Short-term functional outcomes of partial meniscectomy among middle-aged patients
DOI:
https://doi.org/10.35845/abms.2025.1.370Keywords:
Arthroscopic partial meniscectomy, Meniscal tear, Middle-aged patientsAbstract
Objective: The focus of this investigation was to examine functional recovery patterns in middle-aged individuals following arthroscopic paral meniscectomy, a minimally invasive surgical procedure involving paral excision of the knee meniscus in the early postoperative period.
Methods: The current prospective interventional study was conducted at Afridi Medical Complex and Teaching Hospital, Peshawar, from August 2023 to July 2024, including 87 patients with knee meniscal tears who underwent arthroscopic partial meniscectomy. Visual Analogue Scale score and Lysholm Knee Functional Score were used to evaluate improvement postoperatively, pain, and the functional outcome, respectively. Data analysis was done through Excel software version 2003.
Results: The VAS score for knee pain improved from 7.023±0.816 preoperatively to 2.518±1.065 at 12th weeks postoperatively (p-value < .001). Lysholm knee score for functional outcomes improved from 48.41±6.327 preoperatively to 81.8±10 at 12th week postoperatively (p-value < .001). Functional outcome of partial meniscectomy was excellent, good, fair, and poor outcomes were noted in 9.42%, 60%, 20%, and 10.59% of patients, respectively. Gender, BMI status, and type of meniscal tears had no effect on the functional outcome of partial meniscectomy for meniscal tears.
Conclusion: Meniscal tears in adults afflict the male gender more than the female gender, and they are more likely to be degenerative than traumatic. Most of the patients had less knee discomfort at 12 weeks after an arthroscopic partial meniscectomy. At 12 weeks, over fifty percent of the patients demonstrated better short-term functional results following arthroscopic partial meniscectomy. Gender, body mass index, and meniscal tear type had no significant impact on outcome.
References
Skou ST, Pihl K, Nissen N, Jørgensen U, Thorlund JB. Patient-reported symptoms and changes up to 1 year after meniscal surgery: An observational cohort study of 641 adult patients with a meniscal tear. Acta Orthop. 2018;89(3):336–44.
Rotini M, Papalia G, Setaro N, Luciani P, Marinelli M, Specchia N, et al. Arthroscopic surgery or exercise therapy for degenerative meniscal lesions: a systematic review of systematic reviews. Musculoskelet Surg. 2023;107(2):127-41.
Onuoha KM, Itakpe S. Evaluation of the Early Functional Outcome Following Arthroscopic Partial Meniscectomy for Meniscal Tears. J Biosci Med. 2020;8:32-42.
Okanu FO, Onuoha KM, Itakpe S. Evaluation of the early functional outcome following arthroscopic partial meniscectomy for meniscal tears. J Biosci Med. 2020;08(12):32–42.
LaPrade RF, Spalding T, Murray IR, Chahla J, Safran MR, Larson CM, et al. Knee arthroscopy: evidence for a targeted approach. Br J Sports Med. 2020;55(13):707–8.
Bansal S, Floyd ER, A Kowalski M, Aikman E, Elrod P, Burkey K, et al. Meniscal repair: The current state and recent advances in augmentation. J Orthop Res. 2021;39(7):1368-82.
Choi M, Lee SJ, Park CM, Ryoo S, Kim S, Jang JY, et al. Arthroscopic Partial Meniscectomy versus Physical Therapy for Degenerative Meniscal Tear: a Systematic Review. J Korean Med Sci. 2021;36(45):e292.
Sihvonen R, Englund M, Turkiewicz A, Järvinen TLN. Mechanical symptoms and arthroscopic partial meniscectomy in patients with degenerative meniscus tear: A secondary analysis of a randomized trial. Ann Intern Med. 2016;164(7):449–55.
Husen M, Kennedy NI, Till S, Reinholz A, Stuart MJ, Krych AJ, et al. Benefits of Meniscal Repair in Selected Patients Aged 60 Years and Older. Orthop J Sports Med. 2022;10(9):23259671221117491.
Hong SY, Han W, Jang J, Lee J, Ro DH, Lee MC, et al. Prognostic Factors of Mid- to Long-term Clinical Outcomes after Arthroscopic Partial Meniscectomy for Medial Meniscal Tears. Clin Orthop Surg. 2022;14(2):227-35.
Hussein A, Mcharo C, Mwanga J, Mrita F, Sabas J, Zakariyya J et al. Short-term functional outcomes of partial meniscectomy among middle-aged patients in Tanzania. East African Ortho J. 2023;17(2):77-88.
Ferkel RD, Davis JR, Friedman MJ, Fox JM, Pizzo W, Snyder SJ, et al. Arthroscopic partial medial meniscectomy: An analysis of unsatisfactory results. Arthrosc - J Arthrosc Relat Surg. 2010;26(11):1528–9.
Matsusue Y, Thomson NL. Arthroscopic partial medial meniscectomy in patients over 40 years old: A 5- to 11-year follow-up study. Arthrosc - J Arthrosc Relat Surg. 1996;12(1):39–44.
Haviv B, Bronak S, Kosashvili Y, Thein R. Gender effect on the outcome of partial medial meniscectomy. Orthopaedics. 2015;38(10):2015.
Sofu H, Oner A, Camurcu Y, Gursu S, Ucpunar H, Sahin, V. Predictors of the clinical outcome after arthroscopic partial meniscectomy for acute trauma- related symptomatic medial meniscal tear in patients more than 60 years of age. Arthrosc - J Arthrosc Relat Surg. 2016;32(6):1125–32.
Meredith DS, Losina E, Mahomed NN, Wright J, Katz JN. Factors predicting functional and radiographic outcomes after arthroscopic partial meniscectomy: A review of the literature. Arthrosc - J Arthrosc Relat Surg. 2005;21(2):211–23.
Fabricant PD, Rosenberger PH, Jokl PIJ. Predictors of short-term recovery differ from those of long-term outcome after arthroscopic partial meniscectomy. J Arthrosc Relat Surg. 2008;24(7):769–78.
Ghislain NA, Wei JN, Li YG. Study of the clinical outcome between traumatic and degenerative (Non-traumatic) meniscal tears after arthroscopic surgery: A 4-years follow-up study. J Clin Diagnostic Res. 2016;10(4):RC01–4.
El Ghazaly S, Rahman AAA, Yusry AH, Fathalla MM. Arthroscopic partial meniscectomy is superior to physical rehabilitation in the management of symptomatic unstable meniscal tears. Int Orthop. 2015;39 (4):769–75.
Liu JS, Li ZY. Arthroscopic partial meniscectomy for medial meniscal tear in late middle-aged adults. Zhongguo gu Shang China. J Orthop Traumatol. 2014; 27(8):631–4.
Gauffin H, Tagesson S, Meunier A, Magnusson H, Kvist J. Knee arthroscopic surgery is beneficial to middle-aged patients with meniscal symptoms: a prospective , randomised , single-blinded study. J Osteoarthr Cartil. 2014;22(11):1808–16.
Erdil M, Bilsel K, Sungur M, Dikmen G, Tuncer N, Polat G. Does obesity negatively affect the functional results of arthroscopic partial meniscectomy? A retrospective cohort study. J Arthrosc Relat Surg. 2013;29(2):232–7.
Salata MJ, Gibbs AE, Sekiya JK. A systematic review of clinical outcomes in patients undergoing meniscectomy. Am J Sports Med. 2010;38(9):1907–16.
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Akhtar Husain, Saeed Ahmad, FarmanUllah Khan
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Readers may “Share-copy and redistribute the material in any medium or format” and “Adapt-remix, transform, and build upon the material”. The readers must give appropriate credit to the source of the material and indicate if changes were made to the material. Readers may not use the material for commercial purpose. The readers may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
. 
