Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Sadoghi, P; Widhalm, HK; Fischmeister, MF; Leitner, L; Leithner, A; Fischerauer, SF.
Delayed Meniscus Repair Lowers the Functional Outcome of Primary ACL Reconstruction
J CLIN MED. 2024; 13(5): 1325
Doi: 10.3390/jcm13051325
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- Führende Autor*innen der Med Uni Graz
- Fischerauer Stefan Franz
- Sadoghi Patrick
- Co-Autor*innen der Med Uni Graz
- Leithner Andreas
- Leitner Lukas
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- Abstract:
- BACKGROUND: Our purpose was to evaluate whether the time of intervention and the type of meniscus surgery (repair vs. partial meniscectomy) play a role in managing anterior cruciate ligament (ACL) reconstructions with concurrent meniscus pathologies. METHODS: We performed a prospective cohort study which differentiated between early and late ACL reconstructions with a cut-off at 3 months. Patients were re-evaluated after 2 years. RESULTS: Thirty-nine patients received an operation between 2-12 weeks after the injury, and thirty patients received the surgery between 13-28 weeks after trauma. The strongest negative predictive factor of the International Knee Documentation Committee subjective knee form in a hierarchical regression model was older age (ß = -0.49 per year; 95% CI [-0.91; -0.07]; p = 0.022; partial R2 = 0.08)). The strongest positive predictive factor was a higher preoperative Tegner score (ß = 3.6; 95% CI [0.13; 7.1]; p = 0.042; partial R2 = 0.07) and an interaction between meniscus repair surgery and the time of intervention (ß = 27; 95% CI [1.6; 52]; p = 0.037; partial R2 = 0.07), revealing a clinical meaningful difference as to whether meniscus repairs were performed within 12 weeks after trauma or were delayed. There was no difference whether partial meniscectomy was performed early or delayed. CONCLUSIONS: Surgical timing plays a crucial role when surgeons opt for a meniscus repair rather than for a meniscectomy.
- Find related publications in this database (Keywords)
- anterior cruciate ligament reconstruction
- meniscus
- early versus delayed surgery