Valoración clínica y radiográfica de la meniscectomía y reparación de la rotura del ligamento cruzado anterior con 10 años de evolución

Zusammenfassung

Objective: To assess the functional and radiographic status of patients operated upon for meniscectomy and/or ligamentoplasty of the anterior cruciate ligament (ACL) 10 years after surgery. Material and method: We reviewed 35 patients operated upon in 1997 for partial meniscectomy, ligamentoplasty with goosefoot tendons for rupture of the ACL, or both techniques in combination. We evaluated the satisfaction index (1-10 scale), KOOS questionnaire (Knee Osteoarthritis Outcome Score) and the degree of gonarthrosis in antero-posterior and lateral weight-bearing radiography, following the Kellgren-Lawrence scale. The data obtained from each group were analyzed and subjected to descriptive study. Results: Meniscectomy was a risk factor for the development of osteoarthritis. We have not shown reconstruction of the ACL with goosefoot tendons to enhance gonarthrosis over the middle term; almost 70% of all patients had no degenerative signs, and those who did were rated as grade I. Likewise, no relationship was established between the presence of signs of radiographic osteoarthritis and patient perceived quality of life. In our cases, both surgical interventions offer middle term clinical results affording patients a good quality of life and normal working activity, though ACL ligamentoplasty alone obtains better scores according to the KOOS questionnaire, with a lesser incidence of osteoarthritis as determined by imaging techniques