60岁以上和60岁以下患者采用软缝合锚定技术进行内侧半月板后根修复的临床结果比较：一项初步回顾性队列研究。

IF 2.7 Q1 ORTHOPEDICS

Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine Pub Date : 2025-05-12 DOI:10.1016/j.jisako.2025.100896

Napatpong Thamrongskulsiri , Chitapoom Choentrakool , Thanathep Tanpowpong , Somsak Kuptniratsaikul , Danaithep Limskul , Thun Itthipanichpong

{"title":"60岁以上和60岁以下患者采用软缝合锚定技术进行内侧半月板后根修复的临床结果比较：一项初步回顾性队列研究。","authors":"Napatpong Thamrongskulsiri , Chitapoom Choentrakool , Thanathep Tanpowpong , Somsak Kuptniratsaikul , Danaithep Limskul , Thun Itthipanichpong","doi":"10.1016/j.jisako.2025.100896","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to evaluate whether functional outcome scores in patients over 60 years of age improve after arthroscopic medial meniscus posterior root repair using a soft suture anchor. Additionally, it aimed to compare postoperative outcomes between patients over 60 years and those under 60 years of age.</div></div><div><h3>Methods</h3><div>A retrospective cohort study of 30 patients who underwent medial meniscus posterior root repair between June 2019 and February 2023. The patients were divided into two groups (≥60 years, n = 15; <60 years, n = 15). Outcomes were assessed using the International Knee Documentation Committee (IKDC) and Lysholm scores at two years, along with MRI-based meniscus healing and radiographic osteoarthritis progression.</div></div><div><h3>Results</h3><div>Both age groups demonstrated statistically significant improvement in functional scores at two years. In the ≥60 years age group, IKDC improved from 31.9 ± 8.8 to 61.5 ± 11.3 (<em>P</em> < 0.001) and Lysholm from 49.1 ± 14.9 to 87.6 ± 10.5 (<em>P</em> < 0.001). In the <60 years group, IKDC improved from 35.7 ± 10.4 to 54.3 ± 8.1 (<em>P</em> < 0.001) and Lysholm from 52.1 ± 19.3 to 82.0 ± 12.4 (<em>P</em> < 0.001). No statistically significant differences were observed between the groups for functional scores, meniscal healing (<em>P</em> = 0.352) or osteoarthritis progression (<em>P</em> = 0.762).</div></div><div><h3>Conclusions</h3><div>The patients aged ≥60 years who underwent arthroscopic medial meniscus posterior root repair using a soft suture anchor demonstrated functional improvements comparable to younger patients. Age alone should not be a contraindication for this procedure, though long-term follow-up is warranted to assess osteoarthritis progression.</div></div><div><h3>Level of Evidence</h3><div>Level III—retrospective cohort study.</div></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"12 ","pages":"Article 100896"},"PeriodicalIF":2.7000,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparable clinical outcomes between patients aged over and under 60 years undergoing medial meniscus posterior root repair using a soft suture anchor technique: A preliminary retrospective cohort study\",\"authors\":\"Napatpong Thamrongskulsiri , Chitapoom Choentrakool , Thanathep Tanpowpong , Somsak Kuptniratsaikul , Danaithep Limskul , Thun Itthipanichpong\",\"doi\":\"10.1016/j.jisako.2025.100896\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><div>This study aimed to evaluate whether functional outcome scores in patients over 60 years of age improve after arthroscopic medial meniscus posterior root repair using a soft suture anchor. Additionally, it aimed to compare postoperative outcomes between patients over 60 years and those under 60 years of age.</div></div><div><h3>Methods</h3><div>A retrospective cohort study of 30 patients who underwent medial meniscus posterior root repair between June 2019 and February 2023. The patients were divided into two groups (≥60 years, n = 15; <60 years, n = 15). Outcomes were assessed using the International Knee Documentation Committee (IKDC) and Lysholm scores at two years, along with MRI-based meniscus healing and radiographic osteoarthritis progression.</div></div><div><h3>Results</h3><div>Both age groups demonstrated statistically significant improvement in functional scores at two years. In the ≥60 years age group, IKDC improved from 31.9 ± 8.8 to 61.5 ± 11.3 (<em>P</em> < 0.001) and Lysholm from 49.1 ± 14.9 to 87.6 ± 10.5 (<em>P</em> < 0.001). In the <60 years group, IKDC improved from 35.7 ± 10.4 to 54.3 ± 8.1 (<em>P</em> < 0.001) and Lysholm from 52.1 ± 19.3 to 82.0 ± 12.4 (<em>P</em> < 0.001). No statistically significant differences were observed between the groups for functional scores, meniscal healing (<em>P</em> = 0.352) or osteoarthritis progression (<em>P</em> = 0.762).</div></div><div><h3>Conclusions</h3><div>The patients aged ≥60 years who underwent arthroscopic medial meniscus posterior root repair using a soft suture anchor demonstrated functional improvements comparable to younger patients. Age alone should not be a contraindication for this procedure, though long-term follow-up is warranted to assess osteoarthritis progression.</div></div><div><h3>Level of Evidence</h3><div>Level III—retrospective cohort study.</div></div>\",\"PeriodicalId\":36847,\"journal\":{\"name\":\"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine\",\"volume\":\"12 \",\"pages\":\"Article 100896\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-05-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2059775425005139\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2059775425005139","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

摘要

目的：本研究旨在评估60岁以上患者在关节镜下使用软缝线锚钉修复内侧半月板后根后功能结局评分是否改善。此外，它旨在比较60岁以上和60岁以下患者的术后结果。方法：对2019年6月至2023年2月间接受内侧半月板后根修复术的30例患者进行回顾性队列研究。患者分为两组(≥60岁，n = 15；< 60岁，n = 15)。使用国际膝关节文献委员会（IKDC）和Lysholm评分评估两年时的结果，以及基于mri的半月板愈合和影像学骨关节炎进展。结果：两个年龄组在两年时的功能评分均有统计学上的显著改善。≥60岁组IKDC由31.9±8.8提高到61.5±11.3 (P < 0.001)， Lysholm由49.1±14.9提高到87.6±10.5 （P < 0.001）。< 60组IKDC由35.7±10.4改善至54.3±8.1 (P < 0.001)， Lysholm由52.1±19.3改善至82.0±12.4 （P < 0.001）。两组间功能评分、半月板愈合（P = 0.352）或骨关节炎进展（P = 0.762）无统计学差异。结论：与年轻患者相比，年龄≥60岁的患者接受关节镜下半月板内侧后根软缝合锚钉修复后功能改善。年龄本身不应成为该手术的禁忌症，但需要长期随访以评估骨关节炎的进展。证据等级：III级回顾性队列研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Comparable clinical outcomes between patients aged over and under 60 years undergoing medial meniscus posterior root repair using a soft suture anchor technique: A preliminary retrospective cohort study

Objectives

This study aimed to evaluate whether functional outcome scores in patients over 60 years of age improve after arthroscopic medial meniscus posterior root repair using a soft suture anchor. Additionally, it aimed to compare postoperative outcomes between patients over 60 years and those under 60 years of age.

Methods

A retrospective cohort study of 30 patients who underwent medial meniscus posterior root repair between June 2019 and February 2023. The patients were divided into two groups (≥60 years, n = 15; <60 years, n = 15). Outcomes were assessed using the International Knee Documentation Committee (IKDC) and Lysholm scores at two years, along with MRI-based meniscus healing and radiographic osteoarthritis progression.

Results

Both age groups demonstrated statistically significant improvement in functional scores at two years. In the ≥60 years age group, IKDC improved from 31.9 ± 8.8 to 61.5 ± 11.3 (P < 0.001) and Lysholm from 49.1 ± 14.9 to 87.6 ± 10.5 (P < 0.001). In the <60 years group, IKDC improved from 35.7 ± 10.4 to 54.3 ± 8.1 (P < 0.001) and Lysholm from 52.1 ± 19.3 to 82.0 ± 12.4 (P < 0.001). No statistically significant differences were observed between the groups for functional scores, meniscal healing (P = 0.352) or osteoarthritis progression (P = 0.762).

Conclusions

The patients aged ≥60 years who underwent arthroscopic medial meniscus posterior root repair using a soft suture anchor demonstrated functional improvements comparable to younger patients. Age alone should not be a contraindication for this procedure, though long-term follow-up is warranted to assess osteoarthritis progression.