Advertisement

Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 23, Issue 1, pp 184–187 | Cite as

Short-term effects of partial meniscectomy on the clinical results of anterior cruciate ligament reconstruction

  • Hakan SofuEmail author
  • Timur Yildirim
  • Sarper Gürsu
  • Ahmet Issin
  • Vedat Şahin
Knee

Abstract

Purpose

This study aims to analyse the short-term effects of partial meniscectomy on the clinical results of anterior cruciate ligament reconstruction surgery.

Methods

Clinical outcomes of 19 patients who had partial medial meniscectomy and anterior cruciate ligament reconstruction during the same surgery (Group 1) were compared with the outcomes of 25 patients who had also reconstruction but did not have any meniscal lesion (Group 2). Median follow-up time was 29 months (range 12–67 months) in Group 1 and 27 months (range 12–70 months) in Group 2. Feeling of apprehension in sports activities, International Knee Documentation Committee (IKDC) score, KT-2000 Arthrometer® measurements and post-operative time to return to sports activity were the criteria for data analysis.

Results

Eight patients (42 %) in Group 1 and 5 patients (20 %) in Group 2 stated feeling of apprehension in sports activities. IKDC score improved to A in 11 patients (58 %) from Group 1, and 18 patients (72 %) from Group 2. Mean anterior translation according to KT-2000 arthrometer measurements was 5.2 ± 1.3 mm in Group 1, and 4.6 ± 1.3 mm in Group 2. Post-operative time to return to sports activity was 8.5 ± 3.0 months in Group 1, and 6.5 ± 2.2 months in Group 2.

Conclusion

Partial meniscectomy for irreparable medial meniscal tears, applied during the same surgery with anterior cruciate ligament reconstruction, negatively affects the clinical outcomes in the short-term follow-up. This study may be a reference for long-term clinical trials and also future investigations of new methods in the treatment of similar cases.

Level of evidence

IV.

Keywords

Meniscectomy Anterior cruciate ligament reconstruction Arthroscopy 

Notes

Acknowledgments

There was not any external source of funding for this study.

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Ahn JH, Bae TS, Kang KS, Kang SY, Lee SH (2011) Longitudinal tear of the medial meniscus posterior horn in the anterior cruciate-deficient knee significantly influences anterior stability. Am J Sports Med 39(10):2187–2193PubMedCrossRefGoogle Scholar
  2. 2.
    Anderson AF, Snyder RB, Federspiel CF, Lipscomb AB (1992) Instrumented evaluation of knee laxity: a comparison of five arthrometers. Am J Sports Med 20:135–140PubMedCrossRefGoogle Scholar
  3. 3.
    Ardern CL, Webster KE, Taylor NF, Feller JA (2011) Return to sport following anterior cruciate ligament reconstruction surgery: a meta-analysis of the state of play. Br J Sports Med 45(7):596–606PubMedCrossRefGoogle Scholar
  4. 4.
    Ardern CL, Webster KE, Taylor NF, Feller JA (2011) Return to the preinjury level of competitive sport after anterior cruciate ligament reconstruction surgery: two-thirds of patients have not returned by 12 months after surgery. Am J Sports Med 39(3):538–543PubMedCrossRefGoogle Scholar
  5. 5.
    Bolbos RI, Link TM, Ma CB, Majumdar S, Li X (2009) T1p relaxation time of the meniscus and its relationship with T1rp of adjacent cartilage in knees with acute ACL injuries at 3 T. Osteoarthr Cartil 17:12–19PubMedCentralPubMedCrossRefGoogle Scholar
  6. 6.
    Borchers JR, Kaeding CC, Pedroza AD, Huston LJ, Spindler KP, Wright RW (2011) 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 39(9):1889–1893PubMedCentralPubMedCrossRefGoogle Scholar
  7. 7.
    Brophy RH, Gill CS, Lyman S, Barnes RP, Rodeo SA, Warren RF (2009) Effect of anterior cruciate ligament reconstruction and meniscectomy length of career in National Football League athletes: case control study. Am J Sports Med 37(11):2102–2107PubMedCrossRefGoogle Scholar
  8. 8.
    Chabra A, Starman JS, Ferratti M, Vidal AF, Zantop T, Fu FH (2006) Anatomic, radiographic, biomechanical and kinematic evaluation of the anterior cruciate ligament and its two functional bundles. J Bone Joint Surg Am 88(Suppl 4):2–10CrossRefGoogle Scholar
  9. 9.
    Cohen M, Amaro JT, Ejnisman B, Carvalho RT, Nakano KK, Peccin MS, Teixeira R, Laurino CF, Abdalla RJ (2007) Anterior cruciate ligament reconstruction after 10 to 15 years: association between meniscectomy and osteoarthrosis. Arthroscopy 23(6):629–634PubMedCrossRefGoogle Scholar
  10. 10.
    Denti M, Monteleone M, Berardi A, Panni AS (1994) Anterior cruciate ligament mechanoreceptors. Histologic studies on lesions and reconstruction. Clin Orthop Relat Res 308:29–32PubMedGoogle Scholar
  11. 11.
    Finsterbush A, Frankl U, Mann G (1989) Fat pad adhesion to partially torn anterior cruciate ligament: a cause of knee locking. Am J Sports Med 17:92–95PubMedCrossRefGoogle Scholar
  12. 12.
    Jeong HJ, Lee SH, Ko CS (2012) Meniscectomy. Knee Surg Relat Res 24(3):129–136PubMedCentralPubMedCrossRefGoogle Scholar
  13. 13.
    Kessler MA, Behrend H, Henz S, Stutz G, Rukavina A, Kuster MS (2008) Function, osteoarthritis and activity after ACL-rupture: 11 years follow-up results of conservative versus reconstructive treatment. Knee Surg Sports Traumatol Arthrosc 16(5):442–448PubMedCrossRefGoogle Scholar
  14. 14.
    Lee BS, Kim JM, Sohn DW, Bin SI (2013) Review of meniscal allograft transplantation focusing on long-term results and evaluation methods. Knee Surg Relat Res 25(1):1–6PubMedCentralPubMedCrossRefGoogle Scholar
  15. 15.
    McDaniel WJ Jr, Dameron TB Jr (1980) Untreated ruptures of the enterior cruciate ligament: a follow-up study. J Bone Joint Surg Am 62:696–705PubMedGoogle Scholar
  16. 16.
    Melton JT, Murray JR, Karim A, Pandit H, Wandless F, Thomas NP (2011) Meniscal repair in anterior cruciate ligament reconstruction: a long-term outcome study. Knee Surg Sports Traumatol Arthrosc 19(10):1729–1734PubMedCrossRefGoogle Scholar
  17. 17.
    Noyes FR, Barber-Westin SD (2012) Treatment of meniscus tears during anterior cruciate ligament reconstruction. Arthroscopy 28(1):123–130PubMedCrossRefGoogle Scholar
  18. 18.
    Petrigliano FA, Musahl V, Suero EM, Citak M, Pearle AD (2011) Effect of meniscal loss on knee stability after single-bundle anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 19(Suppl 1):86–93Google Scholar
  19. 19.
    Pujol N, Beaufils P (2009) Healing results of meniscal tears left in situ during anterior cruciate ligament reconstruction: a review of clinical studies. Knee Surg Sports Traumatol Arthrosc 17(4):396–401PubMedCrossRefGoogle Scholar
  20. 20.
    Seon JK, Gadikota HR, Kozanek M, Oh LS, Gill TJ, Li G (2009) The effect of anterior cruciate ligament reconstruction on kinematics of the knee with combined anterior cruciate ligament injury and subtotal medial meniscectomy: an in vitro robotic investigation. Arthroscopy 25(2):123–130PubMedCentralPubMedCrossRefGoogle Scholar
  21. 21.
    Shelbourne KD, Carr DR (2003) Meniscal repair compared with meniscectomy for bucket-handle medial meniscal tears in anterior cruciate ligament-reconstructed knees. Am J Sports Med 31(5):718–723PubMedGoogle Scholar
  22. 22.
    Spang JT, Dang AB, Mazzocca A, Rincon L, Obopilwe E, Beynnon B, Arciero RA (2010) The effect of medial meniscectomy and meniscal allograft transplantation on knee and anterior cruciate ligament biomechanics. Arthroscopy 26(2):192–201PubMedCrossRefGoogle Scholar
  23. 23.
    Tandogan RN, Taser O, Kayaalp A, Taskiran E, Pinar H, Alparslan B, Alturfan A (2004) Analysis of meniscal and chondral lesions accompanying anterior cruciate ligament tears: relationship with age, time from injury, and level of sport. Knee Surg Sports Traumatol Arthrosc 12(4):262–270PubMedCrossRefGoogle Scholar
  24. 24.
    Tzurbakis M, Diamantopoulos A, Xenakis T, Georgoulis A (2006) Surgical treatment of multiple knee ligament injuries in 44 patients: 2–8 years follow-up results. Knee Surg Sports Traumatol Arthrosc 14(8):739–749PubMedCrossRefGoogle Scholar
  25. 25.
    Verdonk R, Volpi P, Verdonk P, Van der Bracht H, Van Laer M, Almqvist KF, Vander Eecken S, Prospero E, Quaglia A (2013) Indications and limits of meniscal allografts. Injury 44(Suppl 1):21–27CrossRefGoogle Scholar
  26. 26.
    Wu WH, Hackett T, Richmond JC (2002) Effects of meniscal and articular surface status on knee stability, function, and symptoms after anterior cruciate ligament reconstruction: a long-term prospective study. Am J Sports Med 30(6):845–850PubMedGoogle Scholar
  27. 27.
    Zantop T, Petersen W, Sekiya JK, Musahl V, Fu FH (2006) Anterior cruciate ligament anatomy and function relating to anatomical reconstruction. Knee Surg Sports Traumatol Arthrosc 14(10):982–992PubMedCrossRefGoogle Scholar
  28. 28.
    Zantop T, Wellmann M, Fu FH, Petersen W (2008) Tunnel positioning of anteromedial and posterolateral bundles in anatomic anterior cruciate ligament reconstruction: anatomic and radiographic findings. Am J Sports Med 36:65–72PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Hakan Sofu
    • 1
    Email author
  • Timur Yildirim
    • 2
  • Sarper Gürsu
    • 2
  • Ahmet Issin
    • 3
  • Vedat Şahin
    • 2
  1. 1.Amasya Suluova State HospitalSuluovaTurkey
  2. 2.Baltalimani Bone and Joint Diseases Education and Research HospitalBaltalimaniTurkey
  3. 3.Erzincan University Faculty of MedicineErzincanTurkey

Personalised recommendations