Repair of radial tears and posterior horn detachments of the lateral meniscus: Minimum 2-year follow-up

Anderson, Libby, Watts, Mark, Shapter,Oliver, Logan, Martin, Risebury, Michael, Duffy, David and Myers, Peter (2010) Repair of radial tears and posterior horn detachments of the lateral meniscus: Minimum 2-year follow-up. Arthroscopy: The Journal of Arthroscopy and Related Surgery, 26 12: 1625-1632. doi:10.1016/j.arthro.2010.07.020


Author Anderson, Libby
Watts, Mark
Shapter,Oliver
Logan, Martin
Risebury, Michael
Duffy, David
Myers, Peter
Title Repair of radial tears and posterior horn detachments of the lateral meniscus: Minimum 2-year follow-up
Journal name Arthroscopy: The Journal of Arthroscopy and Related Surgery   Check publisher's open access policy
ISSN 0749-8063
1526-3231
Publication date 2010-12-01
Year available 2010
Sub-type Article (original research)
DOI 10.1016/j.arthro.2010.07.020
Open Access Status DOI
Volume 26
Issue 12
Start page 1625
End page 1632
Total pages 8
Place of publication Maryland Heights, MO United States
Publisher W.B. Saunders Co.
Language eng
Formatted abstract
Purpose
The aim of this study was to show that repair of posterior radial tears and horn detachments of the lateral meniscus is possible and to assess the outcomes.

Methods
A retrospective review of 24 patients who had repair of a posterior defunctioning tear of the lateral meniscus combined with anterior cruciate ligament reconstruction was undertaken. Patients completed a follow-up postal questionnaire that included Lysholm, subjective International Knee Documentation Committee (IKDC), and Tegner scoring systems.

Results
Eight patients had suture repair of a lateral meniscal radial tear. The mean Lysholm, IKDC, and Tegner scores were 86.9 (SD, 11.6), 81.6 (SD, 13.9), and 5.8 (SD, 2.7), respectively, at a mean follow-up of 70.5 months (range, 29.0 to 168.0 months). Subsequent arthroscopy in 2 patients confirmed meniscal healing. Sixteen patients underwent a posterior horn reattachment. The mean Lysholm, subjective IKDC, and Tegner scores were 86.1 (SD, 13.3), 84.3 (SD, 17.0), and 6.5 (SD, 2.1), respectively, at a mean follow-up of 53.6 months (range, 26.0 to 116.0 months). Three patients had subsequent magnetic resonance imaging and/or arthroscopy that indicated meniscal healing. Two further patients had reinjury, and magnetic resonance imaging and/or arthroscopy showed that their repairs had failed.

Conclusions
Posterior radial tears that extend to the capsule and posterior horn detachments of the lateral meniscus are frequently amenable to repair. In this study 22 of 24 repairs functioned successfully over a mean follow-up of 58.6 months (range, 26.0 to 168.0 months).
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Human Movement and Nutrition Sciences Publications
 
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Created: Tue, 02 Dec 2014, 01:13:57 EST by Sandrine Ducrot on behalf of School of Human Movement and Nutrition Sciences