INTRODUCTION Meniscal cysts are rare in Stoller grade II horizontal lesions. Several techniques are described in the literature for their management, without any real gold standard. The objective of this work was to report a series of meniscal sutures associated with cyst resection by arthrotomy. The hypothesis was that the results were satisfactory and comparable with the data in the literature regardless of the technique reported without morbidity added by arthrotomy. MATERIALS AND METHODS This was a monocentric retrospective study on 13 patients, aged 33 on average with a grade II meniscus lesion associated with a cyst (9 lateral and 4 medial menisci). Pre-operative data available was the VAS (5.7/10) and the Lysholm score (61/100). Primary endpoints were as follows: pain (visual analogue scale), global satisfaction, Lysholm functional score, and return to sports and professional activities at a minimum of two years. Secondary endpoints were complications, possible recurrence, and/or surgical revision. Recurrences, complications, and surgical recovery were gathered. RESULTS Patients were evaluated with an average follow-up of 32 months. All patients were satisfied or very satisfied. The VAS significantly improved (0.2/10, p < 0.05) as well as the Lysholm score (97/100, p < 0.05). All patients returned to their professional activity: 11 within two months, one within six weeks, and one in the first post-operative week (this patient being a student). Only one patient did not resume pre-operative sport level due to a femoropatellar syndrome, not linked to the meniscal surgery performed. However, only 11 patients resumed their previous sport level (84.6%). No recurrence or surgical revision occurred. DISCUSSION The results are good and similar to the literature, confirming the working hypothesis. These results are equivalent to partial meniscectomies and arthroscopic sutures associated with a procedure on the cyst by arthroscopy or arthrotomy. The literature is in favour of a procedure on the cyst. CONCLUSION The results confirm the effectiveness of a direct approach suture of non-transfixing meniscal lesions associated with a cyst resection with a good functional recovery, without additional morbidity. The hypothesis was confirmed.

中文翻译：

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通过关节切开术缝合半月板，以治疗与囊肿相关的非穿透性水平病变。


简介 半月板囊肿在 Stoller II 级水平病变中很少见。文献中描述了几种管理技术，但没有任何真正的黄金标准。这项工作的目的是报告一系列与关节切开术囊肿切除术相关的半月板缝合。假设是，无论报告的技术如何，结果都是令人满意的并且与文献中的数据具有可比性，并且没有关节切开术增加发病率。材料和方法 这是一项单中心回顾性研究，对象为 13 名患者，平均年龄 33 岁，患有与囊肿相关的 II 级半月板病变（9 例外侧半月板，4 例内侧半月板）。术前可用数据为 VAS (5.7/10) 和 Lysholm 评分 (61/100)。主要终点如下：疼痛（视觉模拟量表）、总体满意度、Lysholm 功能评分以及至少两年后恢复体育和职业活动。次要终点是并发症、可能的复发和/或手术修复。收集了复发、并发症和手术恢复情况。结果 平均随访 32 个月对患者进行评估。所有患者均表示满意或非常满意。 VAS 显着改善（0.2/10，p < 0.05）以及 Lysholm 评分（97/100，p < 0.05）。所有患者均恢复其职业活动：11 名在两个月内，1 名在六周内，1 名在术后第一周内（该患者是一名学生）。只有一名患者由于股髌综合征而未能恢复术前的运动水平，与所进行的半月板手术无关。然而，只有 11 名患者恢复了之前的运动水平（84.6%）。没有发生复发或手术修复。 讨论 结果很好，与文献相似，证实了工作假设。这些结果相当于部分半月板切除术和与关节镜或关节切开术对囊肿进行手术相关的关节镜缝合。文献支持对囊肿进行手术。结论 结果证实了直接缝合与囊肿切除相关的非穿透性半月板病变的有效性，具有良好的功能恢复，且没有额外的发病率。这个假设得到了证实。