Abstract
Purpose: purpose of this study is the evaluation of three techniques of arthroscopic meniscal repair: inside-out, outside-in – all inside.
Materials and Method: from January 2002 to January 2003 were admitted 31 patients, (32 meniscal tears) that were underwent to arthroscopic meniscal repair. The patients 24 men and 6 women had mean of age 26.7 years. By the 32 ruptures the 8 were treated with the technique outside-in (group A), 9 with the technique inside-out (group B) and 15 with the technique all inside (group C). Preoperatively and postoperatively the patients were evaluated with the Lysholm score, the McMarray score and the pain of joint line
Results: The average follow-up for group A was 14 months, for group B 11 months and for the group C 12 months. Preoperatively 7 patients of group A had pain of joint line, 6 McMarray testn+ and the Lysholm score was 57. Preoperatively 9 patients of group B had pain of joint line, 5 McMarray test + and the Lysholm score were 46. Preoperatively 13 patients of group C had pain of joint line, 9 McMarray test + and the Lysholm score was 69. Postoperatively none of the patients of group A have pain of joint line, none have McMarray test + and the Lysholm score was 94. Postoperatively none of the patients of group B have pain of joint line, none have McMarray test + and the Lysholm score was 97. Postoperatively 4 patients of group C have joint line pain, 5 McMarray test+ and the Lysholm score was 88.
Conclusions: Despite the small differences that were observed between the three groups the total results of meniscal repair are encouraging. Needs longer time of follow-up of this patients in order to it is realised if the technique of all inside it falls short if it is compared with two others techniques as they show our precocious results.
The abstracts were prepared by Eleni Koutsoukou. Correspondence should be addressed to him at the Hellenic Association of Orthopaedic Surgery and Traumatology (HAOST), 20, A. Fleming str, 15123 Marousi, Athens, Greece.
