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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| Published in | Acta orthopaedica Vol. 73; no. 2; pp. 179 - 185 |
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| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
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Basingstoke
Informa UK Ltd
2002
Taylor & Francis |
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| Abstract | 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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| AbstractList | 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. |
| Author | Russell, Vivianne J Magnusson, Lennart C Salmon, Lucy J Kartus, Jüri T Brandsson, Sveinbjörn Pehrsson, Nils G Pinczewski, Leo A |
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| Keywords | 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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| SubjectTerms | 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 |
| Title | Concomitant partial meniscectomy worsens outcome after arthroscopic anterior cruciate ligament reconstruction |
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