Description
The optimal surgical approach for the management of ameniscal tear in the presence of an anterior cruciate
ligament (ACL)-deficient knee, is unclear.
The aim of this study was to evaluate the failure rate between single- and two-staged repair with concomitant ACLR.Secondary outcomes were KOOS at 12 and 24 months, ROM, laxity and
isokinetic muscle strength measured using Biodex at 6 months.
The two-staged group had a significant higher failure rate
(37.1% vs. 15.5%, p<0.01). No other significant differences were found.
There is a significant higher risk for meniscal failure when performing a two-staged procedure in an ACL-deficient knee. The risk also increases with time from meniscal repair to ACLR and repair of the medial meniscus.