Arthroscopic repair of the bucket-handle meniscus. 10 failures in 27 stable knees followed for 3 years.
In a total of 535 meniscal lesions diagnosed by arthroscopy, 54 patients had their meniscus sutured arthroscopically. 25 cases were excluded from the study due to concomitant ligamentous injury, while 2 were lost to follow-up, leaving 27 cases of arthroscopic repair of isolated bucket-handle meniscal tears for review. 8 cases had the repaired meniscus partially resected later due to recurring symptoms. The remaining 19 cases were scored for knee function and activity after a median observation time of 36 (18-52) months. 15 of 19 patients with a supposedly healed meniscus had normal knee function, i.e., unchanged compared to preinjury levels, but a slight drop in median activity score. With 8 re-ruptures and 2 patients who stated result as poor, the 10/27 failure rate was rather high. Our results are not as good as most reported previously.
Albrecht-Olsen
P M
PM
University of Copenhagen, Department of Orthopedics, Gentofte Hospital, Hellerup, Denmark.
Bak
K
K
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008592:Menisci, Tibial / Q000601:surgery*; D008875:Middle Aged; D012086:Reoperation; D013177:Sports; D013536:Suture Techniques; D000070600:Tibial Meniscus Injuries