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Grassi A, Macchiarola L, Lucidi GA, Dal Fabbro G, Cucurnia I, Lopomo N, Filardo G, Zaffagnini S. Clinical outcomes, healing rate, and presence of peri-meniscal cysts after all-inside meniscal repair in combination with anterior cruciate ligament reconstruction: a prospective comparative study with magnetic resonance imaging assessment. INTERNATIONAL ORTHOPAEDICS 2022; 46:1999-2008. [PMID: 35579695 DOI: 10.1007/s00264-022-05426-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Accepted: 05/01/2022] [Indexed: 10/18/2022]
Abstract
PURPOSE Meniscal repairs are the most common associated procedures during ACL reconstruction, but they present challenging indications and possible risks of complications or failures. The aim of the present study is to assess the clinical outcomes of all-inside meniscal repairs in the setting of ACL reconstruction. METHODS Twenty patients with ACL reconstruction and all-inside meniscal repair were compared to 20 patients with isolated ACL reconstruction. All patients were prospectively evaluated pre-operatively, at four month, and 18-month follow-up with KT-1000, Kira accelerometer for pivot-shift, KOOS, Marx score, and SF-36. Meniscal healing and presence of peri-meniscal cysts were assessed on standardized 1.5-T MRIs performed at 18 months. RESULTS Twenty-one meniscal repairs were performed in 20 patients (81% medial, 19% lateral). At 18 months, 48% had complete healing, 38% had incomplete healing, and 14% had no healing. Peri-meniscal cysts were present in 33% of cases. Worst pre-operative KOOS pain (p = 0.0435) and ADL (p = 0 .0201) were present in patients with meniscal lesion, while no differences were present at four months and 18 months between patients with or without meniscal repair (p > 0.05). No significant differences were noted stratifying patients according to meniscal healing or cyst presence, except of a lower Qol KOOS subscale in patients with peri-meniscal cysts (p = 0.0430). CONCLUSIONS Meniscal repairs produced good short-term results when performed in combination to ACL reconstruction. Full or partial healing at MRI was present in 86% of cases. One patient out of three developed peri-meniscal cysts.
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Affiliation(s)
- Alberto Grassi
- IRCCS Istituto Ortopedico Rizzoli, Clinica Ortopedica E Traumatologica II, Via C. Pupilli 1, 40136, Bologna, BO, Italy
| | - Luca Macchiarola
- IRCCS Istituto Ortopedico Rizzoli, Clinica Ortopedica E Traumatologica II, Via C. Pupilli 1, 40136, Bologna, BO, Italy. .,Dipartimento Di Medicina Clinica E Sperimentale, Università Degli Studi Di Foggia, Foggia, FG, Italy.
| | - Gian Andrea Lucidi
- IRCCS Istituto Ortopedico Rizzoli, Clinica Ortopedica E Traumatologica II, Via C. Pupilli 1, 40136, Bologna, BO, Italy
| | - Giacomo Dal Fabbro
- IRCCS Istituto Ortopedico Rizzoli, Clinica Ortopedica E Traumatologica II, Via C. Pupilli 1, 40136, Bologna, BO, Italy
| | - Ilaria Cucurnia
- IRCCS Istituto Ortopedico Rizzoli, Clinica Ortopedica E Traumatologica II, Via C. Pupilli 1, 40136, Bologna, BO, Italy
| | - Nicola Lopomo
- Dipartimento Di Ingegneria Dell' Informazione, Università Di Brescia, Brescia, BS, Italy
| | - Giuseppe Filardo
- Centro Di Ricerca Applicata E Traslazionale, IRCCS Istituto Ortopedico Rizzoli, Via Di Barbiano 1/10, 40136, Bologna, BO, Italy
| | - Stefano Zaffagnini
- IRCCS Istituto Ortopedico Rizzoli, Clinica Ortopedica E Traumatologica II, Via C. Pupilli 1, 40136, Bologna, BO, Italy
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