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Analysis Study Research Paper | Medical Surgical | India | Volume 13 Issue 9, September 2024 | Rating: 5.3 / 10
Evaluation of the Outcomes of Combined Lateral Meniscus Posterior Root and Anterior Cruciate Ligament Reconstruction
Dr. Yogesh Shinde, Dr. Akash Sonawane, Dr. Paresh Pawar
Abstract: This study investigates the functional outcomes of combined arthroscopic repair of lateral meniscus posterior root tears LMPRT with anterior cruciate ligament reconstruction ACLR in patients with concurrent injuries. Conducted prospectively at Vikhe Patil College, the study included patients over 18 years with concomitant ACL tears and LMPRTs, identified through MRI or arthroscopy. The results show significant improvements in knee function and stability, as measured by IKDC, KOOS, and Lysholm scores, following the combined surgical procedure. The findings suggest that the repair of LMPRTs alongside ACLR can restore knee kinematics, enhance rotational stability, and potentially delay degenerative joint disease, highlighting the importance of addressing both injuries for optimal patient outcomes. Aim: Assess the functional outcomes of combined arthroscopic repair of an LMPRT with ACLR in consecutive patients who were evaluated with this injury combination. Methodology: It is a prospective study conducted in the period of July 2022 to July 2024 which had fulfilled the inclusion and exclusion criteria. Those who enrolled as said in inclusion criteria were all patients who were >18 years of age and concomitant ACL tear and LMPRT diagnosed on preoperative magnetic res?onance imaging (MRI) scan and/or at arthroscopy. Examination under anaesthesia was followed by diagnostic arthroscopy. Results: On MRI examination we observed an LMPRT in 26.67% patients and radial/oblique posterior-third lateral meniscal tear in 33.33% patients. In almost half of patients, the LMPRT could only be diagnosed arthroscopically along with a concomitant medial meniscal tear. All these tears were repaired, and no meniscectomies were undertaken. The choice of ACL graft (bone- patellar tendon-bone [BPTB]) or 5-strand hamstring tendon (HT) graft. 1 patient underwent subchondral drilling and another patient underwent chondroplasty. Conclusion: Arthroscopic repair of an LMPRT combined with ACLR led to good clinical outcomes in the short term. An LMPRT may frequently go undetected on preoperative MRI scans, but a high-grade pivot shift is present in the majority of these patients.
Keywords: meniscal injuries, ACL tear, LMPRT, knee stability, arthroscopic repair
Edition: Volume 13 Issue 9, September 2024
Pages: 117 - 121