2017 ISAKOS Biennial Congress ePoster #1337

 

Evaluation Of Outcomes Of Meniscal Suturing And Risk Factors Determining The Final Outcome

Przemyslaw P. Rychtik, MD, Warsaw POLAND
Urszula E. Zdanowicz, MD, Warsaw POLAND
Michal Drwiega, MD, Warsaw POLAND
Beata Ciszkowska-Lyson, PhD, Warsaw POLAND
Robert Smigielski, MD, PhD, Warsaw, masovian POLAND
Tomasz Szymanski, MD, Warszawa POLAND

Carolina Medical Center, Warsaw, POLAND

FDA Status Not Applicable

Summary

The state of meniscus is the most important factor determining the absence or premature arthrosis of the knee. For this reason, it is of great importance to preserve them after injury.

Abstract

TITLE:
Evaluation of short and long term Outcomes of Meniscal Suturing and Risk Factors Determining
the Final Outcome.

AUTHORS:
Przemyslaw Rychtnik, Urszula Zdanowicz, Michal DrwiÍga, Beata Ciszkowska-Lyson, Robert Smigielski

Background

The state of meniscus is the most important factor determining early arthrosis of the knee. For this reason, it is of great importance to preserve them after injury. The aim of the study was to evaluate the results of meniscal repair outcomes in clinical assessment and ultrasound/magnetic resonance imaging.

Material And Methods

For this study we included 177 patients who underwent meniscal repair in the years 2004-2016 by three senior authors. Clinical as well as radiological result was evaluated. Patients were divided according to the type of suturing (All-inside, inside-out, outside-in) type sutures (absorbable, non-absorbable), concomitant injuries and other factors that could have disturb the healing - limb alignment, age of patient, time from injury to treatment.

Results

An overall results are presented and discussed - the risk factors that statistically presented. In this study there was no statistically significant relationship between patient age, sex, or the location of the meniscal tear and the final outcome. 80% of menisci healed, 16% partially healed and were considered stable and 1,25% did not heal at all. Most of patients with not healed menisci or with secondary tear did not follow the after-surgery recommendations or were in a group of higher risk. Understanding the risk factors determining the chances to save the meniscus may help to improve the results after meniscal repair, and thus can help to prevent early osteoarthritis.