Results of Arthroscopic Menisectomy for Medial Meniscus Horizontal Tears in Patients under Age 45

Dr Pathik Vala; Dr Mehul Vardey; Dr Ajay Devda; Dr Akshay Chavada

Volume : V, Issue : X, October - 2016

Results of Arthroscopic Menisectomy for Medial Meniscus Horizontal Tears in Patients under Age 45

Dr Pathik Vala, Dr Mehul Vardey, Dr Ajay Devda, Dr Akshay Chavada

Abstract :

Background and Objectives: The purpose of this study was to evaluate the demographics,Clinical Features and outcomes of arthroscopic partial menisectomy(APM) for isolated medial meniscus horizontal cleavage tears(MMHCTs) in patients under the age of 45 years of age. Materials and Methods We retrospectively reviewed 98 patients(100 knees) under 45 years who underwent APM for MMHCTs.Clinical outcomes were assessed under International Knee Document Committee(IKDC) subjective core.Tegner activity scale,Visual analog Scale(VAS) score,and a question on the symptom relief. Results 79% were male and 70% had no trauma.The mean symptom duration was 10 months.At arthroscopy,a flap tear was identified in 75%.At a mean 19 month follow–up,the IKDC subjective score,Tegner activity score and VAS score were significantly improved compared to the preoperative values(p=0.025,p=0.043,p=0.032 respectively).While 85% were free of symptoms,15% had persistent pain.No significant differences in outcomes were observed based on the tear type and the presence of flap tears.No progression or development or radiographic degenerative changes was observed in all knees. Conclusions Demographics of MMHCTs under 45 showed a male dominance and higher frequency of no traumatic tears.APM was beneficial to Symptomatic HCTs in this cohort during the short term follow up.Type of HCTs and combined flap tears didn�t affect clinical outcomes.