Ремонт передней крестообразной связки эффективен даже при повреждении мениска

ACL injuries with repairable meniscus tears may have good outcomes with ACL repair Key takeaways: - Patients who underwent ACL repair had good outcomes regardless of concomitant meniscus procedure. - Meniscus repair and meniscectomy groups had a similar overall ACL reinjury rate of about 10%. PHOENIX — Results presented at the Arthroscopy Association of North America Annual Meeting showed the presence of a repairable meniscus tear in an ACL injury does not seem to be a contraindication for ACL repair. “For carefully selected patients, in our experience, ACL repair is a good treatment option,” Christian Arras, MD, from the department of orthopedic and trauma surgery at Hospital for Special Surgery, told Healio. “This is just one more bit of evidence in the field that shows that even if there is a meniscus injury, it is not a contraindication for ACL repair.” The DiFelice Foundation Study Group compared patient-reported outcome measures and clinical follow-up at 2 years among 276 patients who underwent ACL primary repair alone, with concomitant meniscus repair or with concomitant partial meniscectomy. According to Arras, outcomes were not significantly different among these groups. He also said patients in the meniscus repair group had an overall reinjury rate of about 10%, which was comparable to the literature on ACL reconstruction with meniscus repair. “A good next study would be to perform either a matched pair analysis or to look prospectively comparing the outcomes of an ACL reconstruction group with a similar ACL repair group,” Arras said. “It is always hard to compare patients in general, so it would be nice to have a matched pair analysis that compares two similar groups.” For more information: Christian Arras, MD, can be contacted at [email protected].