Garrett R Jackson1, Joshua Meade2,3, Ziqing Yu2,3, Bradley Young2,3, Dana P Piasecki2,3, James E Fleischli2,3, Robert L Parisien4, David P Trofa5, Bryan M Saltzman6,7. 1. School of Medicine, American University of the Caribbean, Cupecoy, Sint Maarten. 2. Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, NC, USA. 3. OrthoCarolina, Charlotte, NC, USA. 4. Department of Orthopaedic Surgery, Mount Sinai Hospital, Queens, NY, USA. 5. Department of Orthopedics, Columbia University Medical Center, New York, NY, USA. 6. Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, NC, USA. Bryan.Saltzman@orthocarolina.com. 7. OrthoCarolina, Charlotte, NC, USA. Bryan.Saltzman@orthocarolina.com.
Abstract
PURPOSE: The purpose of this meta-analysis is to determine the outcomes and failure rates for revision meniscus repairs in patients with re-tears after primary repair failure. METHODS: A literature search was conducted using PubMed and Embase with the terms "Meniscus," "Meniscal," "Revised," and "Revision." The search strategy was based on the PRISMA (Preferred Reporting Items for Systematic Meta-Analyses) protocol and included four articles (79 patients). The search criteria were limited to studies reporting outcomes and failure rates. The exclusion criteria included languages other than English, biomechanical studies, letters to editors, non-full text, review articles, meta-analysis, and case reports. RESULTS: Four comparative studies with 79 patients (53 males, 26 females) with a mean age of 23.9 ± 6.4 years treated with a revision meniscus repair were included in the final analysis. Within this analysis, we found a failure rate of 25.3% (20 of 79 patients). Of these failed repairs, 30.95% (13 of 42) were of the medial meniscus, and 18.9% (7 of 37) were of the lateral meniscus. In the four articles, the postoperative Tegner sports activity score was found to be 6.1 ± 1.6 (range, 2 to 10). The post-operative Lysholm score was reported in three articles (45 patients). At a mean follow-up of 58.3 ± 23.9 months, the mean post-operative Lysholm score was 89.1 ± 7.6 (range, 38 to 100). The Coleman score for the included articles ranged between 52 and 59. CONCLUSION: This analysis found that revision meniscus repairs in patients with re-tears after primary repair failure result in clinical outcomes similar to that of primary repairs.
PURPOSE: The purpose of this meta-analysis is to determine the outcomes and failure rates for revision meniscus repairs in patients with re-tears after primary repair failure. METHODS: A literature search was conducted using PubMed and Embase with the terms "Meniscus," "Meniscal," "Revised," and "Revision." The search strategy was based on the PRISMA (Preferred Reporting Items for Systematic Meta-Analyses) protocol and included four articles (79 patients). The search criteria were limited to studies reporting outcomes and failure rates. The exclusion criteria included languages other than English, biomechanical studies, letters to editors, non-full text, review articles, meta-analysis, and case reports. RESULTS: Four comparative studies with 79 patients (53 males, 26 females) with a mean age of 23.9 ± 6.4 years treated with a revision meniscus repair were included in the final analysis. Within this analysis, we found a failure rate of 25.3% (20 of 79 patients). Of these failed repairs, 30.95% (13 of 42) were of the medial meniscus, and 18.9% (7 of 37) were of the lateral meniscus. In the four articles, the postoperative Tegner sports activity score was found to be 6.1 ± 1.6 (range, 2 to 10). The post-operative Lysholm score was reported in three articles (45 patients). At a mean follow-up of 58.3 ± 23.9 months, the mean post-operative Lysholm score was 89.1 ± 7.6 (range, 38 to 100). The Coleman score for the included articles ranged between 52 and 59. CONCLUSION: This analysis found that revision meniscus repairs in patients with re-tears after primary repair failure result in clinical outcomes similar to that of primary repairs.
Authors: Thomas Stein; Andreas Peter Mehling; Frederic Welsch; Rüdige von Eisenhart-Rothe; Alwin Jäger Journal: Am J Sports Med Date: 2010-06-15 Impact factor: 6.202
Authors: Yale A Fillingham; Jonathan C Riboh; Brandon J Erickson; Bernard R Bach; Adam B Yanke Journal: Am J Sports Med Date: 2016-07-21 Impact factor: 6.202
Authors: C Lutz; F Dalmay; F P Ehkirch; T Cucurulo; C Laporte; G Le Henaff; J F Potel; N Pujol; G Rochcongar; E Salledechou; R Seil; F-X Gunepin; B Sonnery-Cottet Journal: Orthop Traumatol Surg Res Date: 2015-10-03 Impact factor: 2.256