P126 - Functional Evaluation and Epidemiology of Meniscal Root Repair with at least 6 Months of follow-up: A Series of Cases
- J. Rocha De Faria (Rio de Janeiro, BR)
- J. Rocha De Faria (Rio de Janeiro, BR)
- R. Serra Cruz (Rio de Janeiro, BR)
- A. Siqueira Campos (Rio de Janeiro, BR)
- G. Garcez Araujo Souza (Rio de Janeiro, BR)
- Y. Di Cavalcanti Sampaio (Rio de Janeiro, BR)
- R. Goes (Lisboa, PT)
Abstract
Purpose
Purpose: To analyze clinical and functional outcomes of patients submitted to posterior meniscal root repair of the medial or lateral meniscus, with at least 6 months of follow-up.
Methods and Materials
Methods: Retrospective multicentric study, assessing epidemiological characteristics and clinical-functional results of 22 patients who underwent meniscal root reinsertion by transtibial technique.
Results
Results: Twelve had an isolated tear of the posterior root of the medial meniscus and underwent root repair alone. Six patients had a varus axis > 5°, undergoing root repair associated with valgus tibial osteotomy in the same surgical procedure. Four patients underwent repair of the posterior root of the lateral meniscus associated with simultaneous reconstruction of the anterior cruciate ligament. The main results of the study were observed in the improvement of the IKDC score from 27.7% in the preoperative period to 69.8% in the postoperative period (p<0.0001) and the Lysholm score of 44.4 points in the preoperative period to 88.4 points in the postoperative period (p<0.0001). Significant clinical and subjective improvements were also reported.
Conclusion
Meniscal root repair whether isolated or in combination with valgus High Tibial Osteotomy or Anterior Cruciate Ligament reconstruction, when indicated, was able to improve in the short term the clinical, functional and subjective results of the patients presented in this case series. More studies with a high level of evidence and controlled variables are needed to better understand the interventions performed for the treatment of this pathology.