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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 ; Kostogiannis, Ioannis LU orcid 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 difference in outcome... (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.

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Please use this url to cite or link to this publication:
author
; and
organization
publishing date
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
2024-04-18 08:59:51
@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. 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&lt;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&lt;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.</p>}},
  author       = {{Alerskans, Sofie and Kostogiannis, Ioannis and Neuman, Paul}},
  issn         = {{2055-7647}},
  keywords     = {{Arthroscopy; Knee injuries; Knee surgery}},
  language     = {{eng}},
  month        = {{08}},
  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}},
}