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Success of meniscal repair at anterior cruciate ligament reconstruction.

Publication ,  Journal Article
Toman, CV; Dunn, WR; Spindler, KP; Amendola, A; Andrish, JT; Bergfeld, JA; Flanigan, D; Jones, MH; Kaeding, CC; Marx, RG; Matava, MJ; Vidal, A ...
Published in: Am J Sports Med
June 2009

BACKGROUND: Meniscal repair is performed in an attempt to prevent posttraumatic arthritis resulting from meniscal dysfunction after meniscal tears. The socioeconomic 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. HYPOTHESIS: Concomitant meniscal repair with anterior cruciate ligament reconstruction is a durable and successful procedure at 2-year follow-up. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: All unilateral primary anterior cruciate ligament reconstructions entered in 2002 in a cohort who had meniscal repair at the time of anterior cruciate ligament reconstruction were evaluated. Validated patient-oriented outcome instruments were completed preoperatively and then again at the 2-year postoperative time point. Reoperation after the index procedure was also documented and confirmed by operative reports. RESULTS: A total of 437 unilateral primary anterior cruciate ligament reconstructions were performed with 82 concomitant meniscal repairs (54 medial, 28 lateral) in 80 patients during the study period. Patient follow-up was obtained on 94% (77 of 82) of the meniscal repairs, allowing confirmation of meniscal repair success (defined as no repeat arthroscopic procedure) or failure. The overall success rate for meniscal repairs was 96% (74 of 77 patients) at 2-year follow-up. CONCLUSION: Meniscal repair is a successful procedure in conjunction with anterior cruciate ligament reconstruction. When confronted with a "repairable" meniscal tear at the time of anterior cruciate ligament reconstruction, orthopaedic surgeons can expect an estimated >90% clinical success rate at 2-year follow-up using a variety of methods as shown in our study.

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Published In

Am J Sports Med

DOI

EISSN

1552-3365

Publication Date

June 2009

Volume

37

Issue

6

Start / End Page

1111 / 1115

Location

United States

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Tibial Meniscus Injuries
  • Surveys and Questionnaires
  • Prospective Studies
  • Orthopedics
  • Orthopedic Procedures
  • Middle Aged
  • Menisci, Tibial
  • Male
 

Citation

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Toman, C. V., Dunn, W. R., Spindler, K. P., Amendola, A., Andrish, J. T., Bergfeld, J. A., … Wright, R. W. (2009). Success of meniscal repair at anterior cruciate ligament reconstruction. Am J Sports Med, 37(6), 1111–1115. https://doi.org/10.1177/0363546509337010
Toman, Charles V., Warren R. Dunn, Kurt P. Spindler, Annunziata Amendola, Jack T. Andrish, John A. Bergfeld, David Flanigan, et al. “Success of meniscal repair at anterior cruciate ligament reconstruction.Am J Sports Med 37, no. 6 (June 2009): 1111–15. https://doi.org/10.1177/0363546509337010.
Toman CV, Dunn WR, Spindler KP, Amendola A, Andrish JT, Bergfeld JA, et al. Success of meniscal repair at anterior cruciate ligament reconstruction. Am J Sports Med. 2009 Jun;37(6):1111–5.
Toman, Charles V., et al. “Success of meniscal repair at anterior cruciate ligament reconstruction.Am J Sports Med, vol. 37, no. 6, June 2009, pp. 1111–15. Pubmed, doi:10.1177/0363546509337010.
Toman CV, Dunn WR, Spindler KP, Amendola A, Andrish JT, Bergfeld JA, Flanigan D, Jones MH, Kaeding CC, Marx RG, Matava MJ, McCarty EC, Parker RD, Wolcott M, Vidal A, Wolf BR, Huston LJ, Harrell FE, Wright RW. Success of meniscal repair at anterior cruciate ligament reconstruction. Am J Sports Med. 2009 Jun;37(6):1111–1115.
Journal cover image

Published In

Am J Sports Med

DOI

EISSN

1552-3365

Publication Date

June 2009

Volume

37

Issue

6

Start / End Page

1111 / 1115

Location

United States

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Tibial Meniscus Injuries
  • Surveys and Questionnaires
  • Prospective Studies
  • Orthopedics
  • Orthopedic Procedures
  • Middle Aged
  • Menisci, Tibial
  • Male