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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 8/2023

20-04-2023 | KNEE

Patients with meniscus posterolateral root tears repair during ACL reconstruction achieve comparable post-operative outcome than patients with isolated ACL reconstruction

Authors: Bard Thomas, Bernard de Villeneuve Florent, Ferreira Alexandre, Pithioux Martine, Sharma Akash, Pangaud Corentin, Ollivier Matthieu, Jacquet Christophe

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 8/2023

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Abstract

Purpose

Lateral posterior meniscal root tear (LPMRT) repair, at the time of anterior cruciate ligament (ACL) reconstruction are increasingly being performed. The aim of this study was to compare the clinical and functional outcomes, as well as the complication rates at a minimum of 2 years follow-up, between an isolated ACL reconstruction group with intact menisci and a combined ACL reconstruction and LPMRT repair group.

Methods

All patients who underwent combined ACL reconstruction and LPMRT repair between 2016 and 2020 were included in the study. They were matched with an isolated ACL reconstruction group with intact menisci based on age, gender and the pre-injury IKDC score. The KOOS, ACLRSI Tegner-Lysholm score and the TELOS-test were collected pre- and postoperatively; complications (re-rupture, recurrence or persistence of a high grade pivot shift, new meniscal injury) were recorded. All LPMRTs were repaired using transtibial pull-out technique.

Results

After matching, 100 patients were included in this study (mean age 29.6 ± 1.0 years and mean follow-up 42.9 ± 7.3 months): 50 patients in the isolated ACL reconstruction group with intact menisci (group A) and 50 in the combined ACL reconstruction and LPMRT repair group (group B). Preoperatively, patients in group B had significant lower KOOS scores (Global 55.9 ± 2.9 vs. 64.6 ± 2.3, p = 0.02), but similar ACLRSI, TEGNER and TELOS scores. At the last follow-up, all functional scores had improved, and no significant difference between the two groups on any score was observed. There was also no difference in terms of complications rates.

Conclusion

At a minimum of 2 years follow-up (mean follow-up 42.9 months), LPMRT repair during ACL reconstruction has no significant difference in terms of post-operative functional outcomes compared to the isolated ACL reconstruction group.

Level of evidence

Level III.
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Metadata
Title
Patients with meniscus posterolateral root tears repair during ACL reconstruction achieve comparable post-operative outcome than patients with isolated ACL reconstruction
Authors
Bard Thomas
Bernard de Villeneuve Florent
Ferreira Alexandre
Pithioux Martine
Sharma Akash
Pangaud Corentin
Ollivier Matthieu
Jacquet Christophe
Publication date
20-04-2023
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 8/2023
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-023-07415-x

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