The relationship between ACL reconstruction and meniscal repair: quality of life, sports return, and meniscal failure ra
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(2020) 15:361
RESEARCH ARTICLE
Open Access
The relationship between ACL reconstruction and meniscal repair: quality of life, sports return, and meniscal failure rate—2- to 12-year follow-up Juan M. Rodríguez-Roiz1,2* , Sergi Sastre-Solsona1, Dragos Popescu1, Jordi Montañana-Burillo1 and Andres Combalia-Aleu1
Abstract Background: Few studies have approached in a long-term follow-up of meniscal repair at an amateur level, specially studying variables as a quality of life and failure rate. The purpose of this review is to study medium to long-term clinical results in patients at amateur sports patients, that have required meniscal sutures at our center, with or without ACL reconstruction. We evaluate the objective function of the knee, as well as patients’ return to sports activities, quality of life, and the rate of failed repair and study of the possible reasons. Methods: This was an observational retrospective study. Ninety-two patients who regularly perform amateur sports activities (Tegner 4 to 7) were assessed, with a minimum follow-up period of 2 years, divided into 2 groups: group 1, isolated meniscal suture (43 cases) and group 2, associated to ACL reconstruction (49 cases). Each patient made this test in 2019: Lysholm and Tegner (validated for Spanish) before a knee injury and after surgery, motivation to return to sports activity (Likert scale with 3 items: low, regular, or high), and quality of life through SD-12 test. Results: High return to amateur sports rate (92%) was even higher in the isolated meniscal repair group in comparison to the group with associated ACL. We have not found statistically significant differences between sports return and age, gender, injured meniscus, chondral injuries, preoperative Tegner score, or motivation. No significant differences in physical or mental health fields between both groups. Meniscal repair failed in 12 patients (13%). Higher rate of failure in isolated bucket-handle tear injuries (p < 0.0062). No statistically significant association was found between the other variables studied. Conclusions: Good results with 92% of sports return, low rate of complications, and low retear rate, even lower when is associated with ACL reconstruction and in external meniscus repair, and high values at SF-12 between 2 groups. Keywords: ACL, Meniscal repair, Meniscal tear, Sports return, Meniscus
* Correspondence: [email protected] 1 Orthopedic & Trauma Surgery Dept, Hospital Clínic, C/Villarroel 170, 08036 Barcelona, Spain 2 CLINICA SAGRADA FAMILIA BARCELONA, c/torras i pujalt 1, 08022 Barcelona, Spain © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Co
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