Patient's subjective knee function 3-5 years following partial meniscectomy or meniscus repair compared to a normal population : A retrospective cohort study
Alerskans, Sofie LU ; Kostogiannis, Ioannis LU
and Neuman, Paul
LU
(2022)
In BMJ Open Sport and Exercise Medicine
8(3).
- Abstract
PURPOSE: Evaluate patient-reported knee function after arthroscopic partial meniscectomy (APM) and meniscus suture repair in two different age cohorts compared with a normal population.
METHOD: Arthroscopic meniscus surgery was performed on 421 patients at Skåne University Hospital from 2010 to 2014, with a mean (SD) follow-up of 4.2 (1.4) years. Patients and controls were divided into two age cohorts; 18-34 years (younger) and 35-54 years (middle-aged) as well as according to surgery performed; either solely meniscus surgery or with concurrent anterior cruciate ligament reconstruction (ACLR). The outcome is measured with the five subscales of the Knee and Osteoarthritis Outcome Score (KOOS).
RESULTS: No significant... (More)
PURPOSE: Evaluate patient-reported knee function after arthroscopic partial meniscectomy (APM) and meniscus suture repair in two different age cohorts compared with a normal population.
METHOD: Arthroscopic meniscus surgery was performed on 421 patients at Skåne University Hospital from 2010 to 2014, with a mean (SD) follow-up of 4.2 (1.4) years. Patients and controls were divided into two age cohorts; 18-34 years (younger) and 35-54 years (middle-aged) as well as according to surgery performed; either solely meniscus surgery or with concurrent anterior cruciate ligament reconstruction (ACLR). The outcome is measured with the five subscales of the Knee and Osteoarthritis Outcome Score (KOOS).
RESULTS: No significant difference in outcome after all studied types of meniscus surgeries between younger-aged and middle-aged patients.Younger patients with APM or meniscus suture repair, with or without, ACLR score lower than the normal population in all subscales of KOOS (p<0.001), except in Activities of Daily Living (ADL) for meniscus suture patients.Middle-aged patients with APM score lower in all subscales than the normal population (p≤0.009). Those with meniscus suture repair score lower than the normal population only for the subscales Sport/Rec and quality of life (p<0.001).Both younger-aged and middle-aged patients achieve better KOOS values after meniscus suture repair and ACLR than after all other combinations of surgery.
CONCLUSION: Patients with meniscus injuries do not reach the same KOOS score as the normal population, irrespective of age or type of meniscus surgery performed. However, combined with ACLR in younger-aged and middle-aged patients, meniscus suture gives a better subjective outcome than isolated meniscus surgery.
(Less)
- author
- Alerskans, Sofie
LU
; Kostogiannis, Ioannis
LU
and Neuman, Paul
LU
- organization
- publishing date
- 2022
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Arthroscopy, Knee injuries, Knee surgery
- in
- BMJ Open Sport and Exercise Medicine
- volume
- 8
- issue
- 3
- article number
- e001278
- publisher
- BMJ Publishing Group
- external identifiers
-
- pmid:36111129
- scopus:85137856049
- ISSN
- 2055-7647
- DOI
- 10.1136/bmjsem-2021-001278
- language
- English
- LU publication?
- yes
- id
- 27c6c7fd-cf6c-4b3d-ae2d-8f46d7492645
- date added to LUP
- 2022-12-02 09:23:16
- date last changed
- 2025-03-21 18:27:13
@article{27c6c7fd-cf6c-4b3d-ae2d-8f46d7492645,
abstract = {{<p>PURPOSE: Evaluate patient-reported knee function after arthroscopic partial meniscectomy (APM) and meniscus suture repair in two different age cohorts compared with a normal population.</p><p>METHOD: Arthroscopic meniscus surgery was performed on 421 patients at Skåne University Hospital from 2010 to 2014, with a mean (SD) follow-up of 4.2 (1.4) years. Patients and controls were divided into two age cohorts; 18-34 years (younger) and 35-54 years (middle-aged) as well as according to surgery performed; either solely meniscus surgery or with concurrent anterior cruciate ligament reconstruction (ACLR). The outcome is measured with the five subscales of the Knee and Osteoarthritis Outcome Score (KOOS).</p><p>RESULTS: No significant difference in outcome after all studied types of meniscus surgeries between younger-aged and middle-aged patients.Younger patients with APM or meniscus suture repair, with or without, ACLR score lower than the normal population in all subscales of KOOS (p<0.001), except in Activities of Daily Living (ADL) for meniscus suture patients.Middle-aged patients with APM score lower in all subscales than the normal population (p≤0.009). Those with meniscus suture repair score lower than the normal population only for the subscales Sport/Rec and quality of life (p<0.001).Both younger-aged and middle-aged patients achieve better KOOS values after meniscus suture repair and ACLR than after all other combinations of surgery.</p><p>CONCLUSION: Patients with meniscus injuries do not reach the same KOOS score as the normal population, irrespective of age or type of meniscus surgery performed. However, combined with ACLR in younger-aged and middle-aged patients, meniscus suture gives a better subjective outcome than isolated meniscus surgery.</p>}},
author = {{Alerskans, Sofie and Kostogiannis, Ioannis and Neuman, Paul}},
issn = {{2055-7647}},
keywords = {{Arthroscopy; Knee injuries; Knee surgery}},
language = {{eng}},
number = {{3}},
publisher = {{BMJ Publishing Group}},
series = {{BMJ Open Sport and Exercise Medicine}},
title = {{Patient's subjective knee function 3-5 years following partial meniscectomy or meniscus repair compared to a normal population : A retrospective cohort study}},
url = {{http://dx.doi.org/10.1136/bmjsem-2021-001278}},
doi = {{10.1136/bmjsem-2021-001278}},
volume = {{8}},
year = {{2022}},
}