March 14, 2010
Repair of Torn Knee Meniscus at the Time of ACL Reconstruction Is Safe and Effective for Children
Eighty-four percent of children 18 and younger had successful clinical outcomes during an eight year follow-up to repair a torn meniscus (cartilage that provides cushioning to distribute your body weight across the knee joint) at the same time as reconstruction of the anterior cruciate ligament (ACL), according to a new study presented March 13 at the American Orthopaedic Society for Sports Medicine's Specialty Day in New Orleans. The success of the meniscus repair, however, depended on whether the tear type was simple, complex or a "displaced bucket-handle," the study found.
"We have a wealth of information regarding adults who have a meniscus tear repaired at the time of ACL reconstruction, but there was very little data regarding the pediatric population," said Aaron Krych, chief resident, MD, Department of Orthopedic Surgery at the Mayo Clinic in Rochester, Minn. "To our knowledge this is the largest study reported on the pediatric population. These knee injuries are common in kids that play football, wrestling, and soccer."
In evaluating knee function (limp, locking, instability, pain, swelling and trouble climbing stairs), the patients improved from a median score of 48 (in a range of 38-70) before surgery to 90 (range 52-100) after surgery. Rating the sporting activity level of patients on a scale of 0 "“ 10, with 10 being national elite competitive sports, and 0 being inability to perform daily activities, patients improved their activity level significantly to 6.2 from a 1.9.
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