A prospective clinical evaluation of meniscal repair, with or without concomitant anterior cruciate ligament reconstruction, in paediatric patients

IF 1.5 Q3 ORTHOPEDICS

Journal of orthopaedics Pub Date : 2025-08-13 DOI:10.1016/j.jor.2025.08.015

Jay R. Ebert , Elizabeth Garcia , Michael Mason , Peter Counsel , Dror Maor , Ryan Lisle , Clem McCormick , Peter Annear

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引用次数: 0

Abstract

Background

Studies reporting paediatric meniscal repair outcomes are limited, often retrospective and lacking objective outcomes. This study sought to determine clinical outcomes, return to sport (RTS), meniscal healing and re-injury rates in paediatric patients undergoing meniscal repair, with or without anterior cruciate ligament reconstruction (ACLR).

Methods

Overall, 32 paediatric patients (mean age 13.8 years) undergoing meniscal repair were recruited, in isolation (n = 14) or with ACLR (n = 18). Outcomes to 24 months included patient-reported outcome measures (PROMs), RTS, isokinetic strength and a 5-hop battery. Limb Symmetry Indices (LSIs) were calculated. Re-injuries and re-operations were presented. Magnetic resonance imaging (MRI) was undertaken to assess healing.

Results

All PROMs, quadriceps strength and hop test LSIs improved (p < 0.05). While those undergoing isolated meniscal repair (versus those with ACLR) demonstrated higher LSIs for the triple (p = 0.023) and triple crossover (p = 0.019) hop tests at 6 months, and the medial hop test at 6 (p = 0.042) and 12 (p = 0.019) months, no other differences existed. Mean LSIs for all strength and hop tests were ≥90 % at 12 and 24 months. Of the 96.4 % of patients participating in Noyes Level 1 or 2 pivoting sports pre-injury, 89.3 % were by 24 months. One isolated repair patient encountered a re-injury at 18 months, while one combined ACLR and meniscal repair patient suffered an ACL re-tear at 14 months. Complete or near-full healing was observed on MRI in 68 % of repairs.

Conclusion

Subjective and physical performance scores improved following meniscal repair, either in isolation or concomitantly with ACLR, with high levels of RTS.

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在儿科患者中，伴有或不伴有前交叉韧带重建的半月板修复的前瞻性临床评价

背景：报道小儿半月板修复结果的研究是有限的，通常是回顾性的，缺乏客观的结果。本研究旨在确定接受或不接受前交叉韧带重建（ACLR）的半月板修复的儿科患者的临床结果、恢复运动（RTS）、半月板愈合和再损伤率。方法共招募32例接受半月板修复的儿童患者（平均年龄13.8岁），其中单独（n = 14）或合并ACLR （n = 18）。到24个月的结果包括患者报告的结果测量（PROMs）、RTS、等速强度和5跳电池。计算肢体对称指数（LSIs）。再次受伤和再次手术。采用磁共振成像（MRI）评估愈合情况。结果：所有PROMs、股四头肌力量和跳跃测试lsi均有改善(p <；0.05)。虽然接受孤立半月板修复的患者（与ACLR患者相比）在6个月时的三联跳（p = 0.023）和三联跳（p = 0.019）测试以及6个月（p = 0.042）和12个月（p = 0.019）的内侧跳测试中表现出更高的lsi，但其他差异不存在。12个月和24个月时，所有强度和跳跃试验的平均lsi≥90%。在损伤前参加Noyes 1级或2级旋转运动的96.4%的患者中，89.3%在24个月前完成。1例单独修复患者在18个月时再次受伤，而1例ACLR和半月板联合修复患者在14个月时再次撕裂。MRI显示68%的修复完全或接近完全愈合。结论半月板修复后，无论是单独修复还是合并ACLR，主观和身体表现评分均有提高，RTS水平较高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of orthopaedics ORTHOPEDICS-

CiteScore

3.50

自引率

6.70%

发文量

202

审稿时长

56 days

期刊介绍： Journal of Orthopaedics aims to be a leading journal in orthopaedics and contribute towards the improvement of quality of orthopedic health care. The journal publishes original research work and review articles related to different aspects of orthopaedics including Arthroplasty, Arthroscopy, Sports Medicine, Trauma, Spine and Spinal deformities, Pediatric orthopaedics, limb reconstruction procedures, hand surgery, and orthopaedic oncology. It also publishes articles on continuing education, health-related information, case reports and letters to the editor. It is requested to note that the journal has an international readership and all submissions should be aimed at specifying something about the setting in which the work was conducted. Authors must also provide any specific reasons for the research and also provide an elaborate description of the results.