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Master Thesis

Réparations méniscales chez les patients de plus de 40 ans sur genou stable : étude rétrospective monocentrique

Abstract : Meniscus injuries are frequent and meniscus repair has now replaced meniscectomy for young patients. The evolution of our knowledge and the health status of the population lead to consider meniscus repair even after 40 years old. The aim of this study was to assess the survival of meniscus repair for patients over 40 years old with a stable knee, factors influencing the survival, clinical and radiological results. 57 meniscus repairs were included in this monocentric retrospective study. There was 35 men and 22 women. Mean age was 46,4 (±5,43) years. Mean follow-up was 75,6 (±36,2) months. Injuries were on medial side in 44 cases (77,2%) and lateral side in 13 cases (22,8%). Survival rate at 143 months (12 years) was 83,4%. 9 cases (15,8%) failed and were re-operated for 8 meniscectomies and 1 high tibial osteotomy. Mean time to revision surgery was 11,56 (± 17,24) months. Failure rate was 20% on medial meniscus versus 0% on lateral meniscus. No risk factor was found although every fail occured in vertical tears or bucket-handle tears of medial meniscus. There were 17% of complications, every was early and without sequel. At last follow-up, functional results were satisfactory, and patients were able to resume sport. With a survival rate of 83,4% at 11 years and low morbidity, this study showed that it is reasonable to propose a meniscus repair in patients older than 40, although vertical tears, especially bucket-handle injuries, of medial meniscus were more at risk for secondary meniscectomy.
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Master Thesis
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Submitted on : Thursday, March 18, 2021 - 2:46:50 PM
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GUBBIOTTI Laura Chir G.pdf
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  • HAL Id : dumas-03173443, version 1


Laura Gubbiotti. Réparations méniscales chez les patients de plus de 40 ans sur genou stable : étude rétrospective monocentrique. Médecine humaine et pathologie. 2020. ⟨dumas-03173443⟩



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