title: Analysis of short and long-term results of horizontal meniscal tears in young adults.
abstract: BACKGROUND
  Symptomatic horizontal meniscal tears are rare but worrisome lesions in young adults. These are overuse injuries not amenable to the classic arthroscopic sutures. An open meniscal repair allows the meniscal lesion to be suture vertically, perpendicular to its in the vascularized zone. The purpose of this study was to evaluate the short and long-term clinical and radiological outcomes of the aforementioned surgical technique.
  
  
  METHODS
  The first cohort consisted of 24 patients operated between 2009 and 2011 (6 women, 18 men; mean age 26years) having 11 lateral and 13 medial meniscal tears. The second cohort was of 10 patients operated between 2001 and 2002 (3 women, 7 men; mean age 24years) having 8 lateral and 2 medial meniscal tears. Patients were reviewed at the last follow-up using the IKDC, Lysholm and KOOS scores. Patients in the first cohort had an MRI, while those in the second cohort had X-rays.
  
  
  RESULTS
  Eighteen patients in the first cohort were reviewed with a mean follow-up of 2 years (12-45 months) and 9 patients from the second cohort were reviewed after 10years (97-142 months). In the first cohort, one patient required secondary menisectomy. The mean Lysholm score was 90 and the subjective IKDC was 85. Every MRI examination found reduced extent and intensity of the hyperintense signal. In the second cohort, no patients required secondary meniscectomy. Two patients had joint space narrowing (less than 50%) on radiographs. The mean Lysholm score was 99 and the subjective IKDC was 91.
  
  
  CONCLUSIONS
  Open repair of horizontal meniscal tears in young adults leads to good subjective and objective results in the short term, which are maintained in the long-term.
  
  
  METHODS
  Level IV - retrospective study.
authors.affiliation: Département d'orthopédie traumatologie, CHRU de Caen-Côte-de-Nacre, avenue de la Côte-de-Nacre, 14033 Caen, France. Electronic address: salledechou.etienne@neuf.fr.
authors.forename: E
authors.initials: E
authors.lastname: Sallé de Chou
authors.affiliation: Centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le Chesnay, France.
authors.forename: N
authors.initials: N
authors.lastname: Pujol
authors.affiliation: Département d'orthopédie traumatologie, CHRU de Caen-Côte-de-Nacre, avenue de la Côte-de-Nacre, 14033 Caen, France.
authors.forename: G
authors.initials: G
authors.lastname: Rochcongar
authors.affiliation: 118, rue Jean-Mermoz, 13008 Marseille, France.
authors.forename: T
authors.initials: T
authors.lastname: Cucurulo
authors.affiliation: Medipôle, 45, rue de Gironis, 31036 Toulouse, France.
authors.forename: J F
authors.initials: JF
authors.lastname: Potel
authors.affiliation: 2, rue du Docteur-Marcland, 87025 Limoges, France.
authors.forename: F
authors.initials: F
authors.lastname: Dalmay
authors.affiliation: Clinique Maussins-Nollet, 67, rue de Romainville, 75019 Paris, France.
authors.forename: F P
authors.initials: FP
authors.lastname: Ehkirch
authors.affiliation: CHU de Rennes, 2, rue Henri-Le-Guilloux, 35033 Rennes, France.
authors.forename: C
authors.initials: C
authors.lastname: Laporte
authors.affiliation: Clinique du Diaconat, 50, avenues des Vosges, 67000 Strasbourg, France.
authors.forename: G
authors.initials: G
authors.lastname: Le Henaff
authors.affiliation: Centre hospitalier de Luxembourg, 78, rue d'Eich, 1460 Luxembourg, Belgium.
authors.forename: R
authors.initials: R
authors.lastname: Seil
authors.affiliation: Clinique du Diaconat, 50, avenues des Vosges, 67000 Strasbourg, France.
authors.forename: C
authors.initials: C
authors.lastname: Lutz
authors.affiliation: Clinique Mutualiste, 3, rue Robert-de-la-Croix, 56324 Lorient, France.
authors.forename: F X
authors.initials: FX
authors.lastname: Gunepin
authors.affiliation: Centre orthopédique Santy, 24, avenue Paul-Santy, 69008 Lyon, France.
authors.forename: B
authors.initials: B
authors.lastname: Sonnery-Cottet
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D065466:Lysholm Knee Score; D008279:Magnetic Resonance Imaging; D008297:Male; D008592:Menisci, Tibial / Q000000981:diagnostic imaging / Q000601:surgery; D008875:Middle Aged; D011859:Radiography; D012086:Reoperation; D012189:Retrospective Studies; D013536:Suture Techniques; D000070600:Tibial Meniscus Injuries; D055815:Young Adult
keywords: Arthroscopy; Meniscal repair; Meniscal tear; Meniscectomy; Meniscus