Clinical results of arthroscopic meniscal repair according to joint stability

반월상 연골의 관절경적 봉합시 관절안정성에 따른 결과

  • Kyung Hee-Soo (Department of Orthopaedic Surgery, School of Medicine, Kyungpook National University) ;
  • Ihn Joo-Chul (Department of Orthopaedic Surgery, School of Medicine, Kyungpook National University) ;
  • Baek Seung-Hoon (Department of Orthopaedic Surgery, School of Medicine, Kyungpook National University)
  • 경희수 (경북대학교 의과대학 정형외과학교실) ;
  • 인주철 (경북대학교 의과대학 정형외과학교실) ;
  • 백승훈 (경북대학교 의과대학 정형외과학교실)
  • Published : 2002.06.01

Abstract

Purpose : The purpose of this study was to evaluate the results of arthroscopic meniscal repair according to joint stability. Materials and Methods : Twenty cases were reviewed, which had underwent arthroscopic meniscal repair. The mean age was 32.3 years old. The mean follow-up period was 59.7 months. Menisci that had underwent complete repair of associated ligament injuries (8cases, Sa) and menisci that had no associated ligament injury (9 cases, Sb) were classified as stable group (S), and the others (3 cases) as unstable group (U). Also stable group was divided into acute and chronic group. The result was evaluated with Lysholm score and IKDC method. The statistical analysis was done using Wilcoxon rank sum test and Fisher's exact test (p<0.05). Results : Group Sa had $87.5\%$ satisfactory and Lysholm score was 90.9. Group U had $66.7\%$ satisfactory, and Lysholm score was 77.7. Group Sb had $89.9\%$, satisfactory and Lysholm store was 91.4. In acute group $91.7\%$ was satisfactory, Lysholm score 92.5, in chronic group $80\%$ was satisfactory, Lysholm score 88.6. Conclusion : Joint stability was important factor for the outcome of meniscal repairs. So, it is desirable to repair meniscus injury early and the repair of associated ligament injuries should be performed together.