CLINICAL OUTCOME OF ARTHROSCOPIC REPAIR FOR ISOLATED MENISCUS TEAR IN SPORTS STUDENTS

Main Article Content

Dr. Muhammad Adeel
Muhammad Ali Usman
Babar Shahzad Sadiq
Dr Muhammad Tayab

Keywords

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Abstract

Introduction: Isolated meniscus tears represent a common orthopedic injury, particularly among sports students engaged in rigorous physical activities.


Objective: The main objective of the study is to find the clinical outcome of arthroscopic repair for isolated meniscus tear in sports students.


Methodology of the study: This retrospective cohort study was conducted at Orthopedic Unit, Ayub Teaching Hospital Abbottabad Pakistan from 2022 to 2023. Data were collected from 152 participants from different sports departments. Participants' demographic information, including age, gender, sports played, and level of competition, is recorded at baseline. Preoperative assessments, including physical examination findings, imaging studies, and functional scores were documented. Surgical details, such as the type of meniscal tear, tear location, repair technique and concomitant procedures were systematically recorded. Postoperative follow-up visits are scheduled at regular intervals 3 months, 6 months, 1 year to assess clinical outcomes, including pain scores, range of motion, knee stability, functional scores, and return to sports timeline.


Results: Data were collected from 152 participants. Mean age was 21.4 ± 2.3 years and there were 100 male and 52 female participants. Most played sport was football (n=60) and mean lysholm knee score was 62.8 ± 8.5. Participants reported a mean postoperative pain score of 2.1 (VAS ± SD 1.2), suggesting effective pain management following surgery. Significant improvements in range of motion were noted, with mean improvements of 25° (± 5°) in flexion and 10° (± 3°) in extension. The mean time to return to sports activities was 5.6 months (± 1.8), highlighting a relatively rapid recovery period.


 Conclusion: It is concluded that arthroscopic repair demonstrates high clinical success rates and favorable outcomes in sports students with isolated meniscus tears. Tear location and repair technique did not significantly impact treatment efficacy, highlighting the versatility of arthroscopic repair in this population.

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References

1. Vrgoč G, Vuletić F, Matolić G, Ivković A, Hudetz D, Bulat S, Bukvić F, Janković S. Clinical Outcome of Arthroscopic Repair for Isolated Meniscus Tear in Athletes. Int J Environ Res Public Health. 2023 Mar 14;20(6):5088. doi: 10.3390/ijerph20065088. PMID: 36981997; PMCID: PMC10049165.
2. Eberbach H., Zwingmann J., Hohloch L., Bode G., Maier D., Niemeyer P., Südkamp N.P., Feucht M.J. Sport-Specific Outcomes after Isolated Meniscal Repair: A Systematic Review. Knee Surg. Sports Traumatol. Arthrosc. 2018;26:762–771. doi: 10.1007/s00167-017-4463-4
3. Nakayama H., Kanto R., Kambara S., Kurosaka K., Onishi S., Yoshiya S., Yamaguchi M. Clinical Outcome of Meniscus Repair for Isolated Meniscus Tear in Athletes. Asia Pac. J. Sports Med. Arthrosc. Rehabil. Technol. 2017;10:4–7. doi: 10.1016/j.asmart.2017.05.299.
4. Mosich G.M., Lieu V., Ebramzadeh E., Beck J.J. Operative Treatment of Isolated Meniscus Injuries in Adolescent Patients: A Meta-Analysis and Review. Sports Health. 2018;10:311–316. doi: 10.1177/1941738118768201
5. Blanchard E.R., Hadley C.J., Wicks E.D., Emper W., Cohen S.B. Return to Play after Isolated Meniscal Repairs in Athletes: A Systematic Review. Orthop. J. Sports Med. 2020;8:2325967120962093. doi: 10.1177/2325967120962093.
6. Andrade R., Vasta S., Papalia R., Pereira H., Oliveira J.M., Reis R.L., Espregueira-Mendes J. Prevalence of Articular Cartilage Lesions and Surgical Clinical Outcomes in Football (Soccer) Players’ Knees: A Systematic Review. Arthroscopy. 2016;32:1466–1477. doi: 10.1016/j.arthro.2016.01.055.
7. Casp A.J., Bodkin S.G., Gwathmey F.W., Werner B.C., Miller M.D., Diduch D.R., Brockmeier S.F., Hart J.M. Effect of Meniscal Treatment on Functional Outcomes 6 Months after Anterior Cruciate Ligament Reconstruction. Orthop. J. Sports Med. 2021;9:232596712110312. doi: 10.1177/23259671211031281.
8. Zimmerer A., Sobau C., Nietschke R., Schneider M., Ellermann A. Long-Term Outcome after All inside Meniscal Repair Using the FasT-Fix System. J. Orthop. 2018;15:602–605. doi: 10.1016/j.jor.2018.05.042.
9. Nakayama H, Kanto R, Kambara S, Kurosaka K, Onishi S, Yoshiya S, Yamaguchi M. Clinical outcome of meniscus repair for isolated meniscus tear in athletes. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2017 Jun 7;10:4-7. doi: 10.1016/j.asmart.2017.05.299. PMID: 29392109; PMCID: PMC5780295.
10. Blanchard ER, Hadley CJ, Wicks ED, Emper W, Cohen SB. Return to Play After Isolated Meniscal Repairs in Athletes: A Systematic Review. Orthopaedic Journal of Sports Medicine. 2020;8(11). doi:10.1177/2325967120962093
11. Zhu, S., Li, X., Lu, Z., Koh, J. L., Wang, C., Wang, P., ... & Wang, J. (2023). Arthroscopic repair of degenerative medial meniscus tears in patients aged over 45 years resulted in favorable clinical outcomes and low clinical failure rates at a minimum 2-year follow-up. Knee Surgery, Sports Traumatology, Arthroscopy, 31(5), 1815-1823.
12. Harput, G., Guney-Deniz, H., Nyland, J., & Kocabey, Y. (2020). Postoperative rehabilitation and outcomes following arthroscopic isolated meniscus repairs: a systematic review. Physical Therapy in Sport, 45, 76-85.
13. Blanchard, E. R., Hadley, C. J., Wicks, E. D., Emper, W., & Cohen, S. B. (2020). Return to play after isolated meniscal repairs in athletes: a systematic review. Orthopaedic Journal of Sports Medicine, 8(11), 2325967120962093.
14. Pathak, S., Bharadwaj, A., Patil, P., Raut, S., & Srikanth, R. V. (2020). Functional outcomes of arthroscopic combined anterior cruciate ligament reconstruction and meniscal repair: a retrospective analysis. Arthroscopy, Sports Medicine, and Rehabilitation, 2(2), e71-e76.
15. Pathak, S., Bharadwaj, A., Patil, P., Raut, S., & Srikanth, R. V. (2020). Functional outcomes of arthroscopic combined anterior cruciate ligament reconstruction and meniscal repair: a retrospective analysis. Arthroscopy, Sports Medicine, and Rehabilitation, 2(2), e71-e76.
16. DePhillipo, N. N., Dornan, G. J., Dekker, T. J., Aman, Z. S., Engebretsen, L., & LaPrade, R. F. (2020). Clinical characteristics and outcomes after primary ACL reconstruction and meniscus ramp repair. Orthopaedic Journal of Sports Medicine, 8(4), 2325967120912427.
17. Ogawa, H., Matsumoto, K., Sengoku, M., Yoshioka, H., & Akiyama, H. (2020). Arthroscopic repair of horizontal cleavage meniscus tears provides good clinical outcomes in spite of poor meniscus healing. Knee Surgery, Sports Traumatology, Arthroscopy, 28, 3474-3480