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All-Inside Arthroscopic Meniscus Repair for Patients Over 40 Years of Age: Is Forty the New Twenty?
Ciapini, Gianluca; Varchetta, Giorgio; Bizzocchi, Federico; Gadsby, Giulio; Lombardi, Leonardo; Sgadò, Francesca; Ipponi, Edoardo; Scaglione, Michelangelo; Parchi, Paolo Domenico.
Afiliación
  • Ciapini G; Department of Orthopedics and Traumatology, University of Pisa, Pisa, ITA.
  • Varchetta G; Department of Orthopedics and Traumatology, University of Pisa, Pisa, ITA.
  • Bizzocchi F; Department of Orthopedics and Traumatology, University of Pisa, Pisa, ITA.
  • Gadsby G; Department of Orthopedics and Traumatology, University of Pisa, Pisa, ITA.
  • Lombardi L; Department of Orthopedics and Traumatology, University of Pisa, Pisa, ITA.
  • Sgadò F; Department of Orthopedics and Traumatology, University of Pisa, Pisa, ITA.
  • Ipponi E; Department of Orthopedics and Traumatology, University of Pisa, Pisa, ITA.
  • Scaglione M; Department of Orthopedics and Traumatology, University of Pisa, Pisa, ITA.
  • Parchi PD; Department of Orthopedics and Traumatology, University of Pisa, Pisa, ITA.
Cureus ; 16(3): e56413, 2024 Mar.
Article en En | MEDLINE | ID: mdl-38638784
ABSTRACT

INTRODUCTION:

Meniscal injuries are a common challenge in orthopedic surgery. For decades, partial or total meniscectomy has been the primary surgical treatment for meniscal tears. In recent years, the increased recognition of menisci's biomechanical importance has progressively shifted the paradigm towards meniscus repair. However, meniscus-sparing surgery remains the treatment of choice for selected lesions in young and active patients, especially for young and active patients. In this study, we evaluated the effectiveness of all-inside sutures in treating meniscus tears in patients over 40.

METHODS:

In our retrospective evaluation, we evaluated the clinical and functional outcomes of cases over 40 years of age with post-traumatic acute meniscus tears that received meniscus repairs using the all-inside technique. The pre-operative and post-operative functionality of treated patients were assessed using the knee injury and osteoarthritis outcome score (KOOS) score. Major complications were recorded.

RESULTS:

Twenty-three cases met our inclusion criteria. Eight females and fifteen males with a mean age of 44.9 were included in our study. Their mean follow-up was 35.1 months. Before surgery, our patients' mean KOOS score was 55.4 (18-80). At the patients' latest follow-up, the value had risen to 87.4 (63-100). There was no statistical correlation between patients' age and their functional recovery. No surgical failure was recorded at the latest follow-up.

CONCLUSION:

The all-inside suture technique can represent a suitable and reliable solution for suturable meniscal tears, even for patients over 40. Preserving the meniscus and restoring patients' functionality allows patients to return to their daily activities and promote their quality of life.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos