Key takeaways:
- Failure charges after transosseous arthroscopic root restore had been comparable amongst each youthful and older sufferers.
- Extra analysis with bigger affected person cohorts is required to determine predictors of failure.
WASHINGTON — Outcomes introduced on the Arthroscopy Affiliation of North America Annual Assembly confirmed affected person age on the time of transosseous arthroscopic root restore for medial meniscus root tear was not a predictor of failure.
“There was no distinction in failure charges or patient-reported outcomes between younger and previous sufferers, which signifies that age shouldn’t be an vital consider repairing these [tears],” Jelle P. van der Checklist, MD, PhD, an orthopedic fellow in sports activities medication at The Ohio State College Faculty of Medication, informed Healio. “It’s in all probability different elements that can dictate whether or not it will be a hit or to not restore posterior medial meniscus tears.”
van der Checklist and colleagues retrospectively reviewed knowledge of sufferers older than 18 years with remoted medial meniscus root tears who underwent transosseous arthroscopic root restore between 2012 and 2019.
“Failure was outlined on this research as a retear or conversion to arthroplasty,” van der Checklist mentioned in his presentation on the assembly.
van der Checklist mentioned sufferers had been categorized into teams based mostly on whether or not they had been aged youthful than 50 years, 50 to 60 years, or older than 60 years.
“After we take a look at the group below and over 50 years of age, we see total failure charges which might be comparable between the teams — 18%,” he mentioned. “No distinction by way of conversion to arthroplasty or traumatic failures.”
Youthful sufferers had extra traumatic acute failures at an early timepoint, whereas older sufferers had been extra prone to have “a sluggish continuation of development of OA with out some traumatic damage,” in response to van der Checklist. He added there have been comparable charges of contralateral knee damage and comparable patient-reported outcomes.
“If we set the edge at 60 years of age, we principally see the identical factor, though the group over 60 years is small — solely 12 sufferers,” van der Checklist mentioned.
He mentioned sufferers older than 60 years had comparable failure charges and patient-reported outcomes and no variations in time to failure or contralateral knee surgical procedure in contrast with sufferers youthful than 60 years.
“Age itself shouldn’t be an vital predictor [of failure],” van der Checklist informed Healio. “We have to transfer towards multicenter research the place they’ve massive cohorts, the place we will do correct multivariate evaluation [and] the place we will take a look at impartial predictors of success, as a result of we’re taking a look at small cohorts at each establishment and discovering not good research with correction for confounders. I believe that’s the place we’re heading.”
For extra info:
Jelle P. van der Checklist, MD, could be reached at jpjvanderlistmd@gmail.com.
Sources/Disclosures
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van der Checklist JP, et al. The position of age on the outcomes of arthroscopic medial meniscus posterior root restore. Offered at: Arthroscopy Affiliation of North America Annual Assembly; Might 8-10, 2025; Washington D.C.
Disclosures:
van der Checklist stories no related monetary disclosures.
