The Results of Treatment of Lateral Meniscus Tear in Tibial Plateau Fracture

경골과 골절과 동반된 외측 반월상 연골 파열의 치료 결과

  • Kim, Jung-Man (Department of Orthopaedic Surgery, Kangnam St. Mary's Hospital, The Catholic University of Korea, College of Medicine) ;
  • Kwon, Yong-Jin (Department of Orthopaedic Surgery, Kangnam St. Mary's Hospital, The Catholic University of Korea, College of Medicine) ;
  • Choi, Kwang-Chun (Department of Orthopaedic Surgery, Kangnam St. Mary's Hospital, The Catholic University of Korea, College of Medicine) ;
  • Choi, Seong-Pil (Department of Orthopaedic Surgery, Kangnam St. Mary's Hospital, The Catholic University of Korea, College of Medicine) ;
  • Yoo, Ju-Seok (Department of Orthopaedic Surgery, Kangnam St. Mary's Hospital, The Catholic University of Korea, College of Medicine)
  • 김정만 (가톨릭대학교 의과대학 강남성모병원 정형외과학교실) ;
  • 권용진 (가톨릭대학교 의과대학 강남성모병원 정형외과학교실) ;
  • 최광천 (가톨릭대학교 의과대학 강남성모병원 정형외과학교실) ;
  • 최성필 (가톨릭대학교 의과대학 강남성모병원 정형외과학교실) ;
  • 유주석 (가톨릭대학교 의과대학 강남성모병원 정형외과학교실)
  • Published : 2006.10.31

Abstract

Purpose: To evaluate the results of meniscal repair and partial meniscectomy of lateral meniscus injury associated with tibial plateau fracture. Materials and Methods: Between February 1993 and August 2004, 24 cases (23 patients) of lateral meniscus tear with tibial plateau fracture were evaluated retrospectively. The most frequent type of tear was the longitudinal tear of the meniscocapsular junction (14 cases, 66.7%). All fractures were reduced under the control of arthroscopic and image intensifier. Arthroscopic repair of the longitudinal tear of the lateral meniscus or arthroscopic partial meniscectomy was performed. The final results were evaluated with the Ikeuchi criteria and Lysholm score. Results: At the final follow-up, the outcome was excellent in 12 cases (85.7%), good in 1 case (7.1%) and fair in 1 case (7.1%) among 14 cases of meniscal repair, and the excellent in 4 cases (66.7%) and good in 2 cases (33.3%) among 6 cases of partial meniscectomy according to the Ikeuchi criteria, There was a significant improvement of Lysholm score after surgery, 92.3 postoperatively compared with 56.6 preoperatively (p<0.0001, paired t-test). Conclusion: The fracture of the lateral tibial plateau did not seem to affect on the healing of the meniscus repair and partial meniscectomy.