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

Publication ,  Journal Article
MARS Group; Wright, RW; Huston, LJ; Haas, AK; Nwosu, SK; Allen, CR; Anderson, AF; Cooper, DE; DeBerardino, TM; Dunn, WR; Lantz, BBA; Mann, B ...
Published in: The American journal of sports medicine
October 2020

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.To examine the prevalence and 2-year operative success rate of meniscal repairs in the revision ACL setting.Case-control study; Level of evidence, 3.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.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.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.

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Published In

The American journal of sports medicine

DOI

EISSN

1552-3365

ISSN

0363-5465

Publication Date

October 2020

Volume

48

Issue

12

Start / End Page

2978 / 2985

Related Subject Headings

  • Tibial Meniscus Injuries
  • Reoperation
  • Orthopedics
  • Menisci, Tibial
  • Humans
  • Case-Control Studies
  • Anterior Cruciate Ligament Reconstruction
  • Anterior Cruciate Ligament Injuries
  • 4207 Sports science and exercise
  • 4201 Allied health and rehabilitation science
 

Citation

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MARS Group, ., Wright, R. W., Huston, L. J., Haas, A. K., Nwosu, S. K., Allen, C. R., … York, J. J. (2020). Meniscal Repair in the Setting of Revision Anterior Cruciate Ligament Reconstruction: Results From the MARS Cohort. The American Journal of Sports Medicine, 48(12), 2978–2985. https://doi.org/10.1177/0363546520948850
MARS Group, Qian, Rick W. Wright, Laura J. Huston, Amanda K. Haas, Samuel K. Nwosu, Christina R. Allen, Allen F. Anderson, et al. “Meniscal Repair in the Setting of Revision Anterior Cruciate Ligament Reconstruction: Results From the MARS Cohort.The American Journal of Sports Medicine 48, no. 12 (October 2020): 2978–85. https://doi.org/10.1177/0363546520948850.
MARS Group, Wright RW, Huston LJ, Haas AK, Nwosu SK, Allen CR, et al. Meniscal Repair in the Setting of Revision Anterior Cruciate Ligament Reconstruction: Results From the MARS Cohort. The American journal of sports medicine. 2020 Oct;48(12):2978–85.
MARS Group, Qian, et al. “Meniscal Repair in the Setting of Revision Anterior Cruciate Ligament Reconstruction: Results From the MARS Cohort.The American Journal of Sports Medicine, vol. 48, no. 12, Oct. 2020, pp. 2978–85. Epmc, doi:10.1177/0363546520948850.
MARS Group, Wright RW, Huston LJ, Haas AK, Nwosu SK, Allen CR, Anderson AF, Cooper DE, DeBerardino TM, Dunn WR, Lantz BBA, Mann B, Spindler KP, Stuart MJ, Pennings JS, Albright JP, Amendola AN, Andrish JT, Annunziata CC, Arciero RA, Bach BR, Baker CL, Bartolozzi AR, Baumgarten KM, Bechler JR, Berg JH, Bernas GA, Brockmeier SF, Brophy RH, Bush-Joseph CA, Butler V JB, Campbell JD, Carey JL, Carpenter JE, Cole BJ, Cooper JM, Cox CL, Creighton RA, Dahm DL, David TS, Flanigan DC, Frederick RW, Ganley TJ, Garofoli EA, Gatt CJ, Gecha SR, Giffin JR, Hame SL, Hannafin JA, Harner CD, Harris NL, Hechtman KS, Hershman EB, Hoellrich RG, Hosea TM, Johnson DC, Johnson TS, Jones MH, Kaeding CC, Kamath GV, Klootwyk TE, Levy BA, Ma CB, Maiers GP, Marx RG, Matava MJ, Mathien GM, McAllister DR, McCarty EC, McCormack RG, Miller BS, Nissen CW, O’Neill DF, Owens BD, Parker RD, Purnell ML, Ramappa AJ, Rauh MA, Rettig AC, Sekiya JK, Shea KG, Sherman OH, Slauterbeck JR, Smith MV, Spang JT, Steven J Svoboda L, Taft TN, Tenuta JJ, Tingstad EM, Vidal AF, Viskontas DG, White RA, Williams JS, Wolcott ML, Wolf BR, York JJ. Meniscal Repair in the Setting of Revision Anterior Cruciate Ligament Reconstruction: Results From the MARS Cohort. The American journal of sports medicine. 2020 Oct;48(12):2978–2985.
Journal cover image

Published In

The American journal of sports medicine

DOI

EISSN

1552-3365

ISSN

0363-5465

Publication Date

October 2020

Volume

48

Issue

12

Start / End Page

2978 / 2985

Related Subject Headings

  • Tibial Meniscus Injuries
  • Reoperation
  • Orthopedics
  • Menisci, Tibial
  • Humans
  • Case-Control Studies
  • Anterior Cruciate Ligament Reconstruction
  • Anterior Cruciate Ligament Injuries
  • 4207 Sports science and exercise
  • 4201 Allied health and rehabilitation science