Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Sports Medicine - Knee
Abstract number: 23665
ANALYSIS OF MENISCUS AND CARTILAGE LESIONS DURING ANTERIOR
CRUCIATE LESIONS RECONSTRUCTIONS: A RETROSPECTIVE
ARTHROSCOPIC STUDY STUDY
Tiberiu BATAGA, Adrian IVANESCU, Arpad SOLYOM, Razvan MELINTE, Bogdan
VOICU
University of Medicine & Pharmacy, Tg-Mures (ROMANIA)
Aim of study - The purpose of this study was to analyse cartilage and meniscal
lesions observedduring reconstruction of ACL. MATERIAL AND METHODS: A
consecutive series of 234 patients who underwent ACL reconstruction werereviewed
retrospectively to assess meniscal and cartilage lesions observed during the
operation. The criteriastudied were age, time to surgery, preoperative laxity
measured with KT2000, type and localisation of thelesions. RESULTS: For patients
aged less than 30 years, 5.3% presented cartilage lesions and 40.7% meniscal
lesions.In patients aged over 30 years, 21.6% had cartilage lesions and 52%
meniscal lesions. Medial meniscal lesions were observed in 16.7% of knees when
theoperative delay was less than twelve months versus 50% beyond 60 months.
Lateral meniscal lesions wereobserved in 24% of knees before twelve months and in
25% beyond 60 months. Finally, cartilage lesionsoccurred in 16.7% of knees before
twelve months and in 53.1% beyond 60 months; the medial femoral condylewas
involved in 66.6% of the cartilage lesions. CONCLUSION: Preoperative laxity is
strongly correlated with medial meniscal and cartilage lesions. The time tosurgery is
a predominant factor for the risk of these lesions, particularly after the first year. To
prevent thedevelopment of secondary osteoarthritic degradation, it would appear
warranted to undertake ligamentoplasty asearly as possible, particularly when there
is significant laxity.
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