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

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dc.contributor.authorBasal, Ozgur
dc.contributor.authorAslan, Talip Teoman
dc.contributor.authorDeniz, Hande Guney
dc.contributor.authorBilge, Onur
dc.contributor.authorDoral, Mahmut Nedim
dc.date.accessioned2024-02-23T14:29:41Z
dc.date.available2024-02-23T14:29:41Z
dc.date.issued2022
dc.departmentNEÜen_US
dc.description.abstractBACKGROUND: 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 demographics, 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 returning 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. Significant 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.en_US
dc.identifier.doi10.14744/tjtes.2022.13614
dc.identifier.endpage1155en_US
dc.identifier.issn1306-696X
dc.identifier.issn1307-7945
dc.identifier.issue8en_US
dc.identifier.pmid35920416en_US
dc.identifier.scopus2-s2.0-85135333908en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1148en_US
dc.identifier.urihttps://doi.org/10.14744/tjtes.2022.13614
dc.identifier.urihttps://hdl.handle.net/20.500.12452/14820
dc.identifier.volume28en_US
dc.identifier.wosWOS:000858853800024en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal Of Trauma & Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBucked-Handleen_US
dc.subjectKnee Traumaen_US
dc.subjectLocked Kneeen_US
dc.subjectMeniscal Tearen_US
dc.subjectReturn To Sportsen_US
dc.titleReturn to sport rate following sports trauma-related delayed bucket-handle meniscus repair with concomitant ACL reconstructionen_US
dc.typeArticleen_US

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