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ACL reconstruction with meniscal resection may not impact short-term outcomes
At 2 years postoperatively, results of this study showed ACL reconstruction with meniscal resection did not contribute to patients’ decreased clinical outcomes.
Researchers used the Norwegian Knee Ligament Registry to evaluate outcomes for 4,691 patients with primary ACL reconstruction. They used the KOOS scoring system to evaluate pain and other symptoms, activities of daily living (ADL), sport and recreation function and quality of life. Using multiple linear regression modeling, the researchers compared results for patients with isolated ACL reconstruction to patients with ACL reconstruction performed with lateral meniscal repair, lateral meniscal resection, medial meniscal repair or medial meniscal resection.
Lars Engebretsen
Based on the results, scores were significantly lower preoperatively for all KOOS subscores among patients with ACL reconstruction with medial meniscal repair or with medial meniscal resection compared with isolated ACL reconstruction. Researchers also found that among patients with lateral meniscal repair there were significantly decreased scores preoperatively in regard to other symptoms, pain and ADL subscales. However, no significant differences in 2-year KOOS outcomes were found postoperatively for patients with ACL reconstruction and lateral meniscal repair, medial meniscal resection or lateral meniscal resection when compared with isolated ACL reconstruction, according to the results.
Patients with medial meniscal repair experienced significantly lower scores for the other symptoms and quality of life subscales, the researchers noted. – by Casey Tingle
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