Isolated Meniscal Suture. Follow Up and Return to Sports. Our experience

Abstract

The meniscal rupture is the lesion with the most frequent surgical indication of the knee. The meniscus intervenes in joint physiology in different ways: transmitting and distributing loads, joint lubrication, proprioception and, participating in joint stability. Meniscal resection has deleterious effects on the joint, rapidly causing degenerative changes and poor long-term results. You should try to preserve as much of the meniscus as possible, either with partial meniscectomies, or if the injury allows it, repair.Objectives:evaluate, in the short and medium term, athletes with meniscal injury, young adults, who underwent meniscal suture. The results were analyzed, trying to identify the linked variables.Methods:Retrospective, observational, descriptive study. In this case series, we evaluated 14 meniscal sutures. The Tegner Score and the Lysholm Test, both pre- and postsurgical, were used to assess the evolution of the patient and his return to sports activity at the time of medical discharge.Results:Meniscal suture: average number of points that was made in each meniscus was 3.5 stitches. The failure rate of 7%. The rest all returned to their pre-injury physical activity without pain. Improvement of the scores of Tegner and Lysholm.Conclusion:We can affirm that the meniscal suture presents a high percentage of healing with a minimum failure rate, and that the good results of the technique allow the patient to resume their competitive and recreational sports activities at the same pre-occupational level, with a high degree of satisfaction.