前交叉韧带破裂的半月板撕裂分析：早期与延迟干预的回顾性比较。

IF 2.2 3区医学 Q2 ORTHOPEDICS

Orthopaedics & Traumatology-Surgery & Research Pub Date : 2025-10-01 DOI:10.1016/j.otsr.2024.104120

Yazeed Alshoaibi , Julien Erard , Assala Abumukh , Léopold Joseph , Nicolas Cance , Sébastien Lustig , Elvire Servien

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引用次数: 0

摘要

前言：前交叉韧带和半月板复合撕裂模式及其对膝关节稳定性的影响已经被广泛研究，然而，它们的演变和损伤后的可修复性几乎没有得到解决。如果延迟处理，与前交叉韧带撕裂相关的半月板病变的严重程度和不可修复性可能会增加。本研究旨在调查前交叉韧带（ACL）缺陷膝的半月板撕裂的发生率、发生率和模式，并评估早期和晚期前交叉韧带重建（ACLR）的半月板状况。假设创伤和ACLR之间的时间增加与不同的半月板撕裂模式有关。材料和方法：2012年至2022年间，进行了1,840例ACL重建。在1317例ACLR中，726例伴有半月板病变。平均年龄32岁±10岁。关节镜检查时根据ISAKOS分级评估半月板撕裂状态。根据损伤至手术时间分为两组：2个月(610例；84%)。结果：与受累半月板和损伤至ACLR的时间无关，垂直半月板病变是常见的模式，占患者的50% ~ 76%。早期和延迟治疗组在两组间的模式率比较中没有发现显著差异。在半月板撕裂周围区域的分布有显著差异，当比较内侧和外侧隔室。然而，在2个月内或2个月以上进行手术时，内侧或外侧半月板撕裂的圆周分布没有显著差异。结论：早期和延迟ACLR的半月板撕裂模式无差异。最常见的半月板撕裂是垂直撕裂。早期和延迟ACLR在半月板撕裂的周向分布上没有差异。然而，半月板撕裂的周向分布与内侧和外侧半月板不同。证据水平：III。

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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Meniscal tear analysis in anterior cruciate ligament rupture: A retrospective comparison of early versus delayed intervention

Introduction

Combined anterior cruciate ligament (ACL) and meniscal tear patterns and their effect on knee stability have been widely researched, however, their evolution and repairability from time of injury have been scarcely addressed. When addressed with delay, meniscal lesions associated with ACL tears may increase in severity and irreparability.

This study aims to investigate the incidence, rate and pattern of meniscus tears in the context of ACL deficient knees and to assess the meniscal condition in early versus late ACL reconstruction (ACLR).

The hypothesis was that an increased time between trauma and ACLR was associated with different meniscal tear patterns.

Material and Methods

Between 2012 and 2022, ACL reconstruction was performed in 1,840 cases. Out of the reviewed 1,317 ACLR’s 726 exhibited concomitant meniscal lesions. The mean age was 32 years ±10. Meniscal tear status was evaluated during arthroscopy according to the ISAKOS classification. Patients were divided into 2 groups according to injury-to-surgery time: <2 months (116; 16%) and >2 months (610; 84%).

Results

Vertical meniscal lesion was the prevalent pattern regardless of the meniscus involved and the time from injury to ACLR, accounting for 50 to 76% of the patients. No significant difference was found comparing patterns rates between early and delayed treatment groups for both compartments.

There was a significant difference in the distribution of circumferential areas of meniscal tears when comparing the medial with the lateral compartment. However, no significant difference in circumferential distribution of medial or lateral meniscus tears are present when performing surgery within or beyond 2 months.

Conclusion

There was no difference in meniscal tear patterns between early and delayed ACLR. The most frequent meniscal tear pattern was the vertical tear. No difference was found in circumferential distribution of meniscal tears between early and delayed ACLR. However, the circumferential distribution of meniscal tears was different comparing medial and lateral meniscus.

Level of evidence

III.

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来源期刊

Orthopaedics & Traumatology-Surgery & Research 医学-外科

CiteScore

5.10

自引率

26.10%

发文量

329

审稿时长

12.5 weeks

期刊介绍： Orthopaedics & Traumatology: Surgery & Research (OTSR) publishes original scientific work in English related to all domains of orthopaedics. Original articles, Reviews, Technical notes and Concise follow-up of a former OTSR study are published in English in electronic form only and indexed in the main international databases.