Summary: This study is an examination of the demographic and surgical factors that influence patient-reported knee function in patients who undergo ACL reconstruction with concurrent bucket handle meniscus tear procedure.

Background

Bucket handle meniscus tears (BHMTs) represent 10% to 26% of all meniscus tears and often present concurrently with anterior cruciate ligament (ACL) tears; one study identified BHMTs in 13.4% of acute ACL tears and 32.3% of chronic ACL tears. However, patient-reported outcomes have been infrequently studied in this patient population.

Purpose

To examine demographic and surgical factors that influence patient-reported knee function in patients who undergo ACL reconstruction (ACLR) with concurrent BHMT procedure.

Methods

41 patients with BHMT at the time of ACLR completed the International Knee Documentation Committee Subjective Knee Form (IKDC-SKF) via online survey at an average of 15.2 months post-op. Patient demographics and surgical characteristics were compared between repair and meniscectomy groups using one-way ANOVAs; distributions of sex, graft source, BHMT compartment, and zone were compared between groups using chi-squared tests. The association between IKDC-SKF score, demographics, and surgical characteristics was evaluated using multivariable linear regression. A-priori alpha level was p < 0.05.

Results

Forty-one patients met inclusion criteria and had complete datasets and were therefore included in this
analysis. The meniscal repair and meniscectomy groups differed based on graft source (p = .003) and
meniscus tear zone (p<.001) but not IKDC score (p = .29; Table 1). The final adjusted regression model
predicted 36.6% of variance in IKDC score with longer time from injury to ACLR (p = 0.049), shorter time
to follow-up (p = .002), bucket handle tear zone (p = 0.04), and meniscectomy (p = 0.008) associated with
poorer IKDC scores (Table 2).

Conclusion

BHMT repair was more likely performed in ACL autograft recipients and on red-red zone tears. Longer time from injury to surgery, shorter time to follow-up, bucket handle tear zone, and meniscectomy are indicators of poorer IKDC-SKF score, although longer follow up is necessary to see the long-term impact.

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Meniscal Ramp Lesion, A Contact Characteristic Analysis In Cadaver ePoster Presentation Artit Boonrod, MD, THAILAND Khananut Jaruwanneechai, MD, THAILAND Sermsak Sumanont, MD, THAILAND Nadhaporn Saengpetch, MD, THAILAND
Clinical Result of the Two Stage ACL Reconstruction and Meniscus Allograft Transplantation, Is It Comparable To The Meniscus Allograft Transplantation Alone? ePoster Presentation S. Ali Ghasemi, MD, UNITED STATES Shervin Rashidinia, MD, IRAN, ISLAMIC REPUBLIC OF Adel Mahjoub, MD, UNITED STATES Lawrence S. Miller, UNITED STATES
Clinical Performance of an All-inside Meniscal Repair Device: A Systematic Literature Review with Meta-Analysis ePoster Presentation Darren L. Johnson, MD, UNITED STATES Paul Souter, BSc, PhD, UNITED KINGDOM Matthew Sedgwick, Ph.D., UNITED KINGDOM
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Clinical Outcomes Of Lateral Meniscus Posterior Root Repair In The Acl-Reconstructed Knees ePoster Presentation Lika Dzidzishvili, MD, PhD, SPAIN Irene Isabel López-Torres, MD, PhD, SPAIN David Sáez, MD, SPAIN Antonio Hernández Diez, MD, SPAIN Emilio Calvo, MD, PhD, MBA, SPAIN
Meniscus Transplants Delay Arthroplasty in Patients Over 50 Years of Age ePoster Presentation Kevin R. Stone, MD, UNITED STATES Ann W. Walgenbach, RN, NP, MSN, UNITED STATES Shadera Slatter, MS, UNITED STATES Thomas J. Turek, PhD, UNITED STATES Caroline Ferguson-Dryden, BA, UNITED STATES Marie Dicker, BASc, UNITED STATES Emma Miltenberger, BS, UNITED STATES Riley Horn, BS, UNITED STATES Haley Cowles, BA, UNITED STATES Vivian Liu, BA, UNITED STATES Stephanie Wu, BS, UNITED STATES Mani Vessal, MA, PhD, UNITED STATES
Biomechanics Comparison Between Transtibial Pullout, Suture Anchor And All-Suture Anchor Technique For Posterior Medial Meniscal Repair ePoster Presentation Nadhaporn Saengpetch, MD, THAILAND Napat Prasitmeeboon, MD, THAILAND Tanapol Janyawongchot, MD, THAILAND Sorawut Thamyongkit , MD, THAILAND
Do All Meniscal Ramp Lesions Require Repair? A Prospective Study Of Ramp Lesions with Concomitant ACL Injury? ePoster Presentation Silvampatti Ramasamy Sundararajan, MS(Orth), INDIA Meet Mehta, MD orthopaedics, INDIA Terence Dsouza, MS, DNB, FNB, INDIA Ramakanth Rajagopalakrishnan, D.ortho, DNB(ortho).D.SICOT, INDIA S Rajasekaran, MS(Orth),DOrth,DNB,FRCS(Ed),FRCS(Lon),MCh(Liv),PhD, INDIA
Biomechanical Effect of Unstable Meniscal Injury on Gait in ACL-Deficient and -Reconstructed Knees ePoster Presentation Kengo Harato, MD, PhD, JAPAN Kohei Nishizawa, PhD, JAPAN Shu Kobayashi, MD, PhD, JAPAN Yasuo Niki, MD, PhD, JAPAN Takeo Nagura, MD, JAPAN
Arthroscopic Treatment of Meniscal Cysts and Clinical Follow Up ePoster Presentation Sang Hak Lee, MD, PhD, KOREA, REPUBLIC OF Tae Wook Kim, MD, KOREA, REPUBLIC OF Bo Seung Bae, MD, KOREA, REPUBLIC OF Jun Bum Park, MD, KOREA, REPUBLIC OF Min-Gyu Kim, MD, KOREA, REPUBLIC OF
Associated Fracture of Spinal Tuberosity with Anterior Root Injury of Lateral Meniscus ePoster Presentation Mohamed Amine Gharbi , MD, TUNISIA Rami Triki, TUNISIA Mohamed Hedi Ezzine, MD, TUNISIA Houssem Eddine Chahed, MD, TUNISIA Anis Tebourbi, MD, TUNISIA Ramzi Bouzidi, PhD, TUNISIA Khelil Ezzaouia, PhD, TUNISIA Mouadh Nefiss, MD, TUNISIA
Good Clinical Results And Patient Satisfaction After Arthroscopic Repair of Large Meniscus Bucket Handle Tears of the Knee ePoster Presentation Johannes Pawelczyk, cand. med., GERMANY Rainer Siebold, Prof. Dr. med., GERMANY
Biomechanics Of Different Surgical Techniques For Posterior Medial Meniscal Root Repair: A Porcine Model ePoster Presentation Nadhaporn Saengpetch, MD, THAILAND Sutip Noowan, Md, THAILAND Chaiyanun Vijittrakarnrung, MD, THAILAND
Lateral Meniscal Posterior Root Repair with Concurrent ACL Reconstruction: Patient-Report Outcomes and Risk Factors for Failure ePoster Presentation Evan W. James, MD, UNITED STATES Per-Henrik Randsborg, MD, PhD, NORWAY Joseph T. Nguyen, MPH, UNITED STATES Anil S. Ranawat, MD, UNITED STATES Answorth A. Allen, MD, UNITED STATES Scott A. Rodeo, MD, UNITED STATES Robert G. Marx, MD, UNITED STATES Danyal H. Nawabi, MD, FRCS(Orth), UNITED STATES
Increased Mechanical Axis Malalignment Does Not Lead to Worse Outcomes Following Transtibial Meniscus Root Repair ePoster Presentation Logan M. Good, BS, UNITED STATES Reid Palumbo, BS, UNITED STATES Parker Cavendish, BS, UNITED STATES Eric Milliron, BS, UNITED STATES Spencer E. Talentino, MD, UNITED STATES James C. Kirven, BS, UNITED STATES Charles Qin, MD, UNITED STATES Ryan H. Barnes, MD, UNITED STATES Robert A. Duerr, MD, UNITED STATES Christopher C. Kaeding, MD, UNITED STATES Robert A Magnussen, MD, MPH, UNITED STATES David C. Flanigan, MD, UNITED STATES
A Comparison of Clinical Outcomes Of Discoid Versus Standard Meniscus Tear Procedures: A Systematic Review ePoster Presentation Yi (David) Diao, BMSc, CANADA Prushoth Vivekanantha, MD, CANADA Dan Cohen, MD, CANADA Yuichi Hoshino, MD, PhD, JAPAN Kanto Nagai, MD, PhD, JAPAN Darren L. de SA, MD MBA FRCSC, CANADA

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Predictors of Patient-Reported Outcomes After Anterior Cruciate Ligament Reconstruction With Concurrent Treatment of Bucket-Handle Meniscus Tears

Predictors of Patient-Reported Outcomes After Anterior Cruciate Ligament Reconstruction With Concurrent Treatment of Bucket-Handle Meniscus Tears

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Predictors of Patient-Reported Outcomes After Anterior Cruciate Ligament Reconstruction With Concurrent Treatment of Bucket-Handle Meniscus Tears

Predictors of Patient-Reported Outcomes After Anterior Cruciate Ligament Reconstruction With Concurrent Treatment of Bucket-Handle Meniscus Tears

Background

Purpose

Methods

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Conclusion

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