Artikel
Postponing meniscus repair reduces the functional outcome of primary ACL reconstruction
Suche in Medline nach
Autoren
-
Amir Koutp
- Universitätsklinikum für Orthopädie und Traumatologie Graz, Graz, Austria
-
Stefan Fischerauer
- Universitätsklinikum für Orthopädie und Traumatologie Graz, Graz, Austria
-
Harald K. Widhalm
- Universitätsklinikum für Unfallchirurgie Wien, Wien, Austria
-
Martin Fischmeister
- AUVA Unfallkrankenhaus Linz, Linz, Austria
-
Lukas Leitner
- Universitätsklinikum für Orthopädie und Traumatologie Graz, Graz, Austria
-
Andreas Leithner
- Universitätsklinikum für Orthopädie und Traumatologie Graz, Graz, Austria
-
Patrick Sadoghi
- Universitätsklinikum für Orthopädie und Traumatologie Graz, Graz, Austria
| Veröffentlicht: | 21. Oktober 2024 |
|---|
Gliederung
Text
Objectives: Our purpose was to evaluate whether the time of intervention and the type of meniscus surgery (repair vs. partial meniscectomy) play a role in managing anterior cruciate ligament (ACL) reconstructions with concurrent meniscus pathologies.
Methods: We performed a prospective cohort study that differentiated between early versus late ACL reconstructions with a cut-off at 3 months. Patients were re-evaluated after 2 years.
Results and conclusion: Thirty-nine patients received an operation between 2 – 12 weeks and 30 patients between 13 – 28 weeks after trauma. The strongest negative predictive factor of the International Knee Documentation Committee subjective knee form in a hierarchical regression model was older age (ß = -0.49 per year; 95% CI [-0.91; -0.07]; p = 0.022; partial R2 = 0.08)). The strongest positive predictive factor was a higher preoperative Tegner score (ß = 3.6; 95% CI [0.13; 7.1]; p = 0.042; partial R2 = 0.07) and an interaction between meniscus repair surgery and the time of intervention (ß = 27; 95% CI [1.6; 52]; p = 0.037; partial R2 = 0.07), revealing a clinical meaningful difference whether meniscus repairs were performed within 12 weeks after trauma or delayed. There was no difference whether partial meniscectomy was performed early or delayed. Surgical timing plays a crucial role when surgeons opt for a meniscus repair rather than for a meniscectomy.
