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The Journal of Bone and Joint Surgery, Vol 65, Issue 2 193-197, Copyright © 1983 by Journal of Bone and Joint Surgery, Inc
Suture of new and old peripheral meniscus tears
P Hamberg, J Gillquist and J Lysholm
A prospective study of repaired vertical peripheral tears of the meniscus
in fifty patients (nine women and forty-one men) was carried out from
January 1977 to June 1980. All tears were confirmed preoperatively by
arthroscopy. Forty-three medial and seven lateral menisci were repaired.
Fifteen tears were treated within two weeks and thirty-five were operated
on as long as seven years after injury. Only eight patients had a meniscal
tear that was not accompanied by injuries of either the anterior cruciate
ligament or the collateral ligaments, or both. At a mean follow-up of
eighteen months (range, six to thirty-nine months), forty-two patients (84
per cent) had clinically apparent healing of the sutured meniscal tear.
Repeat arthroscopy was done in twenty-seven (64 per cent) of these
patients, four to twenty-nine months (mean, twelve months) after the
operation. The arthroscopy proved that all of these repaired tears had
healed. Eight patients had a second tear after the initial repair: four
were reruptures at the sutured area and four were new ruptures in another
area of the meniscus and were associated with fresh trauma. All of these
patients subsequently had an arthroscopic meniscectomy.
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