Journals / Medicine Science / 2021 / Cilt: 10 - Sayı: 4

The effect of the tear pattern and the number of preoperative locking episodes on the functional outcome following arthroscopic bucket-handle meniscal tear repair

Pages
1275–1284
Publication Date
2022-10-18
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

VAS, Lysholm, IKDC, Tegner, and overall satisfaction scale were used to assess functional and clinical outcomes.

📌 3 Key Takeaways

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Objective & Hypothesis:Relatively larger size, displacement, the complexity of the bucket-handle meniscal tear (BHMT)s, and the fact that they can cause locking can be challenging for treatment.
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Key Findings & Data:This study aimed to evaluate the effect of tear pattern and the number of preoperative locking episodes on the functional outcome and failure rate following arthroscopic BHMT repairs. 84 patients who underwent arthroscopic repair for BHMTs between 2013 and 2018 were included in the study.
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Conclusion & Impact:VAS, Lysholm, IKDC, Tegner, and overall satisfaction scale were used to assess functional and clinical outcomes.
🔬Design:Research Article
📍Scope:2013 Verileri
⚙️Variables:Domain Parameters

Abstract

Relatively larger size, displacement, the complexity of the bucket-handle meniscal tear (BHMT)s, and the fact that they can cause locking can be challenging for treatment. This study aimed to evaluate the effect of tear pattern and the number of preoperative locking episodes on the functional outcome and failure rate following arthroscopic BHMT repairs. 84 patients who underwent arthroscopic repair for BHMTs between 2013 and 2018 were included in the study. VAS, Lysholm, IKDC, Tegner, and overall satisfaction scale were used to assess functional and clinical outcomes. MRI was used for radiologic assessment method, and Barrett criteria were used for assessment clinical failure. The effects of BHMT pattern and the number of preoperative locking episodes were evaluated, and the effect of surgical and demographic features on failure was investigated following arthroscopic BHMT repair. The mean follow-up was 66.1 ± 16.2 months (range, 24-84 months). Improvement in VAS, Lyholm, IKDC scores, and patient satisfaction was significantly higher in patients with single locking history, and failure rate in this group was lower as well (p=0.036, p=0.000, p=0.001, p=0.000, p=0.015, respectively). Red--white (RW) zone tears, late repairs (>2 months), and smoking habits were found to be significantly higher in failed repairs (p=0.036, p=0.015, p=0.028, respectively). However, BHMT pattern did not affect clinical outcomes and failure rate (p

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Cite This Article

Misir, A., Uzun, E., Guney, A., Sayer, G. (2022). The effect of the tear pattern and the number of preoperative locking episodes on the functional outcome following arthroscopic bucket-handle meniscal tear repair. Medicine Science, Cilt: 10 - Sayı: 4, 1275–1284. https://ajindex.com/articles/579756

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References (14)

  1. Nguyen JC, De Smet AA, Graf BK, et al. MR imaging-based diagnosis and classification of meniscal tears. Radiographics. 2014;34:981–99
  2. Saltzman BM, Cotter EJ, Wang KC, et al. Arthroscopically repaired buckethandle meniscus tears: Patient demographics, postoperative outcomes, and a comparison of success and failure cases. Cartilage. 2020;11:77–87
  3. Moatshe G, Cinque ME, Godin JA, et al. Comparable outcomes after bucket-handle meniscal repair and vertical meniscal repair can be achieved at a minimum 2 years’ follow-up. Am J Sports Med. 2017;45:3104–10
  4. Kramer DE, Kalish LA, Martin DJ, et al. Outcomes after the operative treatment of bucket-handle meniscal tears in children and adolescents. Orthop J Sport Med. 2019;7:2325967118820305
  5. Thaunat M, Fournier G, O’Loughlin P, et al. Clinical outcome and failure analysis of medial meniscus bucket-handle tear repair: a series of 96 patients with a minimum 2 year follow-up. Arch Orthop Trauma Surg. 2020;140:1649-54
  6. Phillips BB MM. Arthroscopy of the lower extremity. In: Canale ST, Beaty JH, eds. In: Campbell’s Operative Orthopaedics. 12th ed. Philadelphia, PA: Elsevier; 2013;2393-5
  7. Lim HC, Bae J-H, Kim T-S, et al. Intra-articular patterns of bucket handle meniscal tears and its relation to reducibility. Clin Orthop Surg. 2012;4:129–133
  8. Cetinkaya E, Gursu S, Gul M, et al. Surgical repair of neglected buckethandle meniscal tears displaced into the intercondylar notch: Clinical and radiological results. J Knee Surg. 2018;31:514–9
  9. Ardizzone CA, Houck DA, McCartney DW, et al. All-Inside repair of bucket-handle meniscal tears: Clinical outcomes and prognostic factors. Am J Sports Med. 2020;363546520906141
  10. Ahn JH, Kim K-I, Wang JH, et al. Arthroscopic repair of bucket-handle tears of the lateral meniscus. Knee Surg Sports Traumatol Arthrosc. 2015;23:205–10
  11. Espejo-Reina A, Serrano-Fernandez JM, Martin-Castilla B, et al. Outcomes after repair of chronic bucket-handle tears of medial meniscus. Arthroscopy. 2014;30:492–6
  12. Yilmaz S, Cankaya D, Firat A, et al. Combined inside-out and all-inside technique in bucket-handle meniscus tears. Acta Ortop Bras. 2016;24:179– 183
  13. Outerbridge RE. The etiology of chondromalacia patellae. 1961. Clin Orthop Relat Res. 2001;(389):5–8
  14. Uzun E, Misir A, Kizkapan TB, et al. Evaluation of midterm clinical and radiographic outcomes of arthroscopically repaired vertical longitudinal and bucket-handle lateral meniscal tears. Orthop J Sport Med. 2019