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Meniscal repair: Outcomes and clinical follow-up
Authors:Philip S Perdue  Jr MD  Charles D Hummer  III MD  Angelo J Colosimo MD  Robert S Heidt  Jr MD  FACS  Stephen G Dormer BA
Institution:aPitt Orthopedic Service, Greenville, North Carolina U.S.A.;bOrthopaedic Associates, LTD, Upland, Pennsylvania U.S.A.;cUniversity Orthopaedic and Sports Medicine, University of Cincinnati, Ohio U.S.A.;dWellington Orthopaedic &; Sports Medicine, Cincinnati, Ohio, U.S.A.
Abstract:A retrospective study of arthroscopic meniscal repair in 101 consecutive patients was conducted. Sixty-three patients constituted our study group. The arthroscopic technique used for meniscal repair was the inside-out method using malleable cannulas. Forty-five patients were available for clinical examination, with a mean follow-up of 27 months. Tegner and Lysholm scores were comparable to those previously reported for arthroscopic meniscal repair. The HSQ (similar to the SF-36) scores were equal to those from an age- and sex-matched normal population, indicating that individuals with repaired menisci do not have any residual negative effects on global health at mean 26.9 months' follow-up. The physical functioning subscale of the HSQ was found to be sensitive to patient perception of results. Complications included one case of restricted knee range of motion requiring arthroscopy and lysis of adhesions. Overall clinical results were 64% excellent, 27% good, and 9% failure. Age, sex, and length of the meniscal tear had no affect on clinical outcome.
Keywords:Meniscal repair  Outcome studies  Knee  Arthroscopy
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