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Meniscus sutures by arthrotomy for a non-transfixing horizontal lesion associated with a cyst.
International Orthopaedics ( IF 2.7 ) Pub Date : 2020-01-28 , DOI: 10.1007/s00264-020-04491-3
Nicolas Girodano Orsini 1 , Henri Favreau 1 , David Eichler 1 , Matthieu Ollivier 2 , François Bonnomet 1 , Matthieu Ehlinger 1, 3
Affiliation  

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:

关节切开术半月板缝合与囊肿相关的非透明性水平病变。

引言半月板囊肿在Stoller II级水平病变中很少见。文献中描述了几种技术来进行管理,没有任何真正的金标准。这项工作的目的是报告一系列与通过关节切开术切除囊肿相关的半月板缝合线。假设是,无论报道的无关节置换术增加发病率的技术如何,结果均令人满意并与文献中的数据具有可比性。材料与方法这是一项单中心回顾性研究,对13例平均年龄33岁,伴有囊肿的II级半月板病变(外侧半月板和内侧半月板4例)进行回顾性研究。术前可用的数据是VAS(5.7 / 10)和Lysholm评分(61/100)。主要终点如下:疼痛(视觉模拟评分),总体满意度,Lysholm功能评分,并至少参加两年的体育和专业活动。次要终点是并发症,可能的复发和/或手术翻修。收集了复发,并发症和手术恢复。结果对患者进行了平均32个月的随访评估。所有患者都满意或非常满意。VAS显着改善(0.2 / 10,p <0.05)以及Lysholm评分(97/100,p <0.05)。所有患者均恢复了专业活动:两个月内恢复为11个,六个星期内恢复为一个,术后第一周则恢复为一个(该患者为学生)。只有一名患者由于股骨tell综合征而没有恢复术前运动水平,与进行的半月板手术无关。但是,只有11名患者恢复了先前的运动水平(84.6%)。没有复发或手术翻修发生。讨论结果很好,并且与文献相似,证实了工作假设。这些结果等同于部分半月板切除术和通过关节镜或关节切开术在囊肿上进行手术相关的关节镜缝合线。文献支持对囊肿进行手术。结论该结果证实了与囊肿切除相关的非透明性半月板病变的直接入路缝合具有良好的功能恢复的有效性,而没有额外的发病率。该假设得到证实。文献支持对囊肿进行手术。结论该结果证实了与囊肿切除相关的非透明性半月板病变的直接入路缝合具有良好的功能恢复的有效性,而没有额外的发病率。该假设得到证实。文献支持对囊肿进行手术。结论该结果证实了与囊肿切除相关的非透明性半月板病变的直接入路缝合具有良好的功能恢复的有效性,而没有额外的发病率。该假设得到证实。
更新日期:2020-01-28
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