PDF(Pubmed)
Abstract：
BACKGROUND: Meniscal sparing surgery is a widely utilised treatment option for unstable meniscal tears with the aim of minimising the risk of progression towards osteoarthritis. However, there is limited data in the literature on meniscal repair outcomes in skeletally immature patients.
OBJECTIVE: To evaluate the re-operation rate and functional outcomes of meniscal repairs in children and adolescents.
METHODS: We performed a retrospective review of all patients who underwent arthroscopic meniscal repair surgery between January 2007 and January 2018. All patients were under the age of 18 at the time of surgery. Procedures were all performed by a single surgeon. Information was gathered from our hospital Electronic Patient Records system. The primary outcome measure was re-operation rate (need for further surgery on the same meniscus). Secondary outcome measures were surgical complications and patient reported outcome measures that were International Knee Documentation Committee (IKDC), Tegner and Lysholm scores.
RESULTS: We identified 59 patients who underwent 66 All-inside meniscal repairs (32 medial meniscus and 34 Lateral meniscus). Meniscal repairs were performed utilizing FasT-Fix (Smith and Nephew) implants. There were 37 males and 22 females with an average age of 14 years (range 6-16). The average follow-up time was 53 months (range 26-140). Six patients had concomitant anterior cruciate ligament reconstruction surgery along with the meniscal repair. There were no intra-operative complications. The re-operation rate for meniscal repairs was 16.6% (11 cases) with 2 patients requiring further meniscal repairs and 9 patients underwent partial meniscectomies. The mean postoperative IKDC score was 88 (44-100), Tegner score was 7(2-10) and Lysholm score was 94 (57-100).
CONCLUSIONS: Our results showed that arthroscopic repair of meniscal tears in the paediatric population is an effective treatment option that has a low failure rate and good postoperative clinical with the advantage of preserving meniscal tissues.
OBJECTIVE: To evaluate the re-operation rate and functional outcomes of meniscal repairs in children and adolescents.
METHODS: We performed a retrospective review of all patients who underwent arthroscopic meniscal repair surgery between January 2007 and January 2018. All patients were under the age of 18 at the time of surgery. Procedures were all performed by a single surgeon. Information was gathered from our hospital Electronic Patient Records system. The primary outcome measure was re-operation rate (need for further surgery on the same meniscus). Secondary outcome measures were surgical complications and patient reported outcome measures that were International Knee Documentation Committee (IKDC), Tegner and Lysholm scores.
RESULTS: We identified 59 patients who underwent 66 All-inside meniscal repairs (32 medial meniscus and 34 Lateral meniscus). Meniscal repairs were performed utilizing FasT-Fix (Smith and Nephew) implants. There were 37 males and 22 females with an average age of 14 years (range 6-16). The average follow-up time was 53 months (range 26-140). Six patients had concomitant anterior cruciate ligament reconstruction surgery along with the meniscal repair. There were no intra-operative complications. The re-operation rate for meniscal repairs was 16.6% (11 cases) with 2 patients requiring further meniscal repairs and 9 patients underwent partial meniscectomies. The mean postoperative IKDC score was 88 (44-100), Tegner score was 7(2-10) and Lysholm score was 94 (57-100).
CONCLUSIONS: Our results showed that arthroscopic repair of meniscal tears in the paediatric population is an effective treatment option that has a low failure rate and good postoperative clinical with the advantage of preserving meniscal tissues.
摘要：
背景：保留半月板手术是一种广泛使用的不稳定半月板撕裂的治疗选择，目的是最大程度地减少骨关节炎进展的风险。然而,关于骨骼未成熟患者半月板修复结果的文献数据有限.
目的：评估儿童和青少年半月板修复的再手术率和功能结局。
方法：我们对2007年1月至2018年1月接受关节镜半月板修复手术的所有患者进行了回顾性回顾。手术时所有患者年龄均在18岁以下。手术全部由一名外科医生进行。信息是从我们医院的电子患者记录系统收集的。主要结果指标是再次手术率（需要在同一半月板上进行进一步手术）。次要结果指标是手术并发症和患者报告的结果指标，即国际膝关节文献委员会（IKDC）。Tegner和Lysholm得分。
结果：我们确定了59例患者接受了66例全内侧半月板修复（32例内侧半月板和34例外侧半月板）。使用FasT-Fix（Smith和Nephew）植入物进行半月板修复。男性37例，女性22例，平均年龄14岁（6-16岁）。随访时间26～140例,平均53个月。六名患者同时进行了前交叉韧带重建手术以及半月板修复。术中无并发症。半月板修复的再手术率为16.6％（11例），其中2例患者需要进一步的半月板修复，9例患者接受了部分半月板切除术。术后IKDC平均评分为88(44-100),Tegner评分为7（2-10），Lysholm评分为94（57-100）。
结论：我们的结果表明，关节镜下修复小儿半月板撕裂是一种有效的治疗选择，具有较低的失败率和良好的术后临床效果，具有保留半月板组织的优势。
目的：评估儿童和青少年半月板修复的再手术率和功能结局。
方法：我们对2007年1月至2018年1月接受关节镜半月板修复手术的所有患者进行了回顾性回顾。手术时所有患者年龄均在18岁以下。手术全部由一名外科医生进行。信息是从我们医院的电子患者记录系统收集的。主要结果指标是再次手术率（需要在同一半月板上进行进一步手术）。次要结果指标是手术并发症和患者报告的结果指标，即国际膝关节文献委员会（IKDC）。Tegner和Lysholm得分。
结果：我们确定了59例患者接受了66例全内侧半月板修复（32例内侧半月板和34例外侧半月板）。使用FasT-Fix（Smith和Nephew）植入物进行半月板修复。男性37例，女性22例，平均年龄14岁（6-16岁）。随访时间26～140例,平均53个月。六名患者同时进行了前交叉韧带重建手术以及半月板修复。术中无并发症。半月板修复的再手术率为16.6％（11例），其中2例患者需要进一步的半月板修复，9例患者接受了部分半月板切除术。术后IKDC平均评分为88(44-100),Tegner评分为7（2-10），Lysholm评分为94（57-100）。
结论：我们的结果表明，关节镜下修复小儿半月板撕裂是一种有效的治疗选择，具有较低的失败率和良好的术后临床效果，具有保留半月板组织的优势。
