2023 ISAKOS Biennial Congress ePoster
Less Than 10% Failure Rate in Patients with Bucket-Handle Meniscal Tear Repair After 4 Years Follow-Up
Tomas Alfredo Esteves, MD, Capital Federal, Buenos Aires ARGENTINA
Ignacio Astore ARGENTINA
Carlos H. Yacuzzi, MD, Buenos Aires, BA ARGENTINA
Matias Costa-Paz, MD, PhD., Buenos Aires, Buenos Aires ARGENTINA
Juan Pablo Zicaro, MD, Olivos, Buenos Aires ARGENTINA
Hospital Italiano de Buenos Aires, Buenos Aires, Buenos Aires, ARGENTINA
FDA Status Not Applicable
Summary
The failure rate reported in the literature following bucket-handle meniscal tear repair is approximately 15%. Nowadays, with an increased number of stitches and improved meniscal suturing devices, a decrease in the failure rate has been seen. The objective was to analyze the failure rate of our series of patients who underwent bucket-handle meniscal tear repair.
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Abstract
Background
The failure rate reported in the literature following bucket-handle meniscal tear repair is approximately 15%. Nowadays, with an increased number of stitches and improved meniscal suturing devices, a decrease in the failure rate has been seen. The objective was to analyze the failure rate of our series of patients who underwent bucket-handle meniscal tear repair.
Methods
Retrospective case serie. Patients who underwent bucket-handle meniscal tear repair between January 2016 and December 2022 were included. We analyzed demographic data; surgical data and reoperation (failure) rate in patients with a minimum follow-up of 18 months.
Results
52 patients were evaluated, 46 men (88%), with a mean age of 28 years (SD 9.5), mean BMI of 24 (SD 3.8), and a mean follow-up of 48.9 months (SD 16.5). In 11 patients (17%) were associated with anterior cruciate ligament (ACL) reconstruction (R-LCA), 3 (5%) with a contralateral meniscus injury, and 6 (9%) were associated with a cartilage injury.
The overall mean number of stitches was 7.4 (SD 3.3), 2.2 (SD 2) all-inside, and 5.1 (SD 2.5) inside-out. The overall failure rate was 9.6% (n=5), 7.3% (n=3) in isolated repairs and 18.2% (n=2) in R-LCA associated lesions.
Discussion
The most important result of our series was that the overall failure rate was 9.6% in patients operated on since 2016. The increased number of stitches and the improvement in surgical technique are possibly the major factors for the reduction in the failure rate.