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KMID : 0950120100090020091
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Jouranl of Korean Orthopaedic Sports Medicine
2010 Volume.9 No. 2 p.91 ~ p.97
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Clinical Outcome in Relation to Stability of Longitudinal Meniscal Tear Associated with Anterior Cruciate Ligament Rupture
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Seo Seung-Suk
Kim Chang-Wan
Kim Jin-Seok
Kim Jeon-Gyo
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Abstract
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Purpose: The purpose of this study was to evaluate the results of treatment for longitudinal meniscal tear in ACL rupture patients by clinical evaluation and 2nd look arthroscopy.
Materials and Methods: Among the patients who underwent surgery due to ACL rupture and longitudinal meniscal tear between 2002~2009, 32 patients were selected for the study. The patients were devided into three groups; group 1 had repair, group 2 had partial menisectomy due to impossible to repair, group 3 had conservative treatment due to stable meniscus. Comparative retrospective analysis was applied with KT 1000 arthrometer, Lysolm’score, Tegner activity score, IKDC subjective score, and 2nd look arthroscopy.
Results: Lysolm’ score, Tegner activity score, IKDC subjective score showed no statistical difference in all three groups. KT-1000 side to side difference improved from 6.2, 6.15, 6.38 before surgery to 2.56, 2.49, 2.58 after surgery in group 1, 2, and 3, respectively. In group 1, second-look arthroscopy revealed complete healing in 12 patients, incomplete healing without any clinical symptoms in 2, and healing failure in 1. In group 2, second-look arthroscopy showed partial regeneration on margin of meniscectomy. In group 3, second-look arthroscopy revealed complete healing in 2 patients, while 4 showed incomplete healing so that have repaired.
Conclusion: In the study, the outcome was better when the stable longitudinal meniscal tear on posterior horn with ACL rupture had active treatment.
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KEYWORD
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Longitudinal meniscal tear, Anterior cruciate ligament reconstruction, Knee
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