Michele Reboli1*, Federico Maria Liuni2, Riccardo Cepparulo2, Alberto Guardoli2, Luca Berni2, Giacomo Fabio Girgenti2 and Andrea Pellegrini3
1Department of Orthopedic Surgery, CTO Hospital of Turin, Turin, Italy
2Department of Orthopedics and Traumatology, Santa Maria Hospital, Parma, Italy
3Orthopedics and Traumatology Unit, Policlinic of Modena, Italy
Purpose: To improve the current knowledge of factors influencing the success and the clinical outcome of meniscal repair, focusing on patients’ lifestyle and on the surgical techniques applied. Methods: Sixty-six meniscal sutures were carried out in the period between January 2012 and July 2017 at the Santa Maria Hospital of Borgo Val di Taro, 14 of which were isolated and 52 associated with the reconstruction of the anterior cruciate ligament. Competitive and non-competitive sportsmen as well as smoker and non-smoker groups were formed retrospectively. For each patient, VAS and functional scores (Tegner Lysholm and Modified Cincinnati) were collected before the surgery and during the follow-up. Results: Isolated meniscal sutures registered a 21% failure rate while for those associated with Anterior Cruciate Ligament (ACL) reconstruction; the failure rate was only of 4%. Smoking and the absence of competitive sport activity before surgery were associated with lower clinical results. Different surgical techniques did not show any statistically significant difference. Conclusion: Data collected in our study shows that lifestyle-related factors may have a significant effect on the clinical outcome of the operated knee. Smoking is associated with lower clinical results. Sport activity level has an impact on the outcome of meniscal repair surgeries. Similar clinical improvement trend, assessed through scores, was demonstrated both in the competitive and noncompetitive groups, but higher average values were observed in the first group, preoperatively as well as postoperatively.
Reboli M, Liuni FM, Cepparulo R, Guardoli A, Berni L, Girgenti GF, et al. Medium Term Results in Meniscal Repair: Can Lifestyle Influence the Clinical Outcome?. Clin Surg. 2020; 5: 2864..