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University of Kansas School of Medicine-Wichita, Via Christi Regional Medical Center, St. Francis Campus, Wichita, Kansas
Presented at the Kansas Orthopaedic Society annual meeting, Wichita, Kansas, October 1994; The American Orthopaedic Association 28th annual residents’ conference, Pittsburgh, Pennsylvania, March 1995; Mid-Central States Orthopaedic Society, Hot Springs, Arkansas, June 1995; and Mid-America Orthopaedic Association, San Antonio, Texas, April 1996.
Address correspondence and reprint requests to Michael J. Johnson, MD, Department of Orthopaedics, Via Christi Regional Medical Center, St. Francis Campus, 929 North St. Francis, Wichita, KS 67214-3882
A single surgeon’s consecutive series of 50 arthroscopically repaired meniscal tears in 48 patients was retrospectively reviewed. None of these patients had concomitant ligament damage to the knee. The average follow-up period was 10 years, 9 months. Criteria for clinical success included 1) history of pain of grade 1 or less and absence of locking, catching, or giving way; 2) a physical examination demonstrating no significant effusion and a painless and negative jump sign; and 3) no subsequent surgical procedures on the repaired meniscus. Patient satisfaction was quite high, although clinical confirmation was possible in only 38 knees, indicating a clinical success rate of 76%. Bilateral standing radiographs were obtained on these 38 operated knees and were evaluated using Fairbank’s classification. Evaluation of the radiographs revealed that 8% of the operated knees had minimal joint changes, as compared with 3% in the contralateral, nonoperated knee. This study demonstrates that arthroscopic meniscal repair in knees with isolated meniscal tears has the potential for a long-term successful clinical and radiographic outcome.
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