The Effect of Meniscectomy on Clinical Result After ACL Reconstruction

전방십자인대 재건술에서 반월상 연골 절제술의 영향

  • Cho, Hyung-Jun (Department of Orthopedic Surgery, School of Medicine, Kyung Hee University) ;
  • Lee, Jung-Hwan (Incheon Medical Center) ;
  • Bae, Dae-Kyung (Department of Orthopedic Surgery, School of Medicine, Kyung Hee University) ;
  • Song, Sang-Jun (Department of Orthopedic Surgery, School of Medicine, Kyung Hee University) ;
  • Yoon, Kyoung-Ho (Department of Orthopedic Surgery, School of Medicine, Kyung Hee University)
  • 조형준 (경희대학교 의과대학 정형외과학교실) ;
  • 이정환 (인천의료원) ;
  • 배대경 (경희대학교 의과대학 정형외과학교실) ;
  • 송상준 (경희대학교 의과대학 정형외과학교실) ;
  • 윤경호 (경희대학교 의과대학 정형외과학교실)
  • Published : 2010.02.28

Abstract

Purpose: To evaluate the effects of total or subtotal meniscectomy on anterior cruciate ligament reconstruction. Materials and Methods: We reviewed the 455 cases of arthroscopic ACLR (anterior cruciate ligament reconstruction) from February, 2003 to February, 2007 and followed-up more than 1 year. The 93 cases were enrolled. The 45 cases who underwent only ACLR were included and the 48 cases who underwent ACLR with total or subtotal meniscectomy were included in this study except grade 3 or 4 chondral lesion, partial meniscetomy or meniscal repair. We divided the patient into 4 groups which were isolated ACLR group (group I, 45cases), ACLR with lateral meniscectomy group (group II, 10cases), ACLR with medial meniscectomy group (group III, 28cases) and ACLR with both medial and lateral meniscectomy group (group IV, 10cases). The clinical evaluation was done by range of motion (ROM), IKDC subjective score, Lysholm score, anterior drawer test, Lachman test, Pivot shift test and KT-1000 arthrometer. Results: At final follow up, group IV was inferior than group I in IKDC subjective score and Lysholm score, and inferior than group II in IKDC subjective score. In KT-1000 arhtometric test, group I had better results than group III and group IV. Also in anterior drawer test and Lachman test, group 1 had better result than group III and group IV. In pivot shift test, there was no significant difference among four groups. Conclusion: Medial or both medial and lateral meniscectomy had greater laxity in anterior drawer test, Lachman test and KT-1000 arthrometric test and both medial and lateral meniscectomy had a lower subjective score than both meniscus intact group.