Meniscal Tears

Satisfactory Essays
Introduction: Acute meniscal tears may interfere with the normal biomechanics and functions of the knee joint during motion and thus, may lead to severe pain accompanied by mechanical symptoms throughout daily living activities as well as impairment of the quality of life.

Objectives: The main purpose of the present study was to identify the major predictors of the clinical outcome following arthroscopic partial meniscectomy performed for acute trauma-related medial meniscal tear leading to mechanical symptoms in patients over 60 years of age.

Methods: In this retrospective study, the clinical data of 154 arthroscopic partial medial meniscectomies performed for acute symptomatic tears in patients over 60 years of age were evaluated. Body mass index (BMI), duration of symptoms, the hip-knee-ankle angle (HKA), type of the meniscal tear, presence of any chondral lesions, degenerative changes in the patellofemoral joint, the status of the cruciate ligaments and lateral meniscus, and the presence of any plica
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The mean Lysholm score improved from 43 points to 72.7 points. Visual Analogue Scale and Lysholm scores at the latest follow-up were significantly worse in patients with a pre-operative BMI ≥26 kg/m2, HKA >5 degrees, grade 3 or 4 chondral lesion according to Outerbridge classification, degenerative changes in patellofemoral joint surfaces, and an ACL which was either partially ruptured or degenerative with increased laxity. Age at the time of surgery, pre-operative grade of medial joint space narrowing determined according to Kellgren-Lawrence classification, duration of symptoms until decision of the surgery, degenerative changes in the lateral meniscus, presence of a medial supra- or infra-patellar plica, and synovial hypertrophy and/or arthroscopic findings of synovitis had no effects on the clinical
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