2023 ISAKOS Biennial Congress ePoster
Outcomes of Isolated Meniscal Repairs in Patients Over 40 Years of Age
Sami Taha, MBBS, Newcastle Upon Tyne, Not Specified UNITED KINGDOM
Randeep Singh Aujla, MBChB ChM FRCS (Tr&Orth) MFSEM, Leicester, Leicestershire UNITED KINGDOM
Peter Alberto D'Alessandro, MBBS Hons. (UWA) FRACS FAOrthA, Claremont, WA AUSTRALIA
Shahbaz S Malik, BSc, MB BCh, MSc (Orth Engin), LLM, FRCS (Tr&Orth), Birmingham UNITED KINGDOM
Stephen Dalgleish, MBChB, MRCS, FRCS, Dundee UNITED KINGDOM
Antony Raymond, FRCS, London UNITED KINGDOM
Leicester General Hospital, Leicester, Leicestershire, UNITED KINGDOM
FDA Status Not Applicable
Summary
OUTCOMES OF ISOLATED MENISCAL REPAIRS IN PATIENTS OVER 40 YEARS OF AGE
ePosters will be available shortly before Congress
Abstract
Meniscal repair is an accepted surgical option for meniscal tears. With a cohort of patients over 40 years of age we were able to identify statistically significant improvements in patient reported outcome measures as well as standardised pain analogue scores following meniscal repair. In this study we aim to take this same data and use multivariate regression analysis to aim to identify which factors may impact patient reported outcomes the most.
Methodology
Using a single surgeons log the cohort of patients (all over the age of 40) who underwent meniscal repairs were identified in this retrospective cohort study. The different factors included in the dataset were: Age (continuous), Gender (Male or Female), Site of Meniscal repair (Medial or Lateral), Concurrent ACLR (yes or no), Type of Meniscal Tear (excluding complex. Demographic data, surgical data and outcomes (pain visual analogue score (VAS); single assessment numerical evaluation (SANE) and knee injury and osteoarthritis outcome joint replacement (KOOS Jr) score) were collected prospectively. Final outcomes were collected between 6 months following surgery.
Results
24 meniscal tears in 22 knees (22 patients) were identified. Mean age was 52.2 (range; 40.6-70.3). Morphology of the tears were medial meniscus posterior root tear 10 (42%); medial meniscus posterior horn tear 9 (38%); lateral meniscus posterior horn tear 2 (8.3%); lateral meniscus posterior root tear 1 (4.2%); lateral meniscus body tear 1 (4.2%) and lateral meniscus anterior horn tear 1 (4.2%). Response rate was 86%. Statistically significant improvements in pain VAS (p=0.0001); SANE (p=0.0001) and KOOS Jr Score (p=0.0005) were found. 68% and 74% of patients had surpassed the MCID in their KOOS symptoms and KOOS quality of life subscales, respectively. Multivariate regression analysis ongoing.
Conclusion
Meniscal repair in patients over 40 years of age is an acceptable treatment with significant improvements in patients reported outcome measures, SANE and pain VAS.