings, Jacquelyn S. [12 ]
Albright, John P. [13 ]
Amendola, Annunziato [14 ]
Andrish, Jack T. [15 ]
Annunziata, Christopher C. [16 ]
Arciero, Robert A. [17 ]
Bach, Bernard R., Jr.
Baker, Champ L., III [19 ]
Bartolozzi, Arthur R. [20 ]
Baumgarten, Keith M. [18 ,21 ]
Bechler, Jeffery R. [22 ]
Berg, Jeffrey H. [23 ]
Bernas, Geoffrey A. [24 ]
Brockmeier, Stephen F. [25 ,49 ]
Brophy, Robert H. [26 ]
Bush-Joseph, Charles A. [27 ]
Brad, Butler J. [28 ]
Campbell, John D. [29 ]
Carey, James L. [30 ]
Carpenter, James E. [31 ]
Cole, Brian J. [32 ]
Cooper, Jonathan M. [33 ]
Cox, Charles L. [34 ]
Creighton, R. Alexander [35 ]
Dahm, Diane L. [36 ]
David, Tal S. [37 ]
Flanigan, David C. [38 ]
Frederick, Robert W. [39 ]
Ganley, Theodore J. [40 ]
Garofoli, Elizabeth A. [41 ]
Gatt, Charles J., Jr. [42 ]
Gecha, Steven R. [43 ]
Giffin, James Robert [44 ]
Hame, Sharon L. [45 ]
Hannafin, Jo A. [46 ]
Harner, Christopher D. [47 ]
Harris, Norman Lindsay, Jr. [48 ]
机构
[1] Vanderbilt Univ, 221 Kirkland Hall, Nashville, TN 37235 USA
[2] Washington Univ, St Louis, MO 63110 USA
[3] Univ Calif San Francisco, San Francisco, CA 94143 USA
[4] Tennessee Orthopaed Alliance, Nashville, TN USA
[5] Carrell Mem Clin, Dallas, TX USA
[6] San Antonio Orthopaed Grp, San Antonio, TX USA
[7] Reedsburg Area Med Ctr, Reedsburg, WI USA
[8] Slocum Res & Educ Fdn, Eugene, OR USA
[9] AOSSM, Rosemont, IL USA
[10] Cleveland Clin, Cleveland, OH USA
[11] Mayo Clin, Rochester, MN USA
[12] Vanderbilt Univ, 221 Kirkland Hall, Nashville, TN 37235 USA
[13] Univ Iowa Hosp & Clin, Iowa City, IA 52242 USA
[14] Duke Univ, Durham, NC USA
[15] Cleveland Clin, Cleveland, OH 44106 USA
[16] Commonwealth Orthopaed & Rehabil, Arlington, VA USA
[17] Univ Connecticut, Hlth Ctr, Farmington, CT USA
[18] Rush Univ, Med Ctr, Chicago, IL USA
[19] Hughston Clin, Columbus, OH USA
[20] Univ Penn Hlth Syst, 3B Orthopaed, Philadelphia, PA USA
[21] Inst Orthoped, Sioux Falls, SD USA
[22] Univ Orthopaed Associates LLC, Princeton, NJ USA
[23] Town Ctr Orthopaed Associates, Reston, VA USA
[24] SUNY Buffalo, Buffalo, NY USA
[25] Univ Virginia, Charlottesville, VA USA
[26] Washington Univ St Louis, St Louis, MO USA
[27] Rush Univ, Med Ctr, Chicago, IL USA
[28] Orthoped & Fracture Clin, Portland, OR USA
[29] Bridger Orthoped & Sports Med, Bozeman, MT USA
[30] Univ Penn, Philadelphia, PA USA
[31] Univ Michigan, Ann Arbor, MI 48109 USA
[32] Rush Univ, Med Ctr, Chicago, IL USA
[33] HealthPartners Specialty Ctr, St Paul, MN USA
[34] Vanderbilt Univ, 221 Kirkland Hall, Nashville, TN 37235 USA
[35] Univ N Carolina, Med Ctr, Chapel Hill, NC USA
[36] Mayo Clin, Rochester, MN USA
[37] Synergy Specialists Med Grp, San Diego, CA USA
[38] Ohio State Univ, Columbus, OH 43210 USA
[39] Thomas Jefferson Univ, Rothman Inst, Philadelphia, PA USA
[40] Childrens Hosp Philadelphia, Philadelphia, PA USA
[41] Washington Univ St Louis, St Louis, MO USA
[42] Univ Orthopaed Associates LLC, Princeton, NJ USA
[43] Princeton Orthopaed Associates, Princeton, NJ USA
[44] Univ Western Ontario, Fowler Kennedy Sport Med Clin, London, ON, Canada
[45] Univ Calif Los Angeles, David Geffen Sch Med, UCLA, Los Angeles, CA USA
[46] Hosp Special Surg, 535 E 70th St, New York, NY 10021 USA
[47] Univ Texas Hlth Ctr, Hous ton, TX USA
[48] Grand River Hlth Rifle, Rifle, CO USA
[49] UHZ Sports Med Inst, Coral Gables, FL USA
[50] Lenox Hill Hosp, New York, NY USA
来源
AMERICAN JOURNAL OF SPORTS MEDICINE | 2020年 / 48卷 / 12期
基金
美国国家卫生研究院;
关键词
meniscus; repair; failure; ACL reconstruction; revision; outcomes; MULTICENTER ACL REVISION; MULTIRATER AGREEMENT; ALL-INSIDE; SURGICAL CHARACTERISTICS; GRAFT CHOICE; OUTCOMES; FAILURE; REOPERATION; PREDICTORS; SUCCESS;
D O I
10.1177/0363546520948850
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: Meniscal preservation has been demonstrated to contribute to long-term knee health. This has been a successful intervention in patients with isolated tears and tears associated with anterior cruciate ligament (ACL) reconstruction. However, the results of meniscal repair in the setting of revision ACL reconstruction have not been documented. Purpose: To examine the prevalence and 2-year operative success rate of meniscal repairs in the revision ACL setting. Study Design: Case-control study; Level of evidence, 3. Methods: All cases of revision ACL reconstruction with concomitant meniscal repair from a multicenter group between 2006 and 2011 were selected. Two-year follow-up was obtained by phone and email to determine whether any subsequent surgery had occurred to either knee since the initial revision ACL reconstruction. If so, operative reports were obtained, whenever possible, to verify the pathologic condition and subsequent treatment. Results: In total, 218 patients (18%) from 1205 revision ACL reconstructions underwent concurrent meniscal repairs. There were 235 repairs performed: 153 medial, 48 lateral, and 17 medial and lateral. The majority of these repairs (n = 178; 76%) were performed with all-inside techniques. Two-year surgical follow-up was obtained on 90% (197/218) of the cohort. Overall, the meniscal repair failure rate was 8.6% (17/197) at 2 years. Of the 17 failures, 15 were medial (13 all-inside, 2 inside-out) and 2 were lateral (both all-inside). Four medial failures were treated in conjunction with a subsequent repeat revision ACL reconstruction. Conclusion: Meniscal repair in the revision ACL reconstruction setting does not have a high failure rate at 2-year follow-up. Failure rates for medial and lateral repairs were both <10% and consistent with success rates of primary ACL reconstruction meniscal repair. Medial tears underwent reoperation for failure at a significantly higher rate than lateral tears.
引用
收藏
页码:2978 / 2985
页数:8
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