A following-up report of 139 patients with simultaneous repair of anterior cruciate ligament combined with meniscus injury
WANG Jiang-tao
LIU Yu-jie
QU Feng
YUAN Bang-tuo
ZHAO Gang
SHEN Xue-zhen
ZHU Juan-li
LIU Yang
Abstract：Objective To explore clinical effects of simultaneous anterior cruciate ligament ( ACL ) reconstruction and meniscus suture.Methods One hundred and thirty-nine patients with ACL and meniscus injury being admitted into our hospital from October, 2005 to December, 2013 were studied, including 98 males and 41 females. The average age was 31.2 years old ( range: 13-71 years ). There were 62 left knees, 77 right knees with the course of disease 5 days-1.6 years. All patients were performed ACL reconstruction and meniscus suture simultaneously. Main clinical manifestations were knee joint instability, pain, joint clicking, and locking. Results were assessed by Lysholm and IKDC knee-joint score system before and after operations. Barrett standard was used to evaluate clinical effects. Results All incisions healed primarily, no neurological or vascular injury were found. All 139 patients were followed up with the mean period of 3 years ( range: 11 months-9 years ). Lysholm increased from 32.66±3.42 to 62.36±3.24 3 months after the operation, 6 months to 79.46±1.28, 12 months to 88.64±4.06, 24 months to 94.36±2.42, 36 months to 94.48±4.28 (P3=0.000,P6=0.000,P12=0.000,P24=0.000,P36=0.000 ). IKDC increased from 38.48±4.32 to 68.86±2.38 3 months after the operation, 6 months to 80.05±0.91, 12 months to 90.48±3.66, 24 months to 95.56±3.28, 36 months to 96.64±3.36 (P3=0.000,P6=0.000,P12=0.000,P24=0.000,P36=0.000 ). Meniscus healed in 136 cases. Three cases of chronic bucket-handle tears had moderate pain after exercises postoperatively. Healing rate was 97.84%.Conclusions ACL and meniscus injury should be repaired at early stage. Simultaneous ACL reconstruction combined with meniscus suture has better post-operative joint functions and higher healing rate. Clinical effects are satisfactory.
Keywords：Knee jointAnterior cruciate ligament reconstructionMeniscitibialArthroscopeWounds and injuries
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 881-884 )