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Dıştan- İçe Teknik ile Menisküs Onarımı Uygulanan Hastaların Orta Dönem Klinik Sonuçları

Year 2022, Volume: 11 Issue: 3, 984 - 990, 27.09.2022
https://doi.org/10.37989/gumussagbil.930158

Abstract

Son yıllarda diz biyomekaniği ve yük aktarımı ile ilgili çalışmalar menisküs koruyucu cerrahilere eğilimin artmasını sağlamıştır. Menisküs yaralanmalarında menisküs tamirine uygun hastalarda çeşitli tamir teknikleri geliştirilmiştir. Bu çalışmada akut, travmatik menisküs yırtıklarında artroskopik olarak uygulanan dıştan-içe menisküs tamir tekniğinin orta dönem klinik ve fonksiyonel sonuçlarını değerlendirmek amaçlanmıştır. Çalışmamıza 2016-2020 yılları arasında cerrahi tedavi uygulanan hastalar retrospektif olarak taranarak dahil edilmiştir. 53 hastanın dahil edildiği çalışmada takip süreleri, uygulanan cerrahi teknik, iyileşme oranları, komplikasyonlar değerlendirilmiştir. Uluslararası Diz Dökümentasyon Komitesi skorlaması, Lysholm diz skoru ve Tegner aktivite ölçekleri kullanılarak klinik sonuçlar ortaya konulmuştur.

References

  • 1. Fairbank, T.J. (1948) "Knee joint changes after meniscectomy." J Bone Joint Surg Am, 30 (4), 664-670.
  • 2. Lee, S.J, Aadalen, K.J, Malaviya, P, Lorenz, E.P, Hayden, J.K, Farr, J, Kang, R.W. and Cole, B.J. (2006) "Tibiofemoral contact mechanics after serial medial meniscectomies in the human cadaveric knee." Am J Sports Med. 34 (8), 1334-1344. doi:10.1177/0363546506286786
  • 3. Fox, A.J.S, Wanivenhaus, F, Burge A.J, Warren R.F. and Rodeo S.A. (2015) "The human meniscus: A review of anatomy, function, injury and advances in treatment." Clin Anat. 28 (2), 269-287. doi:10.1002/ca.22456
  • 4. Arnoczky, S.P. and Warren R.F. (1982) "Microvasculature of the human meniscus." Am J Sports Med, 10 (2), 90-95. doi:10.1177/036354658201000205
  • 5. Anderson, A.F, Irrgang, J.J, Dunn, W, Beaufils, P, Cohen, M, Cole, B.J, Coolican, M, Ferretti, M, Glenn, R.E, Johnson, J.R, Neyret, P, Ochi, M, Panarella, L, Siebold, R , Spindler, K.P, Selmi, T.A.S, Verdonk, P, Verdonk, R, Yasuda, K. and Kowalchuk, D.A. (2011). "Interobserver reliability of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) classification of meniscal tears." The American journal of sports medicine, 39 (5), 926-932.
  • 6. Vaquero, J. and Forriol, F. (2016). "Meniscus tear surgery and meniscus replacement." Muscles, Ligaments and Tendons Journal, 6 (1), 71.
  • 7. Steadman, J.R, Matheny, L.M, Singleton, S.B, Johnson, N.S, Rodkey, W.G, Crespo, B. and Briggs, K.K. (2015). "Meniscus suture repair: minimum 10-year outcomes in patients younger than 40 years compared with patients 40 and older." The American Journal of Sports Medicine, 43 (9), 2222-2227. doi:10.1177/0363546515591260
  • 8. Morgan, C.D. (1991). "The “all-inside” meniscus repair." Arthroscopy: The Journal of Arthroscopic and Related Surgery, 7(1), 120-125. doi:10.1016/0749-8063(91)90093-
  • 9. Warren, R.F. and Levy, I.M. (1983). "Meniscal lesions associated with anterior cruciate ligament injury." Clinical Orthopaedics and Related Research, (172), 32-37. doi:10.1097/00003086-198301000-00008
  • 10. Fillingham, Y.A, Riboh, J.C, Erickson, B.J, Bach Jr, B.R. and Yanke, A.B. (2017). "Inside-out versus all-inside repair of isolated meniscal tears: an updated systematic review." The American Journal of Sports Medicine, 45 (1), 234-242. doi:10.1177/0363546516632504
  • 11. Xu, C. and Zhao, J. (2015). "A meta-analysis comparing meniscal repair with meniscectomy in the treatment of meniscal tears: the more meniscus, the better outcome?." Knee surgery, sports traumatology, arthroscopy, 23 (1), 164-170. doi:10.1007/s00167-013-2528-6
  • 12. Feeley, B.T, Liu, S, Garner, A.M, Zhang, A.L. and Pietzsch, J. B. (2016). "The cost-effectiveness of meniscal repair versus partial meniscectomy: A model-based projection for the United States." The Knee, 23 (4), 674-680. doi:10.1016/j.knee.2016.03.006
  • 13. Barrett, G.R. (1998). "Clinical results of meniscus repair in patients 40 years and older." Arthroscopy: The Journal of Arthroscopic and Related Surgery, 14 (8), 824-829 doi:10.1016/S0749-8063(98)70018-0
  • 14. Henning, C.E, Lynch, M.A, Yearout, K.M, Vequist, S.W, Stallbaumer, R.J. and Decker, K.A. (1990). "Arthroscopic meniscal repair using an exogenous fibrin clot." Clinical Orthopaedics and Related Research, (252), 64-72. doi:10.1097/00003086-199003000-00009
  • 15. Caplan, N. and Kader, D.F. (2014). "Rating systems in the evaluation of knee ligament injuries. " In Classic papers in orthopaedics (201-203). Springer, London. doi:10.1007/ 978-1-4471-5451-8_49
  • 16. Hefti, E, Müller, W, Jakob, R.P. and Stäubli, H.U. (1993). "Evaluation of knee ligament injuries with the IKDC form." Knee Surgery, Sports Traumatology, Arthroscopy, 1 (3), 226-234. doi:10.1007/BF01560215
  • 17. Lysholm, J. and Gillquist, J. (1982). "Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale." The American journal of sports medicine, 10 (3), 150-154. doi:10.1177/036354658201000306
  • 18. Ellermann, A, Bülow, J.U, Siebold, R. and Bös, L. (2001). "Expertenmeinung: meniskusrefixation." Arthroskopie, 14, 278-279.
  • 19. Morgan, C.D, Wojtys, E.M, Casscells, C.D. and Casscells, S.W. (1991). "Arthroscopic meniscal repair evaluated by second-look arthroscopy." The American journal of sports medicine, 19 (6), 632-638.
  • 20. Baratz, M.E, Fu, F.H. and Mengato, R. (1986). "Meniscal tears: the effect of meniscectomy and of repair on intraarticular contact areas and stress in the human knee: a preliminary report. " The American journal of sports medicine, 14 (4), 270-275.
  • 21. Venkatachalam, S, Godsiff, S.P. and Harding, M.L. (2001). "Review of the clinical results of arthroscopic meniscal repair." The Knee, 8 (2), 129-133. doi:10.1016/S0968-0160(01)00061-8
  • 22. Noyes, F.R. and Barber-Westin, S.D. (2012). "Treatment of meniscus tears during anterior cruciate ligament reconstruction." Arthroscopy: The Journal of Arthroscopic and Related Surgery, 28 (1) , 123-130. doi:10.1016/j.arthro.2011.08.292
  • 23. Aşık, M, Şener, N, Akpınar, S, Durmaz, H. ve Göksan, A. (1997). "Strength of different meniscus suturing techniques." Knee Surgery, Sports Traumatology, Arthroscopy, 5 (2), 80-83. doi:10.1007/s001670050031
  • 24. Stein, T, Mehling, A.P, Welsch, F, von Eisenhart-Rothe, R. and Jäger, A. (2010). "Long-term outcome after arthroscopic meniscal repair versus arthroscopic partial meniscectomy for traumatic meniscal tears." The American journal of sports medicine, 38 (8), 1542-1548. doi:10.1177/0363546510364052
  • 25. Nepple, J.J, Dunn, W.R. and Wright, R.W. (2012). "Meniscal repair outcomes at greater than five years: a systematic literature review and meta-analysis." The Journal of bone and joint surgery. American, 94 (24), 2222. doi:10.2106/JBJS.K.01584
  • 26. Rodeo, S.A. and Seneviratne, A.M. (1999). "Arthroscopic meniscal repair using the outside-in technique. "Sports Med Arthrosc Rev, 1, 20-27.
  • 27. Elmallah, R, Jones, L.C, Malloch, L. and Barrett, G.R. (2019). "A meta-analysis of arthroscopic meniscal repair: inside-out versus outside-in versus all-inside techniques." The Journal of Knee Surgery, 32 (08), 750-757. doi:10.1055/s-0038-1668123

Mid-Term Clinical Outcomes of Arthroscopic Outside-In Meniscus Repair Technique

Year 2022, Volume: 11 Issue: 3, 984 - 990, 27.09.2022
https://doi.org/10.37989/gumussagbil.930158

Abstract

In recent years, studies on knee biomechanics and load transmissions have increased the tendency to meniscus preservation surgeries. Various repair techniques have been developed in patients suitable for meniscus repair in meniscus injuries. In this study, we aimed to evaluate the mid-term clinical and functional results of the outside-in meniscus repair technique applied arthroscopically in acute, traumatic meniscal tears. Patients who underwent surgical treatment between 2016-2020 were retrospectively screened and included. 53 patients were included, follow-up periods, surgical technique, recovery rates, failure rates and complications were evaluated. Clinical results have been presented using the International Knee Documentation Committee scoring, Lysholm knee score and Tegner activity scales.

References

  • 1. Fairbank, T.J. (1948) "Knee joint changes after meniscectomy." J Bone Joint Surg Am, 30 (4), 664-670.
  • 2. Lee, S.J, Aadalen, K.J, Malaviya, P, Lorenz, E.P, Hayden, J.K, Farr, J, Kang, R.W. and Cole, B.J. (2006) "Tibiofemoral contact mechanics after serial medial meniscectomies in the human cadaveric knee." Am J Sports Med. 34 (8), 1334-1344. doi:10.1177/0363546506286786
  • 3. Fox, A.J.S, Wanivenhaus, F, Burge A.J, Warren R.F. and Rodeo S.A. (2015) "The human meniscus: A review of anatomy, function, injury and advances in treatment." Clin Anat. 28 (2), 269-287. doi:10.1002/ca.22456
  • 4. Arnoczky, S.P. and Warren R.F. (1982) "Microvasculature of the human meniscus." Am J Sports Med, 10 (2), 90-95. doi:10.1177/036354658201000205
  • 5. Anderson, A.F, Irrgang, J.J, Dunn, W, Beaufils, P, Cohen, M, Cole, B.J, Coolican, M, Ferretti, M, Glenn, R.E, Johnson, J.R, Neyret, P, Ochi, M, Panarella, L, Siebold, R , Spindler, K.P, Selmi, T.A.S, Verdonk, P, Verdonk, R, Yasuda, K. and Kowalchuk, D.A. (2011). "Interobserver reliability of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) classification of meniscal tears." The American journal of sports medicine, 39 (5), 926-932.
  • 6. Vaquero, J. and Forriol, F. (2016). "Meniscus tear surgery and meniscus replacement." Muscles, Ligaments and Tendons Journal, 6 (1), 71.
  • 7. Steadman, J.R, Matheny, L.M, Singleton, S.B, Johnson, N.S, Rodkey, W.G, Crespo, B. and Briggs, K.K. (2015). "Meniscus suture repair: minimum 10-year outcomes in patients younger than 40 years compared with patients 40 and older." The American Journal of Sports Medicine, 43 (9), 2222-2227. doi:10.1177/0363546515591260
  • 8. Morgan, C.D. (1991). "The “all-inside” meniscus repair." Arthroscopy: The Journal of Arthroscopic and Related Surgery, 7(1), 120-125. doi:10.1016/0749-8063(91)90093-
  • 9. Warren, R.F. and Levy, I.M. (1983). "Meniscal lesions associated with anterior cruciate ligament injury." Clinical Orthopaedics and Related Research, (172), 32-37. doi:10.1097/00003086-198301000-00008
  • 10. Fillingham, Y.A, Riboh, J.C, Erickson, B.J, Bach Jr, B.R. and Yanke, A.B. (2017). "Inside-out versus all-inside repair of isolated meniscal tears: an updated systematic review." The American Journal of Sports Medicine, 45 (1), 234-242. doi:10.1177/0363546516632504
  • 11. Xu, C. and Zhao, J. (2015). "A meta-analysis comparing meniscal repair with meniscectomy in the treatment of meniscal tears: the more meniscus, the better outcome?." Knee surgery, sports traumatology, arthroscopy, 23 (1), 164-170. doi:10.1007/s00167-013-2528-6
  • 12. Feeley, B.T, Liu, S, Garner, A.M, Zhang, A.L. and Pietzsch, J. B. (2016). "The cost-effectiveness of meniscal repair versus partial meniscectomy: A model-based projection for the United States." The Knee, 23 (4), 674-680. doi:10.1016/j.knee.2016.03.006
  • 13. Barrett, G.R. (1998). "Clinical results of meniscus repair in patients 40 years and older." Arthroscopy: The Journal of Arthroscopic and Related Surgery, 14 (8), 824-829 doi:10.1016/S0749-8063(98)70018-0
  • 14. Henning, C.E, Lynch, M.A, Yearout, K.M, Vequist, S.W, Stallbaumer, R.J. and Decker, K.A. (1990). "Arthroscopic meniscal repair using an exogenous fibrin clot." Clinical Orthopaedics and Related Research, (252), 64-72. doi:10.1097/00003086-199003000-00009
  • 15. Caplan, N. and Kader, D.F. (2014). "Rating systems in the evaluation of knee ligament injuries. " In Classic papers in orthopaedics (201-203). Springer, London. doi:10.1007/ 978-1-4471-5451-8_49
  • 16. Hefti, E, Müller, W, Jakob, R.P. and Stäubli, H.U. (1993). "Evaluation of knee ligament injuries with the IKDC form." Knee Surgery, Sports Traumatology, Arthroscopy, 1 (3), 226-234. doi:10.1007/BF01560215
  • 17. Lysholm, J. and Gillquist, J. (1982). "Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale." The American journal of sports medicine, 10 (3), 150-154. doi:10.1177/036354658201000306
  • 18. Ellermann, A, Bülow, J.U, Siebold, R. and Bös, L. (2001). "Expertenmeinung: meniskusrefixation." Arthroskopie, 14, 278-279.
  • 19. Morgan, C.D, Wojtys, E.M, Casscells, C.D. and Casscells, S.W. (1991). "Arthroscopic meniscal repair evaluated by second-look arthroscopy." The American journal of sports medicine, 19 (6), 632-638.
  • 20. Baratz, M.E, Fu, F.H. and Mengato, R. (1986). "Meniscal tears: the effect of meniscectomy and of repair on intraarticular contact areas and stress in the human knee: a preliminary report. " The American journal of sports medicine, 14 (4), 270-275.
  • 21. Venkatachalam, S, Godsiff, S.P. and Harding, M.L. (2001). "Review of the clinical results of arthroscopic meniscal repair." The Knee, 8 (2), 129-133. doi:10.1016/S0968-0160(01)00061-8
  • 22. Noyes, F.R. and Barber-Westin, S.D. (2012). "Treatment of meniscus tears during anterior cruciate ligament reconstruction." Arthroscopy: The Journal of Arthroscopic and Related Surgery, 28 (1) , 123-130. doi:10.1016/j.arthro.2011.08.292
  • 23. Aşık, M, Şener, N, Akpınar, S, Durmaz, H. ve Göksan, A. (1997). "Strength of different meniscus suturing techniques." Knee Surgery, Sports Traumatology, Arthroscopy, 5 (2), 80-83. doi:10.1007/s001670050031
  • 24. Stein, T, Mehling, A.P, Welsch, F, von Eisenhart-Rothe, R. and Jäger, A. (2010). "Long-term outcome after arthroscopic meniscal repair versus arthroscopic partial meniscectomy for traumatic meniscal tears." The American journal of sports medicine, 38 (8), 1542-1548. doi:10.1177/0363546510364052
  • 25. Nepple, J.J, Dunn, W.R. and Wright, R.W. (2012). "Meniscal repair outcomes at greater than five years: a systematic literature review and meta-analysis." The Journal of bone and joint surgery. American, 94 (24), 2222. doi:10.2106/JBJS.K.01584
  • 26. Rodeo, S.A. and Seneviratne, A.M. (1999). "Arthroscopic meniscal repair using the outside-in technique. "Sports Med Arthrosc Rev, 1, 20-27.
  • 27. Elmallah, R, Jones, L.C, Malloch, L. and Barrett, G.R. (2019). "A meta-analysis of arthroscopic meniscal repair: inside-out versus outside-in versus all-inside techniques." The Journal of Knee Surgery, 32 (08), 750-757. doi:10.1055/s-0038-1668123
There are 27 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Original Article
Authors

Kerim Öner 0000-0001-8415-1057

Muhammet Kalkışım 0000-0002-0433-4003

Publication Date September 27, 2022
Published in Issue Year 2022 Volume: 11 Issue: 3

Cite

APA Öner, K., & Kalkışım, M. (2022). Dıştan- İçe Teknik ile Menisküs Onarımı Uygulanan Hastaların Orta Dönem Klinik Sonuçları. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 11(3), 984-990. https://doi.org/10.37989/gumussagbil.930158
AMA Öner K, Kalkışım M. Dıştan- İçe Teknik ile Menisküs Onarımı Uygulanan Hastaların Orta Dönem Klinik Sonuçları. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. September 2022;11(3):984-990. doi:10.37989/gumussagbil.930158
Chicago Öner, Kerim, and Muhammet Kalkışım. “Dıştan- İçe Teknik Ile Menisküs Onarımı Uygulanan Hastaların Orta Dönem Klinik Sonuçları”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 11, no. 3 (September 2022): 984-90. https://doi.org/10.37989/gumussagbil.930158.
EndNote Öner K, Kalkışım M (September 1, 2022) Dıştan- İçe Teknik ile Menisküs Onarımı Uygulanan Hastaların Orta Dönem Klinik Sonuçları. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 11 3 984–990.
IEEE K. Öner and M. Kalkışım, “Dıştan- İçe Teknik ile Menisküs Onarımı Uygulanan Hastaların Orta Dönem Klinik Sonuçları”, Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, vol. 11, no. 3, pp. 984–990, 2022, doi: 10.37989/gumussagbil.930158.
ISNAD Öner, Kerim - Kalkışım, Muhammet. “Dıştan- İçe Teknik Ile Menisküs Onarımı Uygulanan Hastaların Orta Dönem Klinik Sonuçları”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 11/3 (September 2022), 984-990. https://doi.org/10.37989/gumussagbil.930158.
JAMA Öner K, Kalkışım M. Dıştan- İçe Teknik ile Menisküs Onarımı Uygulanan Hastaların Orta Dönem Klinik Sonuçları. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2022;11:984–990.
MLA Öner, Kerim and Muhammet Kalkışım. “Dıştan- İçe Teknik Ile Menisküs Onarımı Uygulanan Hastaların Orta Dönem Klinik Sonuçları”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, vol. 11, no. 3, 2022, pp. 984-90, doi:10.37989/gumussagbil.930158.
Vancouver Öner K, Kalkışım M. Dıştan- İçe Teknik ile Menisküs Onarımı Uygulanan Hastaların Orta Dönem Klinik Sonuçları. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2022;11(3):984-90.