Article

The present prospective multicenter study sought to analyze
immediate and short-term (6 months) course following lateral meniscus lesion
surgery. METHODS: Between 2007 and 2008, 104 lateral meniscus
lesions on stable knee were recruited prospectively in 10 centers. Lesion type
and topography were recorded and patients were assessed by Knee Osteoarthritis
Outcome Score (KOOS) and subjective and objective International Knee
Documentation Committee (IKDC) scores, preoperatively and at 6 months' FU. Mean
age was 37 years, with a large preponderance of male patients. RESULTS: Lesion
topography, type and management were inventoried for all patients (n=104). A
majority of lesions were located in the mid-body segment. Conservative treatment
(meniscal suture) was applied in a third of cases. Fifty-six patients (54%) could
be analyzed at end of FU on the various assessment scores. At 6 months, patients
had recovered their preoperative activity level on IKDC. Twenty-two percent,
however, experienced persistent pain or reduced range of motion and 12% of
postoperative courses were considered difficult. DISCUSSION: Lateral and medial
meniscal lesions differ in topography, the latter occurring less often in the
anterior segment. Only 30% of patients were able to resume light physical
activity on the IKDC scale at 1 month: 6 months appear to be necessary for
patients operated on for a lateral meniscal lesion to recover their preoperative
level of activity.

Langue : FRANCAIS