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REPAIR OF MENISCAL RAMP LESIONS THROUGH A POSTEROMEDIAL PORTAL DURING ACL RECONSTRUCTION…
133
cumulative survival rate of all-inside suture
repair of the medial meniscus through a
posteromedial portal duringACLreconstruction
was 93.2% (95% CI 0.887 to 0.974) at the final
follow-up (fig. 2). The average time between
the primary repair and the reoperation was
13.6 months (range, 5.3 to 19.7) months.
The cumulative survival rate in the subgroup
limited tears (n=81) was 96.3% (95% CI 0.922
to 1.000) at the final follow-up. The average
time between the primary repair and the
reoperation was 15.8 months ± 2.37 (range,
13.1 to 17.8 months).
The cumulative survival rate in the subgroup
extended tears (n=51) was 87.8% (95% CI
0.785 to 0.970) at the final follow-up. The
average time between the primary repair and
the reoperation was 12.6 months ± 6.2 (range,
5.3 to 19.6 months).
In the subgroup extended tears, the cumulative
survival rate did not decrease significantly with
the log rank test (
p
=0.069).
The relative risk of failure is 3.4 CI 95% [0.69-
22.2]
p
=0,087 in the “extended” subgroup. The
extended tears are not associated with a
significant increased risk of revision of the
medial meniscus.
The aspect of the recurrent tear was:
- Two flaps between the pars intermedia and the
posterior portion of the meniscus. The initially
sutured lesion was a bucket handle tear (n=2).
Limited Tear
Extended Tear
Total
CHARACTERISTICS Total
Sucess Failures Total
Sucess Failures
Patient
Male
Average age of surgery
Primary ACL
Lateral meniscal tear
Lateral meniscal repair
81
67
28.2
66
29
25
78
82.1%
28.1
82.1%
37.2%
32.1%
3
100%
30.3
66.7%
0%
0%
51
43
27.9
43
16
16
45
82.2%
27.9
82.2%
31.1%
31.1%
6
100%
27.6
100%
33.3%
33.3%
132
110
28.1
109
45
41
MEDIAL MENISCUS
Bucket handle tear
Unstable tear
Ramp lesion
Red Red tear
Red White Tear
1.2%
51.9%
13.6%
81.5%
4.9%
1.3%
51.3%
12.8%
82.1%
5.1%
0%
66.7%
33.3%
66.7%
0%
19.6%
78.4%
3.9%
78.4%
17.6%
17.8%
75.6%
2.2%
80%
17.8%
33.3%
100%
16.7%
66.7%
16.7%
8.3%
62.1%
9.8%
80.3%
9.8%
MEDIAL MENISCUS REPAIR
All inside posterior
Lasso sutures
Average no. ±SD
Median no. (range)
All inside Fast T Fix
% of patient
Average no. ±SD
Out in sutures
% of patient
Average no. ±SD
Average no. sutures
±SD
2.1±0,7
2 (1-4)
0%
0
0%
0
2.1±0.7
2.1±0,7
2 (1-4)
0%
0
0%
0
2.1±0.7
1.7±0,6
2 (1-2)
0%
0
0%
0
1.7±0.6
1.9±0,8
2 (1-4)
92.2%
1.3±0.5
15.7%
1.3±0.5
3.3±1.0
1.9±0,9
2 (1-4)
93.0%
1.2±0.4
16.3%
1.3±0.5
3.21±1.0
2±0.9
2 (1-3)
83.3%
1.6±0.9
16.7%
1
3.5±1.4
2±0.8
2 (1-4)
35.6%
0.5±0.7
6.1%
0.1±0.3
2.5±1.0
Table 1:
Overall results in 132 menisci, by number and percentage.