Concomitant partial meniscectomy worsens outcome after arthroscopic anterior cruciate ligament reconstruction

In this multi-center study involving 412 patients, we assessed the influence of concomitant partial meniscal resection on the medium-term clinical results after anterior cruciate ligament reconstruction. We performed a resection of minimum one-third of the medial or lateral menisci in 137 patients (...

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Bibliographic Details
Published inActa orthopaedica Vol. 73; no. 2; pp. 179 - 185
Main Authors Kartus, Jüri T, Russell, Vivianne J, Salmon, Lucy J, Magnusson, Lennart C, Brandsson, Sveinbjörn, Pehrsson, Nils G, Pinczewski, Leo A
Format Journal Article
LanguageEnglish
Published Basingstoke Informa UK Ltd 2002
Taylor & Francis
Subjects
Adolescent
Adult
Anterior Cruciate Ligament - surgery
Arthroscopy - adverse effects
Biological and medical sciences
Combined Modality Therapy - adverse effects
Female
Follow-Up Studies
Humans
Knee Joint - surgery
Male
Medical sciences
Menisci, Tibial - surgery
Middle Aged
Orthopedic surgery
Outcome Assessment (Health Care)
Postoperative Complications
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Time Factors
Knee
Human
Endoscopic surgery
Prognosis
Anatomical reconstruction
Anterior cruciate ligament
Orthopedic surgery
Arthroscopy
Treatment
Meniscectomy
Partial
Combined treatment
Medium term
Technique
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Summary:In this multi-center study involving 412 patients, we assessed the influence of concomitant partial meniscal resection on the medium-term clinical results after anterior cruciate ligament reconstruction. We performed a resection of minimum one-third of the medial or lateral menisci in 137 patients (group M) and found intact menisci in 275 patients (group NM). Those who had undergone previous meniscal surgery, subsequent meniscal surgery or a re-rupture of the anterior cruciate ligament graft during the follow-up were not included. After a median of 3 (2-6) years, the patients were reexamined by independent observers. Group M patients had more pain, swelling and laxity than those in group NM; they also had a worse classification according to the IKDC system, lower Lysholm scores and a greater proportion of patients with loss of motion.
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ISSN:1745-3674
0001-6470
1745-3682
DOI:10.1080/000164702753671777