Research Article

Should Meniscus Tears be Repaired During Arthroscopic Anterior Cruciate Ligament Reconstruction?

10.4274/atfm.galenos.2021.88709

  • Olgun Bingöl
  • Güzelali Özdemir
  • Burak Kulakoğlu
  • Ömer Halit Keskin
  • Enver Kılıç
  • İzzet Korkmaz

Received Date: 08.12.2020 Accepted Date: 27.04.2021 J Ankara Univ Fac Med 2021;74(1):72-76

Objectives:

The aim of this present study is to compare the clinical outcomes of patients who underwent partial meniscectomy or meniscus repair due to accompanying meniscal tear in patients who underwent arthroscopic anterior cruciate ligament reconstruction.

Materials and Methods:

The results of 83 patients treated for concomitant meniscal tear in patients who underwent arthroscopic anterior cruciate ligament reconstruction were evaluated retrospectively. The patients that underwent partial meniscectomy were classified as group 1 (n=44) and the patients that underwent primary repair as group 2 (n=39). Evaluation of clinical outcomes were performed with Tegner activity level scale and Lysholm evaluation system.

Results:

While the preoperative Lysholm scores were 61.89±4.36 and 61.69±4.14 in groups 1 and 2, respectively, it increased to 91.80±2.33 and 95.54±1.97 postoperatively (respectively, p=0.836, p<0.001). While the preoperative Tegner activity level scores were 4.50±0.66 and 4.54±0.64 in group 1 and group 2, respectively, it increased to 5.80±0.59 and 6.23±0.43 postoperatively. (p=0.790, p<0.001, respectively).

Conclusion:

Primary menisceal repair in accompanying meniscal tears during arthroscopic anterior cruciate ligament reconstructions provides a higher rate of functional improvement and patient satisfaction compared to partial meniscectomy.

Keywords: Anterior Cruciate Ligament Reconstruction, Hamstring Tendon Autograft, Lysholm, Tegner, Meniscus Repair

Full Text (Turkish)