Conservative treatment of meniscal tears in anterior cruciate ligament reconstruction

Mattia Alessio-Mazzola, Matteo Formica, Matteo Coviello, Marco Basso, Lamberto Felli

Research output: Contribution to journalArticle

Abstract

Background: Management of small and stable meniscal tears within the vascular zone at the time of anterior cruciate ligament (ACL) reconstruction is controversial. The purpose of this study was to evaluate the outcome of meniscal tear left in situ at the time of ACL reconstruction. Methods: Using the IKDC, KT-1000 and the Tegner Activity Score (TAS), we retrospectively analysed 175 cases of ACL reconstruction with meniscal tears performed from 2006 to 2012. Patients with residual laxity on clinical assessment were identified and considered as a subgroup. Clinical outcome and failure rate were evaluated. Results: In 83 patients (47.4%), a meniscal tear was left in situ at the time of ACL reconstruction: 45 were medial and 38 were lateral. Patients were clinically reassessed with a minimum follow-up of 24 months. The overall failure rate of conservative meniscal treatment in patients with objective residual laxity was 87.5%, and 6.7% in patients with a stable knee (P

Original languageEnglish
JournalKnee
DOIs
Publication statusAccepted/In press - Jun 14 2015

Keywords

  • ACL reconstruction
  • Knee
  • Meniscal tears

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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    Alessio-Mazzola, M., Formica, M., Coviello, M., Basso, M., & Felli, L. (Accepted/In press). Conservative treatment of meniscal tears in anterior cruciate ligament reconstruction. Knee. https://doi.org/10.1016/j.knee.2015.08.003