Title Do MRI results represent functional outcomes following arthroscopic repair of an isolated meniscus tear in young patients?—A prospective comparative cohort study /
Authors Brogaitė-Martinkėnienė, Viktorija ; Austys, Donatas ; Šaikus, Andrius ; Brazaitis, Andrius ; Bernotavičius, Giedrius ; Makulavičius, Aleksas ; Sveikata, Tomas ; Verkauskas, Gilvydas
DOI 10.3390/clinpract14020047
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Is Part of Clinics and practice.. Basel : MDPI. 2024, vol. 14, iss. 2, p. 602-613.. eISSN 2039-7283
Keywords [eng] knee ; meniscal repair ; functional outcomes ; magnetic resonance image (MRI) ; young patients
Abstract [eng] Background: The use of postoperative MRI to assess the healing status of repaired menisci is a long-standing issue. This study evaluates and compares functional and MRI outcomes following an arthroscopic meniscus repair procedure with the aim of postoperative MRI diagnostic accuracy clarification in young patients. Methods: A total of 35 patients under 18 years old who underwent isolated meniscus repair were included. The Pedi-IKDC score, Lysholm score, and Tegner activity index (TAS) were compared between the groups formed according to the Stroller and Crues three-grade classification of postoperative MRI-based evaluations. Grade 3 MRI views were classified as unhealed, grade 2 as partially healed, and grade 1 as fully healed within the repaired meniscus, whereas grade 3 cases were considered unsuccessful due to MRI evaluation. Results: MRI assessment revealed 4 cases of grade 1 (11.4%), 14 cases of grade 2 (40.8%), and 17 cases of grade 3 (48.0%) lesions. Pedi-IKDC and TAS scores were significantly higher among MRI grade 2 patients than among MRI grade 3 patients (p < 0.05). Weak negative correlations between MRI grades and all functional scales were found (p < 0.05). ROC analysis showed that Pedi-IKDC and TAS scores could correctly classify 77% and 71% of MRI grade 3 patients, respectively. The optimal cut-off values to detect grade 3 patients were 88.74 for the Pedi-IKDC score and 4.5 for the TAS score. Conclusions: To conclude, established functional score cut-off values may help identify unhealed meniscus repair patients.
Published Basel : MDPI
Type Journal article
Language English
Publication date 2024
CC license CC license description