Our Experience in Meniscus Tears and Differences in Sport Recovery between Medial and Lateral Partial Meniscectomy in Young Athlete
Journal Title: Journal of Orthopaedic Science and Research - Year 2021, Vol 2, Issue 2
Abstract
Meniscus tears are the most frequent knee injuries. Menisci provide joint stability and local pressure distribution. A meniscus injury contributes to the early development of osteoarthritis. The aim of our study is to analyze the results of partial meniscectomy at 4 years follow-up, comparing time of sport recovery between lateral and medial partial meniscectomy. At our institute 94 young athletes with meniscal tear were surgically treated with partial meniscectomy. 75 (80%) were males and 19 (20%) females. Medial meniscus was interested in 74 cases (79%), lateral meniscus in 20 (21 %). Mean age at treatment was 26 ± 4, 98 (range 18-35) years. 15 (16%) patients with medial meniscus tear had associated an ACL tear, which was repaired with an arthroscopic reconstruction by hamstring. Return to sport happened significantly earlier in the medial meniscus tears group than in the lateral meniscus tears group (average time 40±4, 14 days versus 59±7, 24 days). Student’s Ttest showed statistical significance (p-value = 0.0147). The average results of the clinical evaluation through the "KOOS" Score questionnaire comparable with previously published data. Patients with associated LCA lesions obtained scores comparable to those obtained from patients with isolated meniscal injury. Time to return to sports is longer after lateral than medial meniscectomy, because lateral meniscectomy has a higher incidence of adverse events in the early recovery period, including pain/swelling. A functional ACL is the best guarantee for preserving joint cartilage from degeneration.
Authors and Affiliations
Gianluca Testa, Luca Gurrieri*, Marco Andolfi, Marco Caponnetto, Danilo Di Via, Gianluca Puglisi, Salvatore D’Amato, Vito Pavone
Keywords
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- EP ID EP698821
- DOI http://dx.doi.org/10.46889/JOSR.2021.2206
- Views 73
- Downloads 0
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