Arthroscopic Treatment for Symptomatic Discoid Meniscus in Children: Midterm Outcomes and Prognostic Factors

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Won Joon YooIn Ho Choi

Abstract

To investigate the clinical and radiologic outcomes and prognostic factors of arthroscopic partial meniscectomy with or without suture repair of the remnant rim and subtotal meniscectomy in children with discoid menisci. We retrospectively reviewed all consecutive patients aged younger than 18 years who underwent arthroscopy between 2003 and 2012, excluding patients with follow-up less than 2 years, concomitant injuries, underlying diseases, or a lost videotape. Patients were grouped by treatment method: partial meniscectomy with or without suture repair and subtotal meniscectomy. Clinical outcomes were determined based on symptoms, complications, and Lysholm scores. Degenerative changes were assessed radiologically. Risk factors for a lower Lysholm score were investigated. Of 100 knees (86 patients; mean age, 10.7 years), 87 underwent partial meniscectomy with (n = 42) or without (n = 45) suture repair and 13 underwent subtotal meniscectomy. The Lysholm score at a mean of 4.7 years (range, 2.0 to 10.9 years) improved to more than 90, regardless of meniscectomy method (P = .767; 95% confidence interval [CI], -5.1 to 6.9) or the addition of suture repair (P = .797; 95% CI, -3.5 to 4.6). Early degenerative changes were found in 1...Continue Reading

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Citations

May 3, 2016·Orthopedics·Daniel G HoernschemeyerSumit K Gupta
Oct 4, 2016·Archives of Orthopaedic and Trauma Surgery·Tetsuo HaginoHirotaka Haro
Nov 29, 2016·Knee Surgery & Related Research·Jae-Gyoon KimDae-Hee Lee
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Sep 27, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Adam J TaglieroAaron J Krych
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Aug 10, 2020·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Kenneth LukasSasha Carsen
May 28, 2019·Current Reviews in Musculoskeletal Medicine·Brian W YangNikolaos Paschos
Oct 13, 2020·Journal of Experimental Orthopaedics·Jun-Ho KimJoon Ho Wang
Oct 4, 2020·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Kazuya NishinoHiroaki Nakamura
Jun 10, 2021·Journal of Orthopaedic Surgery·Fumiyoshi Kawashima, Hiroshi Takagi
Jun 11, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Nami YamaguchiTakuji Yokoe

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