PMID- 37388894
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230703
IS  - 2666-061X (Electronic)
IS  - 2666-061X (Linking)
VI  - 5
IP  - 3
DP  - 2023 Jun
TI  - Improved Outcomes After Reinforced Radial Meniscus Repair Augmented With Bone 
      Marrow Aspirate Concentrate.
PG  - e843-e851
LID - 10.1016/j.asmr.2023.04.014 [doi]
AB  - PURPOSE: To assess clinical outcomes of patients who have undergone surgical 
      repair of radial meniscal tears with reinforced suture bar (rebar) technique 
      augmented with bone marrow aspirate concentrate. METHODS: This is a retrospective 
      study of a single fellowship-trained sports medicine surgeon's experience on all 
      patients who underwent a reinforced repair (rebar) of a radial meniscus tear from 
      November 2016 to 2018, with a minimum of 12-month follow-up. Lysholm scores, IKDC 
      (International Knee Documentation Committee) Subjective Knee Form scores, and 
      Tegner scale were collected postoperatively at periods for at least 1 year and 
      retrospectively studied. RESULTS: Patients were followed for an average of 36.3 +/- 
      25.0 months [range: 12.0-69.0 months]. Pain scores improved from 6.1 +/- 2.1 to 0.4 
      +/- 1.4 at 1 year (P < .001). IKDC Subjective Knee Form scores improved from 63 +/- 
      26 to 90 +/- 13 (P = .021). Lysholm scores improved from 64 +/- 28 to 94 +/- 9 (P = 
      .025). Based on a calculated minimal clinical important difference (MCID) of 1.5, 
      100% of patients had improvement above the MCID. In addition, 88% of patients had 
      a 1-year IKDC Subjective Knee Form score above the patient acceptable symptomatic 
      state. Preoperative Tegner activity scale improved from 3 +/- 1.5 to 8 +/- 2.6 (P = 
      .007). Patients returned to their preinjury activity with little difference in 
      the Tegner activity scale when we compared preinjury and 1-year postoperative 
      (8.1 +/- 1.3 vs 8.0 +/- 2.6 respectively, P = .317). CONCLUSIONS: The rebar repair 
      technique for radial meniscus tears, with bone marrow aspirate concentrate 
      augmentation, showed improved outcomes in both pain and function at minimum 
      follow-up of 12 months. Patients were able to return to a high preinjury activity 
      level by 1 year, and 100% of patients had improvement above the MCID and 88% met 
      patient acceptable symptomatic state. LEVEL OF EVIDENCE: Level IV, therapeutic 
      case series.
CI  - (c) 2023 The Authors.
FAU - Massey, Patrick A
AU  - Massey PA
AD  - Department of Orthopaedic Surgery, Louisiana State University Health Sciences 
      Center, Shreveport, Louisiana, USA.
FAU - Sampognaro, Gabriel
AU  - Sampognaro G
AD  - Department of Orthopaedic Surgery, Louisiana State University Health Sciences 
      Center, Shreveport, Louisiana, USA.
FAU - Starnes, Ellie
AU  - Starnes E
AD  - Louisiana State University School of Medicine, Louisiana State University Health 
      Sciences Center, Shreveport, Louisiana, USA.
FAU - Lowery, Michael Todd
AU  - Lowery MT
AD  - Department of Orthopaedic Surgery, Louisiana State University Health Sciences 
      Center, Shreveport, Louisiana, USA.
FAU - Duncan, Macey
AU  - Duncan M
AD  - Baylor College, Waco, Texas, USA.
FAU - Sherman, William F
AU  - Sherman WF
AD  - Department of Orthopaedic Surgery, Tulane University, New Orleans, Louisiana, 
      USA.
FAU - Zhang, Andrew S
AU  - Zhang AS
AD  - Department of Orthopaedic Surgery, Louisiana State University Health Sciences 
      Center, Shreveport, Louisiana, USA.
LA  - eng
PT  - Journal Article
DEP - 20230520
PL  - United States
TA  - Arthrosc Sports Med Rehabil
JT  - Arthroscopy, sports medicine, and rehabilitation
JID - 101765256
PMC - PMC10300602
EDAT- 2023/06/30 13:11
MHDA- 2023/06/30 13:12
PMCR- 2023/05/20
CRDT- 2023/06/30 10:09
PHST- 2022/08/29 00:00 [received]
PHST- 2023/04/21 00:00 [accepted]
PHST- 2023/06/30 13:12 [medline]
PHST- 2023/06/30 13:11 [pubmed]
PHST- 2023/06/30 10:09 [entrez]
PHST- 2023/05/20 00:00 [pmc-release]
AID - S2666-061X(23)00073-1 [pii]
AID - 10.1016/j.asmr.2023.04.014 [doi]
PST - epublish
SO  - Arthrosc Sports Med Rehabil. 2023 May 20;5(3):e843-e851. doi: 
      10.1016/j.asmr.2023.04.014. eCollection 2023 Jun.