caa a22 4500 605455791 CHVBK 20210128100214.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s00167-013-2552-6 doi (NATIONALLICENCE)springer-10.1007/s00167-013-2552-6 MR-arthrography assessment after repair of chronic meniscal tears [Elektronische Daten] [Dragos Popescu, Sergi Sastre, Ana Garcia, Xavier Tomas, Diego Reategui, Miguel Caballero] Abstract : Purpose: The aims of this study were to assess the healing rate of repair of chronically torn meniscal tear with MR-arthrography and to evaluate the relationship between the clinical and the radiographic outcomes and the impact of the meniscal section on healing. Methods: MR-arthrography was performed at a median of 10.5months (range 6-55) after surgery in 28 patients and healing assessed using Henning's criteria. All lesions were chronic (>3months). Repairs were carried out at a median 14months (range 6-80) from initial diagnosis. Eleven patients (39%) had ACL ligament reconstruction as well. All lesions were located in the red or red-white zone. Patients were followed for a median of 18.5months (range 8-68). Functional outcomes were evaluated using Barrett's healing criteria, Lysholm and Tegner score pre- and postoperatively. Results: Clinical healing of the lesion according to Barrett's criteria was achieved in 24 patients (85.7%). Both Lysholm and Tegner scores improved significantly after the surgery (p<0.05). According to Henning's criteria, 15 of the menisci healed completely (53.5%), 10 partially (35.7%) and 3 failed (10.8%). There was no significant difference between the healing process in the posterior horn and the body of the meniscus (n.s.). No correlation was found between the healing results and the clinical scores. ACL reconstruction did not influence the healing process (n.s.). Patients waiting more than 1year from lesion to surgery seem to have a higher rate of failure (p=0.02). Conclusions: The results found suggest good short-term clinical and anatomic outcomes post-repair of meniscal lesions, despite their chronic nature. Longer waiting times may have negative effects on the healing process. Partial healing occurred often, but the meniscus was painless and stable. Level of evidence: Retrospective case series, Level IV. Springer-Verlag Berlin Heidelberg, 2013 Meniscal repair nationallicence Chronic meniscal lesion nationallicence Meniscal suture nationallicence Arthrography nationallicence Henning criteria nationallicence Popescu Dragos Knee Unit, Department of Orthopedic and Trauma Surgery, Hospital Clínic, C/Villarroel 170, 08036, Barcelona, Spain aut Sastre Sergi Knee Unit, Department of Orthopedic and Trauma Surgery, Hospital Clínic, C/Villarroel 170, 08036, Barcelona, Spain aut Garcia Ana Radiology Department, Hospital Clínic, Barcelona, Spain aut Tomas Xavier Radiology Department, Hospital Clínic, Barcelona, Spain aut Reategui Diego Knee Unit, Department of Orthopedic and Trauma Surgery, Hospital Clínic, C/Villarroel 170, 08036, Barcelona, Spain aut Caballero Miguel Surgery Department, IDIBAPS, University of Barcelona, Barcelona, Spain aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/1(2015-01-01), 171-177 0942-2056 23:1<171 2015 23 167 https://doi.org/10.1007/s00167-013-2552-6 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-013-2552-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Popescu Dragos Knee Unit, Department of Orthopedic and Trauma Surgery, Hospital Clínic, C/Villarroel 170, 08036, Barcelona, Spain aut NATIONALLICENCE 700 1- Sastre Sergi Knee Unit, Department of Orthopedic and Trauma Surgery, Hospital Clínic, C/Villarroel 170, 08036, Barcelona, Spain aut NATIONALLICENCE 700 1- Garcia Ana Radiology Department, Hospital Clínic, Barcelona, Spain aut NATIONALLICENCE 700 1- Tomas Xavier Radiology Department, Hospital Clínic, Barcelona, Spain aut NATIONALLICENCE 700 1- Reategui Diego Knee Unit, Department of Orthopedic and Trauma Surgery, Hospital Clínic, C/Villarroel 170, 08036, Barcelona, Spain aut NATIONALLICENCE 700 1- Caballero Miguel Surgery Department, IDIBAPS, University of Barcelona, Barcelona, Spain aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/1(2015-01-01), 171-177 0942-2056 23:1<171 2015 23 167