Impact of time between meniscal injury and isolated meniscus repair on post-operative outcomes:A systematic review  

作　　者：Kashif Javid Xavier Akins Nicole G Lemaster Amer Ahmad Austin V Stone 

机构地区：[1]Department of Orthopaedic Surgery and Sports Medicine,University of Kentucky,Lexington,KY 40504,United States

出　　处：《World Journal of Clinical Cases》2025年第7期39-45,共7页世界临床病例杂志（英文）

摘　　要：BACKGROUND Meniscal tears are one of the most common knee injuries.After the diagnosis of a meniscal tear has been made,there are several factors physicians use to guide clinical decision-making.The influence of time between injury and isolated meniscus repair on patient outcomes is not well described.Assessing this relationship is important as it may influence clinical decision-making and can add to the preoperative patient education process.We hypothesized that increasing the time from injury to meniscus surgery would worsen postoperative outcomes.AIM To investigate the current literature for data on the relationship between time between meniscus injury and repair on patient outcomes.METHODS PubMed,Academic Search Complete,MEDLINE,CINAHL,and SPORTDiscus were searched for studies published between January 1,1995 and July 13,2023 on isolated meniscus repair.Exclusion criteria included concomitant ligament surgery,incomplete outcomes or time to surgery data,and meniscectomies.Patient demographics,time to injury,and postoperative outcomes from each study were abstracted and analyzed.RESULTS Five studies met all inclusion and exclusion criteria.There were 204(121 male,83 female)patients included.Three of five(60%)studies determined that time between injury and surgery was not statistically significant for postoperative Lysholm scores(P=0.62),Tegner scores(P=0.46),failure rate(P=0.45,P=0.86),and International Knee Documentation Committee scores(P=0.65).Two of five(40%)studies found a statistically significant increase in Lysholm scores with shorter time to surgery(P=0.03)and a statistically significant association between progression of medial meniscus extrusion ratio(P=0.01)and increasing time to surgery.CONCLUSION Our results do not support the hypothesis that increased time from injury to isolated meniscus surgery worsens postoperative outcomes.Decision-making primarily based on injury interval is thus not recommended.

关 键 词：MENISCUS Meniscal Meniscus repair MENISCECTOMY Patient reported outcomes Postoperative outcomes Time to surgery Injury interval 

分 类 号：R563.1[医药卫生—呼吸系统] R395[医药卫生—内科学]