All-inside meniscal repair effective as isolated, concurrent ACL reconstruction procedure

Do you work out for health benefits and feel you are exercising more than enough? You might be among the many Canadians who overrate how hard they work out or underestimate what moderate intensity exercise means, according to a recent study out of York University’s Faculty of Health.

Primary second-generation all-inside meniscal repair was shown to be effective both as an isolated procedure and when performed with concurrent ACL reconstruction, according to study results.

In a retrospective review of patients who underwent meniscal repair with the use of an all-inside meniscal repair system from December 1999 to January 2007, researchers identified 83 meniscal repairs, of which 90% had follow-up data and 35% were performed as isolated procedures. The researchers defined clinical failure as repeat surgical intervention involving resection or revision repair. They then assessed clinical outcomes using KOOS, IKDC and the Marx activity scores. Minimum follow-up was 5 years.

At an average of 47 months, 16% of patients experienced failure of meniscal repair. The researchers did not find enough statistical evidence to establish a difference in average patient age, patient sex or number of sutures utilized between successful repairs and failures.

No difference was found in the failure rates between isolated repairs and those performed with concurrent ACL reconstruction. Study results also showed similarities in the average time to failure and postoperative KOOS and IKDC outcome scores between isolated repairs and repairs performed with concurrent ACL reconstruction, according to the researchers.

Disclosure: See the study for a full list of all authors’ relevant financial disclosures.

Source: Healio

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