Return to sport rate following sports trauma-related delayed bucket-handle meniscus repair with concomitant ACL reconstruction

Guney, Hande; Bilge, Onur; Aslan, Talip Teoman; doral, mahmut nedim; Başal, Özgür

doi:10.14744/tjtes.2022.13614

Return to sport rate following sports trauma-related delayed bucket-handle meniscus repair with concomitant ACL reconstruction

Özgür Başal, (Ortopedi ve Travmatoloji Anabilim Dalı, Emsey International Hospital, İstanbul-Türkiye)

Talip Teoman Aslan, (Sağlık Bilimleri Üniversitesi Darıca Farabi Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalı, Kocaeli -Türkiye)

Hande Güney Deniz, (Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Fizyoterapi ve Rehabilitasyon Anabilim Dalı, Ankara-Türkiye)

Onur Bilge, (Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Konya-Türkiye)

Mahmut Nedim Doral (Hacettepe Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, Ankara-Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

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Yıl: 2022 Cilt: 28 Sayı: 8 Sayfa Aralığı: 1148 - 1155 Metin Dili: İngilizce DOI: 10.14744/tjtes.2022.13614 İndeks Tarihi: 03-11-2022

Return to sport rate following sports trauma-related delayed bucket-handle meniscus repair with concomitant ACL reconstruction

Öz:

BACKGROUND: Return to sports rate of chronic meniscus repair concurrent with Anterior Cruciate Ligament (ACL) reconstruction remains unclear, especially there is no well-defined return to sports criteria for evaluation. The purpose of this retrospective study was to determine the success rate of chronic locked bucket-handle meniscal tear (BHMT) repair with concomitant ACL reconstruction. METHODS: This study includes 51 chronic ACL injury patients with a locked meniscal tear of at least 6 weeks who underwent surgery. All cases were treated with arthroscopic BHMT repair and ACL reconstruction between 2017 and 2020. Patient demograph- ics, chronicity, pre-operative, and intraoperative surgical variables which associated with return to sports were defined. BHMT was repaired with an all-in-side meniscus repair and/or combined repair procedure first, then an anatomic outside-in ACL reconstruction using a suspension device for femoral fixation was performed. Patients underwent same rehabilitation program with the goal of return- ing to sport at approximately 4–8 months. A modified return-to-sport criterion was performed in this study. RESULTS: Fifty-one patients with an average age of 27.4 (range 18–48) years were included in the study. The average time elapsed from the occurrence of locked knee symptoms to surgery was 10.5±4.4 weeks. The mean follow-up time was 25.3±4.5 months. Sig- nificant improvement was observed in all patient-reported outcomes from baseline to the final follow-up. The mean modified Lysholm knee score increased from 45.5 points to 91.5 at the final follow-up (p<0.001). The 43 out of 51 patients (84.3%) were return to their recreational activities (amateur sports). The mean time to return to sport was 5.9±0.8 (5–8) months. CONCLUSION: Majority of the patients who underwent ACL reconstruction with BHMT repair return to their pre-operative activity levels in 8 months. All neglected BHMTs with concomitant chronic ACL rupture should be repaired in a single-stage surgery if the half plane-concave shape of the menisci has been preserved regardless of the delay in time to surgery.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Başal Ö, Aslan T, Guney H, Bilge O, doral m (2022). Return to sport rate following sports trauma-related delayed bucket-handle meniscus repair with concomitant ACL reconstruction. , 1148 - 1155. 10.14744/tjtes.2022.13614
Chicago	Başal Özgür,Aslan Talip Teoman,Guney Hande,Bilge Onur,doral mahmut nedim Return to sport rate following sports trauma-related delayed bucket-handle meniscus repair with concomitant ACL reconstruction. (2022): 1148 - 1155. 10.14744/tjtes.2022.13614
MLA	Başal Özgür,Aslan Talip Teoman,Guney Hande,Bilge Onur,doral mahmut nedim Return to sport rate following sports trauma-related delayed bucket-handle meniscus repair with concomitant ACL reconstruction. , 2022, ss.1148 - 1155. 10.14744/tjtes.2022.13614
AMA	Başal Ö,Aslan T,Guney H,Bilge O,doral m Return to sport rate following sports trauma-related delayed bucket-handle meniscus repair with concomitant ACL reconstruction. . 2022; 1148 - 1155. 10.14744/tjtes.2022.13614
Vancouver	Başal Ö,Aslan T,Guney H,Bilge O,doral m Return to sport rate following sports trauma-related delayed bucket-handle meniscus repair with concomitant ACL reconstruction. . 2022; 1148 - 1155. 10.14744/tjtes.2022.13614
IEEE	Başal Ö,Aslan T,Guney H,Bilge O,doral m "Return to sport rate following sports trauma-related delayed bucket-handle meniscus repair with concomitant ACL reconstruction." , ss.1148 - 1155, 2022. 10.14744/tjtes.2022.13614
ISNAD	Başal, Özgür vd. "Return to sport rate following sports trauma-related delayed bucket-handle meniscus repair with concomitant ACL reconstruction". (2022), 1148-1155. https://doi.org/10.14744/tjtes.2022.13614

APA	Başal Ö, Aslan T, Guney H, Bilge O, doral m (2022). Return to sport rate following sports trauma-related delayed bucket-handle meniscus repair with concomitant ACL reconstruction. Ulusal Travma ve Acil Cerrahi Dergisi, 28(8), 1148 - 1155. 10.14744/tjtes.2022.13614
Chicago	Başal Özgür,Aslan Talip Teoman,Guney Hande,Bilge Onur,doral mahmut nedim Return to sport rate following sports trauma-related delayed bucket-handle meniscus repair with concomitant ACL reconstruction. Ulusal Travma ve Acil Cerrahi Dergisi 28, no.8 (2022): 1148 - 1155. 10.14744/tjtes.2022.13614
MLA	Başal Özgür,Aslan Talip Teoman,Guney Hande,Bilge Onur,doral mahmut nedim Return to sport rate following sports trauma-related delayed bucket-handle meniscus repair with concomitant ACL reconstruction. Ulusal Travma ve Acil Cerrahi Dergisi, vol.28, no.8, 2022, ss.1148 - 1155. 10.14744/tjtes.2022.13614
AMA	Başal Ö,Aslan T,Guney H,Bilge O,doral m Return to sport rate following sports trauma-related delayed bucket-handle meniscus repair with concomitant ACL reconstruction. Ulusal Travma ve Acil Cerrahi Dergisi. 2022; 28(8): 1148 - 1155. 10.14744/tjtes.2022.13614
Vancouver	Başal Ö,Aslan T,Guney H,Bilge O,doral m Return to sport rate following sports trauma-related delayed bucket-handle meniscus repair with concomitant ACL reconstruction. Ulusal Travma ve Acil Cerrahi Dergisi. 2022; 28(8): 1148 - 1155. 10.14744/tjtes.2022.13614
IEEE	Başal Ö,Aslan T,Guney H,Bilge O,doral m "Return to sport rate following sports trauma-related delayed bucket-handle meniscus repair with concomitant ACL reconstruction." Ulusal Travma ve Acil Cerrahi Dergisi, 28, ss.1148 - 1155, 2022. 10.14744/tjtes.2022.13614
ISNAD	Başal, Özgür vd. "Return to sport rate following sports trauma-related delayed bucket-handle meniscus repair with concomitant ACL reconstruction". Ulusal Travma ve Acil Cerrahi Dergisi 28/8 (2022), 1148-1155. https://doi.org/10.14744/tjtes.2022.13614