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Less Than 10% Failure Rate in Patients with Bucket-Handle Meniscal Tear Repair After 4 Years Follow-Up

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Less Than 10% Failure Rate in Patients with Bucket-Handle Meniscal Tear Repair After 4 Years Follow-Up

Tomas Alfredo Esteves, MD, ARGENTINA Ignacio Astore, ARGENTINA Carlos H. Yacuzzi, MD, ARGENTINA Matias Costa-Paz, MD, PhD., ARGENTINA Juan Pablo Zicaro, MD, ARGENTINA

Hospital Italiano de Buenos Aires, Buenos Aires, Buenos Aires, ARGENTINA

2023 Congress ePoster Presentation 2023 Congress Not yet rated

Anatomic Location

Knee

Anatomic Structure

Meniscus

Diagnosis / Condition

Tears

Treatment / Technique

Sutures / Knots / Anchors Arthroscopy

Patient Populations

Sport Specific Population

Summary: The failure rate reported in the literature following bucket-handle meniscal tear repair is approximately 15%. Nowadays, with an increased number of stitches and improved meniscal suturing devices, a decrease in the failure rate has been seen. The objective was to analyze the failure rate of our series of patients who underwent bucket-handle meniscal tear repair.

Background

The failure rate reported in the literature following bucket-handle meniscal tear repair is approximately 15%. Nowadays, with an increased number of stitches and improved meniscal suturing devices, a decrease in the failure rate has been seen. The objective was to analyze the failure rate of our series of patients who underwent bucket-handle meniscal tear repair.

Methods

Retrospective case serie. Patients who underwent bucket-handle meniscal tear repair between January 2016 and December 2022 were included. We analyzed demographic data; surgical data and reoperation (failure) rate in patients with a minimum follow-up of 18 months.

Results

52 patients were evaluated, 46 men (88%), with a mean age of 28 years (SD 9.5), mean BMI of 24 (SD 3.8), and a mean follow-up of 48.9 months (SD 16.5). In 11 patients (17%) were associated with anterior cruciate ligament (ACL) reconstruction (R-LCA), 3 (5%) with a contralateral meniscus injury, and 6 (9%) were associated with a cartilage injury.
The overall mean number of stitches was 7.4 (SD 3.3), 2.2 (SD 2) all-inside, and 5.1 (SD 2.5) inside-out. The overall failure rate was 9.6% (n=5), 7.3% (n=3) in isolated repairs and 18.2% (n=2) in R-LCA associated lesions.

Discussion

The most important result of our series was that the overall failure rate was 9.6% in patients operated on since 2016. The increased number of stitches and the improvement in surgical technique are possibly the major factors for the reduction in the failure rate.

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Less Than 10% Failure Rate in Patients with Bucket-Handle Meniscal Tear Repair After 4 Years Follow-Up

Less Than 10% Failure Rate in Patients with Bucket-Handle Meniscal Tear Repair After 4 Years Follow-Up

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Less Than 10% Failure Rate in Patients with Bucket-Handle Meniscal Tear Repair After 4 Years Follow-Up

Less Than 10% Failure Rate in Patients with Bucket-Handle Meniscal Tear Repair After 4 Years Follow-Up

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