Clinical Outcomes of Inside-Out Meniscal Repair According to Anatomic Zone of the Meniscal Tear
Clinical Outcomes of Inside-Out Meniscal Repair According to Anatomic Zone of the Meniscal Tear
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DOI：
10.1177/2325967119860806
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发表时间：
2019-07-01
影响因子：
2.6
通讯作者：
LaPrade, Robert F.
中科院分区：
文献类型：
--
作者：
Cinque, Mark E.;DePhillipo, Nicholas N.;LaPrade, Robert F.
背景资料：半月板内的血管分布存在显著差异，逐渐减少的血液供应可能表明撕裂的愈合能力不同，这取决于受影响的半月板区。目的：检查由内而外修复后所有3个动脉血管区的结果。研究设计：队列研究;证据等级3。研究方法：如果患者在2010年至2014年期间由一名外科医生进行了由内而外的尿道修复术，并且至少随访了2年，则将其纳入研究。根据术中评估期间确定的尿道撕裂位置（红-红、红-白和白-白区），将患者分为3组。在最终随访时获得患者报告的结局评分。结果：共纳入173例患者（平均年龄33.6 ± 14.3岁），平均随访2.9 ± 0.9年。所有患者从术前到术后均表现出由内而外的尿道修复术的显著改善，无论尿道撕裂位置如何。在红-红区和红-白区接受髋臼修补术的患者与在白-白区接受髋臼修补术的患者相比，术后Tegner、Lysholm、西安大略和麦克马斯特大学骨关节炎指数（WOMAC）评分显著增加（P <0.05）。接受急性修复术的患者（
Background: There is significant discrepancy in the reported vascularity within the meniscus, and a progressively diminishing blood supply may indicate a differential healing capacity of tears that is dependent on the affected meniscal zone. Purpose: To examine the outcomes after inside-out meniscal repair in all 3 meniscal vascularity zones. Study Design: Cohort study; Level of evidence, 3. Methods: Patients were included if they underwent inside-out meniscal repair by a single surgeon between 2010 and 2014 and had a minimum 2-year follow-up. Patients were divided into 3 groups based on the meniscal tear location (red-red, red-white, and white-white zones) as determined during an intraoperative assessment. Patient-reported outcome scores were obtained at final follow-up. Results: A total of 173 patients (mean age, 33.6 +/- 14.3 years) were included, with a mean follow-up of 2.9 +/- 0.9 years. All patients demonstrated significant improvements with inside-out meniscal repair from preoperatively to postoperatively, regardless of the meniscal tear location. Patients who underwent meniscal repair in the red-red and red-white zones had significantly increased postoperative Tegner, Lysholm, and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores compared with patients who underwent meniscal repair in the white-white zone (P < .05). Patients who underwent acute repair (