Arthroscopic repair of bucket-handle tears of the lateral meniscus

Verfasser / Beitragende:
[Jin Ahn, Kang-Il Kim, Joon Wang, Bong Kyung, Min Seo, Sang Lee]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/1(2015-01-01), 205-210
Format:
Artikel (online)
ID: 605455953
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024 7 0 |a 10.1007/s00167-013-2764-9  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-013-2764-9 
245 0 0 |a Arthroscopic repair of bucket-handle tears of the lateral meniscus  |h [Elektronische Daten]  |c [Jin Ahn, Kang-Il Kim, Joon Wang, Bong Kyung, Min Seo, Sang Lee] 
520 3 |a Purpose: This study was undertaken to document the clinical results of arthroscopic meniscus repair for treatment of displaced bucket-handle tears of the lateral meniscus. Methods: From 2002 to 2010, 13 patients with symptomatic displaced bucket-handle tears of the lateral meniscus treated by arthroscopic meniscus repair were included in this study. Inclusion criteria were (1) displaced bucket-handle tear of the lateral meniscus demonstrated on magnetic resonance imaging, (2) non-discoid lateral meniscus, (3) stable knee, and (4) tears involving the red-white or red-red zone. Median age at operation was 20years (range 14-54years), and the median follow-up period was 4.0years (range 2-10.7years). All tears were repaired with either a modified all-inside suture technique only or a combination of the modified all-inside suture and modified outside-in techniques. Clinical results were evaluated preoperatively and at the final follow-up using Tegner activity level, Lysholm knee, and Hospital for Special Surgery (HSS) scores. Results: All patients returned to their prior life activities with little or no limitations, and no reoperations were required during the follow-up period. On the final follow-up, all knees achieved full range of motion, except two knees with limited function during squatting and jumping due to pain. No patient had recurrence of a knee-locking episode. The median Tegner activity level improved significantly from 3 (2-6) to 7 (4-9) (p<0.0001), mean Lysholm knee score improved from 78.5±10.7 preoperatively to 94.6±5.4 (p<0.0001), and mean preoperative HSS score improved from 80.3±8.5 to 95.9±4.2 (p<0.0001) during the follow-up period. Conclusion: Arthroscopic meniscus repair using the modified all-inside suture and modified outside-in techniques showed excellent clinical outcomes for treatment of symptomatic displaced bucket-handle tears of the lateral meniscus and were free of any complications or episodes of recurrence. Level of evidence: Case series, Level IV. 
540 |a Springer-Verlag Berlin Heidelberg, 2013 
690 7 |a Knee  |2 nationallicence 
690 7 |a Lateral meniscus  |2 nationallicence 
690 7 |a Posterior horn  |2 nationallicence 
690 7 |a Meniscus repair  |2 nationallicence 
690 7 |a All-inside suture  |2 nationallicence 
700 1 |a Ahn  |D Jin  |u Department of Orthopaedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea  |4 aut 
700 1 |a Kim  |D Kang-Il  |u Center for Joint Diseases and Rheumatism, Kyung Hee University Hospital at Gangdong, Seoul, Korea  |4 aut 
700 1 |a Wang  |D Joon  |u Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea  |4 aut 
700 1 |a Kyung  |D Bong  |u Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea  |4 aut 
700 1 |a Seo  |D Min  |u Center for Joint Diseases and Rheumatism, Kyung Hee University Hospital at Gangdong, Seoul, Korea  |4 aut 
700 1 |a Lee  |D Sang  |u Center for Joint Diseases and Rheumatism, Kyung Hee University Hospital at Gangdong, Seoul, Korea  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/1(2015-01-01), 205-210  |x 0942-2056  |q 23:1<205  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-013-2764-9  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
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950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-013-2764-9  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ahn  |D Jin  |u Department of Orthopaedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kim  |D Kang-Il  |u Center for Joint Diseases and Rheumatism, Kyung Hee University Hospital at Gangdong, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Wang  |D Joon  |u Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kyung  |D Bong  |u Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Seo  |D Min  |u Center for Joint Diseases and Rheumatism, Kyung Hee University Hospital at Gangdong, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Sang  |u Center for Joint Diseases and Rheumatism, Kyung Hee University Hospital at Gangdong, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/1(2015-01-01), 205-210  |x 0942-2056  |q 23:1<205  |1 2015  |2 23  |o 167