Abstract

YEREGUI, Santiago; DALTON, Patricio; MALLEA, Andrés  and  ABALO, Eduardo. Sutura meniscal en deportistas: análisis de fallas y retorno al deporte. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2023, vol.88, n.3, pp.314-320. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2023.88.3.1585.

Introduction: Meniscal suturing is a technique increasingly used in patients with meniscal lesions, with good outcomes in the general population. However, research on athletes is limited. Meniscal suture failures and return to sport in athletes were analyzed, and possible contributing factors were identified. Materials and Methods: Sixty-one meniscal sutures in athletes (Tegner score ≥6) with a minimum follow-up of 12 months were retrospectively evaluated. Forty-nine were isolated lesions and 12 were associated with anterior cruciate ligament reconstruction. The average follow-up was 61 months and patients were evaluated with Tegner and Lysholm scores. Results: Meniscal suture failure was noted in 12 (19.67%) patients; failure occurred, on average, 14 months post-surgery. Nine failures occurred in isolated sutures and 3 were associated with anterior cruciate ligament reconstruction (p<0.05). The meniscus that failed the most was the internal meniscus. Seventy-five percent corresponded to patients who practiced pivot-contact sports (p<0.05). Patients who did not suffer failure were able to continue with the same sporting activity as before the injury and the Lysholm score had significantly improved (p<0.05). Conclusions: Failures were significantly more frequent in internal menisci, isolated sutures, bucket-handle injuries, and pivot-contact sports. We believe that meniscal suture is an excellent surgical option for athletic patients because a high percentage of them return to sports.

Keywords : Meniscal suture; athletes; meniscal injury; meniscal suture failure.

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