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BMC Surgery
Published in: BMC Surgery 1/2017

Open Access 01-12-2017 | Research article

Risk of total/subtotal meniscectomy for respective medial and lateral meniscus injury: correlation with tear type, duration of complaint, age, gender and ACL rupture in 6034 Asian patients

Authors: Dong Jiang, Xiao Luo, Yingfang Ao, Xi Gong, Yong-jian Wang, Hai-jun Wang, Yu Miao, Nan Li, Ji-ying Zhang, Jia-kuo Yu

Published in: BMC Surgery | Issue 1/2017

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Abstract

Background

To evaluate the risk factor associated with total or subtotal meniscectomy for respective medial and lateral meniscus injury.

Methods

The data of all the meniscus injured patients undergoing arthroscopy in our institute between January 15th, 2000 and December 31st, 2008 was collected and 6034 patients with 7241 injured menisci met the inclusion criteria. The mean patient age was 33.6 ± 14.9 years and there were 4785 males and 2456 females with 3568 medial and 3673 lateral menisci. The decision tree approach was applied to investigate the correlation of the tear type, the duration of complaint, age, gender, ACL rupture and total/subtotal meniscectomy for respective medial and lateral meniscus.

Results

The tear type was associated with both medial (χ2 = 70.901, P < 0.001) and lateral (χ2 = 268.019, P < 0.001) total/subtotal meniscectomy. The strongest risk of total/subtotal meniscectomy of both medial and lateral meniscus tear was shown for the complex tear followed by the longitudinal, oblique, horizontal and radial tear of the medial meniscus and followed by horizontal, longitudinal, radial and oblique tear of the lateral meniscus. The risk of total/subtotal medial meniscectomy was significantly elevated for the patients with complex tear and the age of ≤40 years old (χ2 = 21.028, P < 0.001) and those with the oblique, horizontal or radial tear accompanied by ACL rupture (χ2 = 6.631, P = 0.01). Besides, the duration of complaint was also associated with total/subtotal meniscectomy of the medial longitudinal tear with ACL rupture (χ2 = 17.155, P < 0.001). On the other side, the risk of total/subtotal lateral meniscectomy was significantly elevated for the complex tear of the female patients (χ2 = 5.877, P = 0.015) with no ACL rupture (χ2 = 50.501, P < 0.001). The ACL rupture was associated with a decreased risk of total/subtotal meniscectomy for all the types of the lateral meniscus (complex: χ2 = 50.501, P < 0.001; horizontal: χ2 = 20.897, P < 0.001; oblique: χ2 = 27.413, P < 0.001; longitudinal and radial: χ2 = 110.85, P < 0.001).

Conclusion

Analyzing data from a big sample available in an Asian patient database, we found different risk factors associated with total/subtotal meniscectomy for respective medial and lateral meniscus. Identifying patients at high risk for total/subtotal meniscectomy may allow for interventions after meniscus injury.
Literature
1.
Abrams GD, Frank RM, Gupta AK, Harris JD, McCormick FM, Cole BJ. Trends in meniscus repair and meniscectomy in the United States, 2005-2011. Am J Sports Med. 2013;41(10):2333–9.CrossRefPubMed
2.
Ferry T, Bergstrom U, Hedstrom EM, Lorentzon R, Zeisig E. Epidemiology of acute knee injuries seen at the emergency Department at Umea University Hospital, Sweden, during 15 years. Knee Surg Sports Traumatol Arthrosc. 2014;22(5):1149–55.CrossRefPubMed
3.
4.
Krause WR, Pope MH, Johnson RJ, Wilder DG. Mechanical changes in the knee after meniscectomy. J Bone Joint Surg Am. 1976;58(5):599–604.CrossRefPubMed
5.
Baratz ME, Fu FH, Mengato R. Meniscal tears: the effect of meniscectomy and of repair on intraarticular contact areas and stress in the human knee. A preliminary report. Am J Sports Med. 1986;14(4):270–5.CrossRefPubMed
6.
Ahmed AM, Burke DL. In-vitro measurement of static pressure distribution in synovial joints--part I: Tibial surface of the knee. J Biomech Eng. 1983;105(3):216–25.CrossRefPubMed
7.
Roos H, Lauren M, Adalberth T, Roos EM, Jonsson K, Lohmander LS. Knee osteoarthritis after meniscectomy: prevalence of radiographic changes after twenty-one years, compared with matched controls. Arthritis Rheum. 1998;41(4):687–93.CrossRefPubMed
8.
Mitchell J, Graham W, Best TM, Collins C, Currie DW, Comstock RD, Flanigan DC. Epidemiology of meniscal injuries in US high school athletes between 2007 and 2013. Knee Surg Sports Traumatol Arthrosc. 2016;24(3):715–22.CrossRefPubMed
9.
Poehling GG, Ruch DS, Chabon SJ. The landscape of meniscal injuries. Clin Sports Med. 1990;9(3):539–49.PubMed
10.
Granan LP, Inacio MC, Maletis GB, Funahashi TT, Engebretsen L. Sport-specific injury pattern recorded during anterior cruciate ligament reconstruction. Am J Sports Med. 2013;41(12):2814–8.CrossRefPubMed
11.
Ingram JG, Fields SK, Yard EE, Comstock RD. Epidemiology of knee injuries among boys and girls in US high school athletics. Am J Sports Med. 2008;36(6):1116–22.CrossRefPubMed
12.
Slauterbeck JR, Kousa P, Clifton BC, Naud S, Tourville TW, Johnson RJ, Beynnon BD. Geographic mapping of meniscus and cartilage lesions associated with anterior cruciate ligament injuries. J Bone Joint Surg Am. 2009;91(9):2094–103.CrossRefPubMed
13.
Dandy DJ. The arthroscopic anatomy of symptomatic meniscal lesions. J Bone Joint Surg Br. 1990;72(4):628–33.PubMed
14.
Jones JC, Burks R, Owens BD, Sturdivant RX, Svoboda SJ, Cameron KL. Incidence and risk factors associated with meniscal injuries among active-duty US military service members. J Athl Train. 2012;47(1):67–73.CrossRefPubMedPubMedCentral
15.
Bergkvist D, Dahlberg LE, Neuman P, Englund M. Knee arthroscopies: who gets them, what does the radiologist report, and what does the surgeon find? An evaluation from southern Sweden. Acta Orthop. 2016;87(1):12–6.CrossRefPubMed
16.
Shahriaree H. Meniscal injuries. In: Shahriaree H, editor. O’Connor’s textbook of arthroscopic surgery. Second edition. Philadelphia: Lippincott, Inc; 1992. p. 315–21.
17.
Englund M, Roos EM, Roos HP, Lohmander LS. Patient-relevant outcomes fourteen years after meniscectomy: influence of type of meniscal tear and size of resection. Rheumatology (Oxford, England). 2001;40(6):631–9.CrossRef
18.
Pathania VP, Kulshreshtha V, Arora NC. Arthroscopic evaluation and management of Meniscal injuries of the knee. Med J Armed Forces India. 2001;57(2):99–103.CrossRefPubMedPubMedCentral
19.
Yang JH, Jeong HI, Kim TS, Park SC, Yoon JR. The management of the popliteus hiatus during lateral meniscal transplantation. Knee. 2012;19(6):959–61.CrossRefPubMed
20.
Staubli HU, Birrer S. The popliteus tendon and its fascicles at the popliteal hiatus: gross anatomy and functional arthroscopic evaluation with and without anterior cruciate ligament deficiency. Arthroscopy. 1990;6(3):209–20.CrossRefPubMed
21.
Simonian PT, Sussmann PS, van Trommel M, Wickiewicz TL, Warren RF. Popliteomeniscal fasciculi and lateral meniscal stability. Am J Sports Med. 1997;25(6):849–53.CrossRefPubMed
22.
Sussmann PS, Simonian PT, Wickiewicz TL, Warren RF. Development of the popliteomeniscal fasciculi in the fetal human knee joint. Arthroscopy. 2001;17(1):14–8.CrossRefPubMed
23.
Kluczynski MA, Marzo JM, Rauh MA, Bernas GA, Bisson LJ. Sex-specific predictors of intra-articular injuries observed during anterior Cruciate ligament reconstruction. Orthop J Sports Med. 2015;3(2):2325967115571300.CrossRefPubMedPubMedCentral
24.
Chhadia AM, Inacio MC, Maletis GB, Csintalan RP, Davis BR, Funahashi TT. Are meniscus and cartilage injuries related to time to anterior cruciate ligament reconstruction? Am J Sports Med. 2011;39(9):1894–9.CrossRefPubMed
25.
Kluczynski MA, Marzo JM, Bisson LJ. Factors associated with meniscal tears and chondral lesions in patients undergoing anterior cruciate ligament reconstruction: a prospective study. Am J Sports Med. 2013;41(12):2759–65.CrossRefPubMed
26.
Ralles S, Agel J, Obermeier M, Tompkins M. Incidence of secondary intra-articular injuries with time to anterior Cruciate ligament reconstruction. Am J Sports Med. 2015;43(6):1373–9.CrossRefPubMed
27.
28.
Noyes FR, Barber-Westin SD. Treatment of meniscus tears during anterior cruciate ligament reconstruction. Arthroscopy. 2012;28(1):123–30.CrossRefPubMed
29.
Hagino T, Ochiai S, Senga S, Yamashita T, Wako M, Ando T, Haro H. Meniscal tears associated with anterior cruciate ligament injury. Arch Orthop Trauma Surg. 2015;135(12):1701–6.CrossRefPubMed
30.
Bellabarba C, Bush-Joseph CA, Bach BR Jr. Patterns of meniscal injury in the anterior cruciate-deficient knee: a review of the literature. Am J Orthop (Belle Mead NJ). 1997;26(1):18–23.
31.
Majeed H, Karuppiah S, Sigamoney KV, Geutjens G, Straw RG. All-inside meniscal repair surgery: factors affecting the outcome. J Orthop Traumatol. 2015;16(3):245–9.CrossRefPubMedPubMedCentral
32.
Brambilla L, Pulici L, Carimati G, Quaglia A, Prospero E, Bait C, Morenghi E, Portinaro N, Denti M, Volpi P. Prevalence of associated lesions in anterior Cruciate ligament reconstruction: correlation with surgical timing and with patient age, sex, and body mass index. Am J Sports Med. 2015;43(12):2966–73.CrossRefPubMed
33.
Feucht MJ, Bigdon S, Bode G, Salzmann GM, Dovi-Akue D, Sudkamp NP, Niemeyer P. Associated tears of the lateral meniscus in anterior cruciate ligament injuries: risk factors for different tear patterns. J Orthop Surg Res. 2015;10:34.CrossRefPubMedPubMedCentral
34.
Arner JW, Irvine JN, Zheng L, Gale T, Thorhauer E, Hankins M, Abebe E, Tashman S, Zhang X, Harner CD. The effects of anterior Cruciate ligament deficiency on the meniscus and Articular cartilage: a novel dynamic in vitro pilot study. Orthop J Sports Med. 2016;4(4):2325967116639895.CrossRefPubMedPubMedCentral
35.
36.
Borchers JR, Kaeding CC, Pedroza AD, Huston LJ, Spindler KP, Wright RW, Consortium M, the MG. Intra-articular findings in primary and revision anterior cruciate ligament reconstruction surgery: a comparison of the MOON and MARS study groups. Am J Sports Med. 2011;39(9):1889–93.CrossRefPubMedPubMedCentral
37.
Ghodadra N, Mall NA, Karas V, Grumet RC, Kirk S, McNickle AG, Garrido CP, Cole BJ, Bach BR Jr. Articular and meniscal pathology associated with primary anterior cruciate ligament reconstruction. J Knee Surg. 2013;26(3):185–93.CrossRefPubMed
38.
Krutsch W, Zellner J, Baumann F, Pfeifer C, Nerlich M, Angele P. Timing of anterior cruciate ligament reconstruction within the first year after trauma and its influence on treatment of cartilage and meniscus pathology. Knee Surg Sports Traumatol Arthrosc. 2017;25(2):418-25.
39.
40.
West RV. Lateral meniscal root tears associated with anterior cruciate ligament. Arthroscopy. 2004;20 Supp 1:e32–3.CrossRef
Metadata
Title
Risk of total/subtotal meniscectomy for respective medial and lateral meniscus injury: correlation with tear type, duration of complaint, age, gender and ACL rupture in 6034 Asian patients
Authors
Dong Jiang
Xiao Luo
Yingfang Ao
Xi Gong
Yong-jian Wang
Hai-jun Wang
Yu Miao
Nan Li
Ji-ying Zhang
Jia-kuo Yu
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Surgery / Issue 1/2017
Electronic ISSN: 1471-2482
DOI
https://doi.org/10.1186/s12893-017-0324-9

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