Online ISSN: 2515-8260

A Prospective Study Of The Clinical Outcome Of Arthroscopic Meniscus Repairs Done By Various Modalities

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Dr Nitin Rawal1 , Dr Puneet Kamra2 , Dr Mahipal Ajitsinh Padhiyar3 , Dr Mayukh Mukherjee4* , Dr Ipanshu Malik5 , Dr AkshaykumarVadhroliya

Abstract

Introduction: The meniscus plays an essential role in the knee as a load-transmitter and shock absorber. Healthy meniscus is usually injured by a combination of compression and rotation of the tibiofemoral joint. Arthroscopic meniscal repair has gained popularity because of the shortened surgery time, a smaller incision, and better access to the tear portion, which is particularly difficult during open surgery. Four types of arthroscopic repair techniques: inside-out techniques, outside-in techniques, all-inside techniques, and hybrid techniques that combine multiple techniques. We are discussing the outcome of meniscal repairs on follow-up at 12 months in comparison with preoperative status. Materials and methods: Between 2019 and 2021, this prospective study evaluated patients with meniscal tears who underwent arthroscopic meniscal repair and studied their outcomes postoperatively. The study included three types of meniscal repair: outside in, all inside, and hybrid techniques, including both outside in and All inside. Patients were assessed on the 3rd, 6th, and 12th month based on the International Knee Documentation Committee (IKDC) rating, Lysholm score, and Tegner activity levels. Results: IKDC was preoperatively (50.14±13.17), postoperatively at 3 months (74.56±5.06), at 6 months (85.67±3.62) and 1 year (88.23±2.69)( with P-value (0.001). Tegner Lysholm score was preoperatively (58.23±12.28), postoperatively at 3 months (84.41±7.45) at 6 months (90.34± 5.24) and 1 year (94.32±2.86) (with P-value (0.001). There were no postoperative complications at 3,6, and 12 months’ follow-up. Conclusions: It was concluded in our that meniscal repair through arthroscopy is an effective way for the management of meniscal tears regarding clinical and functional outcomes.

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