Patients 40 Years of Age or Older Have Comparable Return to Sport Rates, Reinjury Rates, and 2-Year Patient-Reported Outcomes After Medial or Lateral Meniscus Repair Compared With Patients Younger Than 40 Years of Age.
Alexander E White, Tyler J Uppstrom, Akshay K Raghuram, Thun Itthipanichpong, Samarth V Menta, Robert B Baldwin, Shu-Han Wang, Anil S Ranawat
{"title":"Patients 40 Years of Age or Older Have Comparable Return to Sport Rates, Reinjury Rates, and 2-Year Patient-Reported Outcomes After Medial or Lateral Meniscus Repair Compared With Patients Younger Than 40 Years of Age.","authors":"Alexander E White, Tyler J Uppstrom, Akshay K Raghuram, Thun Itthipanichpong, Samarth V Menta, Robert B Baldwin, Shu-Han Wang, Anil S Ranawat","doi":"10.1002/ars2.70071","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To compare patient-reported outcomes, return to sport (RTS), and reinjury rates after meniscus repair in patients over and under the age of 40 years old.</p><p><strong>Methods: </strong>Meniscus repair cases performed at a single tertiary care center between December 2010 and August 2021 with a minimum 2-year follow-up data were reviewed. Patient-reported outcome measures, RTS, and reinjury data were obtained from an institutional knee registry and prospective surveys. Patients were classified as (1) <40 years old with isolated meniscus repair, (2) ≥40 years old with isolated meniscus repair, (3) <40 years old with meniscus repair and anterior cruciate ligament reconstruction, and (4) ≥40 years old with meniscus repair and anterior cruciate ligament reconstruction.</p><p><strong>Results: </strong>One hundred thirty patients were included, 91 were <40 years old and 39 were ≥40 years old (56% men). Of the tears, 66.2% (n = 86) were medial, 26.9% (n = 35) were lateral, and 6.9% (n = 9) were both medial and lateral. In patients with concomitant anterior cruciate ligament reconstruction, there were no statistically significant differences in 2-year International Knee Documentation Committee scores (<i>P</i> = .58), RTS (<i>P</i> = .80), or meniscus repair failure rates (<i>P</i> > .99) between different age groups. In isolated meniscus repairs, there were no statistically significant differences in 2-year International Knee Documentation Committee scores (<i>P</i> = .72), RTS (<i>P</i> = .24), or meniscus repair failure rates (<i>P</i> = .54) between age groups. At 2-year follow-up, over 80% of patients in both age groups achieved the minimum clinically important difference across all patient-reported outcomes, with no significant differences in minimum clinically important difference achievement between patients younger than 40 years and those aged 40 years or older.</p><p><strong>Conclusions: </strong>In this study, we found that patients 40 years or older who undergo meniscus repair experience similar 2-year patient-reported outcome measures, RTS, and failure rates compared with patients younger than 40.</p><p><strong>Level of evidence: </strong>Level III, retrospective comparative study.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70071"},"PeriodicalIF":0.0000,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546857/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arthroscopy Sports Medicine and Rehabilitation","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/ars2.70071","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/10/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: To compare patient-reported outcomes, return to sport (RTS), and reinjury rates after meniscus repair in patients over and under the age of 40 years old.
Methods: Meniscus repair cases performed at a single tertiary care center between December 2010 and August 2021 with a minimum 2-year follow-up data were reviewed. Patient-reported outcome measures, RTS, and reinjury data were obtained from an institutional knee registry and prospective surveys. Patients were classified as (1) <40 years old with isolated meniscus repair, (2) ≥40 years old with isolated meniscus repair, (3) <40 years old with meniscus repair and anterior cruciate ligament reconstruction, and (4) ≥40 years old with meniscus repair and anterior cruciate ligament reconstruction.
Results: One hundred thirty patients were included, 91 were <40 years old and 39 were ≥40 years old (56% men). Of the tears, 66.2% (n = 86) were medial, 26.9% (n = 35) were lateral, and 6.9% (n = 9) were both medial and lateral. In patients with concomitant anterior cruciate ligament reconstruction, there were no statistically significant differences in 2-year International Knee Documentation Committee scores (P = .58), RTS (P = .80), or meniscus repair failure rates (P > .99) between different age groups. In isolated meniscus repairs, there were no statistically significant differences in 2-year International Knee Documentation Committee scores (P = .72), RTS (P = .24), or meniscus repair failure rates (P = .54) between age groups. At 2-year follow-up, over 80% of patients in both age groups achieved the minimum clinically important difference across all patient-reported outcomes, with no significant differences in minimum clinically important difference achievement between patients younger than 40 years and those aged 40 years or older.
Conclusions: In this study, we found that patients 40 years or older who undergo meniscus repair experience similar 2-year patient-reported outcome measures, RTS, and failure rates compared with patients younger than 40.
Level of evidence: Level III, retrospective comparative study.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
