Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original ArticlePredictors of Short-term Recovery Differ From Those of Long-term Outcome After Arthroscopic Partial Meniscectomy
Section snippets
Methods
One hundred twenty-six consecutive arthroscopic partial meniscectomy procedures were performed and prospective data were collected between August 2000 and August 2005 by 1 surgeon at a major university medical center. Demographic characteristics of the patient sample are shown in Table 1. All patients were given a preoperative diagnosis of torn medial meniscus, torn lateral meniscus, or both based on history, physical examination, and confirmatory magnetic resonance imaging. In addition,
Results
Tear characteristics, including incidence of 1 meniscus versus both menisci, number of zones involved, and depth of meniscal excision are shown in Table 2. The distribution of modified Outerbridge scores is shown in Table 3; intercorrelations between the 4 surgical predictor variables are shown in Table 4.
Results of the mixed-model repeated-measures analyses are shown in Table 5. Of the demographic variables, gender was significantly associated with rate of improvement in knee pain, knee
Discussion
Currently, physicians are forced to advise patients regarding their short-term recovery based on anecdotal evidence from their own experience, including intuitions about how patients will recover based on age, weight, incentive to recover, amount of tissue resected, and amount of physical therapy that they receive, rather than being able to refer to published data. Although 1 previous study reported general information concerning when patients could return to work, school, or daily activity to
Conclusions
We have shown that female gender and worse osteoarthritis are associated with a slower rate of recovery from arthroscopic partial meniscectomy whereas age, BMI, depth of meniscal excision, involvement of 1 or both menisci, and extent of meniscal tear showed no association throughout the first year postoperatively.
Acknowledgment
The authors thank Dr. Michael Medvecky for contributing the examples of intraoperative arthroscopic images (Fig 2) for this article.
References (31)
- et al.
Arthroscopic partial and total meniscectomy: A long-term follow-up study with matched controls
Arthroscopy
(2002) - et al.
A comparative study of medial versus lateral arthroscopic partial meniscectomy on stable knees: 10-Year minimum follow-up
Arthroscopy
(2003) - et al.
Influence of obesity on outcome after knee arthroscopy
Arthroscopy
(2004) - et al.
Independent home versus supervised rehabilitation following arthroscopic knee surgery—A prospective randomized trial
Arthroscopy
(1989) - et al.
Factors predicting functional and radiographic outcomes after arthroscopic partial meniscectomy: A review of the literature
Arthroscopy
(2005) - et al.
Long-term outcome of meniscectomy: Symptoms, function, and performance tests in patients with or without radiographic osteoarthritis compared to matched controls
Osteoarthritis Cartilage
(2001) - et al.
Fifteen-year follow-up of arthroscopic partial meniscectomy
Arthroscopy
(1997) - et al.
Arthroscopic partial meniscectomy: A long-term follow-up
Arthroscopy
(1992) - et al.
The effect of Workers' Compensation on clinical outcomes of arthroscopic-assisted autogenous patella tendon anterior cruciate ligament reconstruction in the acute population
Arthroscopy
(2001) - et al.
Shared decision making, preoperative expectations, and postoperative reality: Differences in physician and patient predictions and ratings of knee surgery outcomes
Arthroscopy
(2005)
Subacromial and intra-articular morphine versus bupivacaine after shoulder arthroscopy
Arthroscopy
Graphic representation of pain
Pain
Musculoskeletal conditions in the United States
Arthroscopic partial lateral meniscectomy long-term results in athletes
Acta Orthop Belg
Impact of type of meniscal tear on radiographic and symptomatic knee osteoarthritis: A sixteen-year followup of meniscectomy with matched controls
Arthritis Rheum
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Supported by funding from the National Institute of Arthritis and Musculoskeletal and Skin Disorders (No. R01 AR46299). Additional funding was contributed by the Felix Freshwater Student Research Fellowship. Research was performed at Yale University School of Medicine. The authors report no conflict of interest.