Abhinav R Balu, Avani Chopra, Augustus Demanes, Peter C Shen, Rithvik R Balu, Michael Terry, Vehniah K Tjong
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Statistical analyses were performed using Python with significance thresholds of P < .05.</p><p><strong>Results: </strong>A total of 39,126 patients were followed for an average of 5.02 years. Patients undergoing meniscal repair were less likely to experience revision ACL reconstruction compared with those undergoing partial meniscectomy (relative risk [RR] 0.78, confidence interval [CI] 0.71-0.85, P < .001). Meniscus reoperation occurred significantly more in patients undergoing meniscal repair (RR 1.26, CI 1.17-1.35, P < .001) than those undergoing partial meniscectomy. Regarding total knee arthroplasty, partial meniscectomy carried a more than 6-fold increased risk compared with isolated ACL reconstruction (RR 6.4, CI 2.49-16.42, P < .001).</p><p><strong>Conclusions: </strong>In patients with ACL injury, ACL reconstruction, and concurrent meniscus tear, those patients treated with meniscus repair were less likely to undergo revision surgery. In these patients, medial meniscal injuries were associated with ACL revision than lateral meniscal injury regardless of the method of treatment. When meniscus repair is performed, this is associated with lower rate of future total knee arthroplasty.</p><p><strong>Level of evidence: </strong>Level III, retrospective cohort study.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4000,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Partial Meniscectomy Increases Risk of Anterior Cruciate Ligament Revision Surgery Compared With Meniscus Repair in Patients With Concurrent Meniscus and Anterior Cruciate Ligament Tears After Anterior Cruciate Ligament Reconstruction.\",\"authors\":\"Abhinav R Balu, Avani Chopra, Augustus Demanes, Peter C Shen, Rithvik R Balu, Michael Terry, Vehniah K Tjong\",\"doi\":\"10.1016/j.arthro.2025.05.006\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To compare the rates of revision anterior cruciate ligament (ACL) reconstruction, meniscal reoperation, and total knee arthroplasty associated with partial meniscectomy and meniscal repair performed at the time of index ACL reconstruction in patients with concurrent meniscus and ACL tears.</p><p><strong>Methods: </strong>The TriNetX database was queried for patients undergoing ACL reconstruction after January 1, 2000, with minimum 1-year clinical follow up. Inclusion criteria for this study were patients who had partial meniscectomy, meniscal repair, or isolated ACL reconstruction without meniscus injury. Statistical analyses were performed using Python with significance thresholds of P < .05.</p><p><strong>Results: </strong>A total of 39,126 patients were followed for an average of 5.02 years. Patients undergoing meniscal repair were less likely to experience revision ACL reconstruction compared with those undergoing partial meniscectomy (relative risk [RR] 0.78, confidence interval [CI] 0.71-0.85, P < .001). Meniscus reoperation occurred significantly more in patients undergoing meniscal repair (RR 1.26, CI 1.17-1.35, P < .001) than those undergoing partial meniscectomy. Regarding total knee arthroplasty, partial meniscectomy carried a more than 6-fold increased risk compared with isolated ACL reconstruction (RR 6.4, CI 2.49-16.42, P < .001).</p><p><strong>Conclusions: </strong>In patients with ACL injury, ACL reconstruction, and concurrent meniscus tear, those patients treated with meniscus repair were less likely to undergo revision surgery. In these patients, medial meniscal injuries were associated with ACL revision than lateral meniscal injury regardless of the method of treatment. When meniscus repair is performed, this is associated with lower rate of future total knee arthroplasty.</p><p><strong>Level of evidence: </strong>Level III, retrospective cohort study.</p>\",\"PeriodicalId\":55459,\"journal\":{\"name\":\"Arthroscopy-The Journal of Arthroscopic and Related Surgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":4.4000,\"publicationDate\":\"2025-05-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Arthroscopy-The Journal of Arthroscopic and Related Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.arthro.2025.05.006\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.arthro.2025.05.006","RegionNum":1,"RegionCategory":"医学","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：比较同时伴有半月板和前交叉韧带撕裂的患者在重建前交叉韧带时翻修前交叉韧带重建、半月板再手术和全膝关节置换术（TKA）联合半月板部分切除术和半月板修复的比率。方法：查询TriNetX数据库中2000年1月1日后行ACL重建的患者，临床随访至少1年。本研究的入选标准是半月板部分切除、半月板修复或孤立前交叉韧带重建，且没有半月板损伤的患者。使用Python进行统计学分析，显著性阈值p < 0.05。结果：共随访39126例，平均随访时间5.02年。与半月板部分切除术患者相比，接受半月板修复的患者更不可能进行改良ACL重建（RR: 0.78, CI: 0.71-0.85, p < 0.001）。半月板修复患者的半月板再手术发生率显著高于其他患者（RR: 1.26, CI: 1.17-1.35, p =）。结论：在ACL损伤、ACL重建、并发半月板撕裂的患者中，半月板修复患者接受翻修手术的可能性较低。在这些患者中，内侧半月板损伤与ACL翻修相关，而外侧半月板损伤与治疗方法无关。当进行半月板修复时，这与未来全膝关节置换术的发生率较低有关。证据等级：III级回顾性队列研究。
Partial Meniscectomy Increases Risk of Anterior Cruciate Ligament Revision Surgery Compared With Meniscus Repair in Patients With Concurrent Meniscus and Anterior Cruciate Ligament Tears After Anterior Cruciate Ligament Reconstruction.
Purpose: To compare the rates of revision anterior cruciate ligament (ACL) reconstruction, meniscal reoperation, and total knee arthroplasty associated with partial meniscectomy and meniscal repair performed at the time of index ACL reconstruction in patients with concurrent meniscus and ACL tears.
Methods: The TriNetX database was queried for patients undergoing ACL reconstruction after January 1, 2000, with minimum 1-year clinical follow up. Inclusion criteria for this study were patients who had partial meniscectomy, meniscal repair, or isolated ACL reconstruction without meniscus injury. Statistical analyses were performed using Python with significance thresholds of P < .05.
Results: A total of 39,126 patients were followed for an average of 5.02 years. Patients undergoing meniscal repair were less likely to experience revision ACL reconstruction compared with those undergoing partial meniscectomy (relative risk [RR] 0.78, confidence interval [CI] 0.71-0.85, P < .001). Meniscus reoperation occurred significantly more in patients undergoing meniscal repair (RR 1.26, CI 1.17-1.35, P < .001) than those undergoing partial meniscectomy. Regarding total knee arthroplasty, partial meniscectomy carried a more than 6-fold increased risk compared with isolated ACL reconstruction (RR 6.4, CI 2.49-16.42, P < .001).
Conclusions: In patients with ACL injury, ACL reconstruction, and concurrent meniscus tear, those patients treated with meniscus repair were less likely to undergo revision surgery. In these patients, medial meniscal injuries were associated with ACL revision than lateral meniscal injury regardless of the method of treatment. When meniscus repair is performed, this is associated with lower rate of future total knee arthroplasty.
Level of evidence: Level III, retrospective cohort study.
期刊介绍：
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