[Meniscal repair in patients with chronic lesions].
OBJECTIVE
To analyze the subjective and objective outcome of arthroscopic meniscal repair in patients with chronic meniscal lesions.


METHODS
A group of patients that underwent arthroscopic meniscal repair of chronic tears with a minimum follow-up of six months was retrospectively evaluated. Physical examination oriented at finding persistent meniscal lesions was performed. IKDC, Lysholm and Tegner scores were applied, and a control magnetic resonance imaging (MRI) was performed.


RESULTS
Twenty seven menisci in 25 patients were repaired. There were 21 male and 4 female patients with a mean age of 29.6 +/- 8.2 years (20-45). Mean time from lesion to surgery was 25.24 +/- 26 months (6-120). 27. There was significant improvement in all parameters evaluated in 21 patients. Four patients were found to have signs and symptoms of persistent meniscal tears. Abnormal increased signal intensity in the repaired menisci was observed by MRI in all patients, not correlating with clinical findings.


CONCLUSIONS
Short-term success rate of 85% was obtained with arthroscopic repair of chronic meniscal lesions in this study, which supports the fact that a long period of time before surgery does not necessarily lead to failure. It is valid to perform a meniscal repair in patients with chronic tears as long as the proper surgical technique and an adequate rehabilitation protocol are used.
Ponce de León
José Clemente Ibarra
JC
Servicio de Ortopedia del Deporte y Artroscopía del INR. cibarra@inr.gob.mx
Sierra Suárez
Luis
L
Almazán Díaz
Arturo
A
Cruz López
Francisco
F
Pérez Jiménez
Francisco Xavier
FX
Encalada Díaz
Iván
I
León Hernández
Saúl Renán
SR
Angulo Gutiérrez
Maritza
M
D000328:Adult; D001182:Arthroscopy; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008592:Menisci, Tibial / Q000601:surgery*; D008875:Middle Aged; D012189:Retrospective Studies; D000070600:Tibial Meniscus Injuries; D016896:Treatment Outcome