Comparison of clinical results of patients who had meniscule surgery and anterior cruci̇ate ligament reconstruction with isolated anterior cruci̇ate ligament reconstruction

Anterior cruciate ligament tears are injuries that can frequently occur in the knee joint as a result of sports activities such as football and basketball, traffic and work accidents. On the other hand, meniscus tears may accompany cruciate ligament rupture. It greatly affects the quality of life, especially in individuals or athletes with high activity levels. In this retrospective study, we aimed to compare the clinical results of isolated ACL reconstruction and meniscus repair or meniscus resection with ACL reconstruction. 4 female and 25 male patients were included in the isolated anterior cruciate ligament reconstruction group, 6 female and 21 male patients were included in the ACL reconstruction and meniscus repair group, and 4 female and 21 male patients were included in the ACL reconstruction and meniscectomy group. All our patients were operated on with transtibial, quadruple hamstring autograft and single-bundle and single-tunnel endobutton methods. Meniscus tears were repaired with all-inside technique. Demographic characteristics of all groups, preoperative and postoperative first year functional scores (Lysholm, Tegner, Cicinnati and IKDC), preoperative and postoperative first year anterior drawer test and Lachman tests, time between injury and operation, meniscus tear type and posterior tibial slope angles. compared. 56% of the meniscus resection group underwent surgery after the 12th month, and it was observed that the patients were more likely to encounter a meniscus tear pattern that was not suitable for repair. We found that the post-operative functional results of all three groups were significantly higher than the preoperative results, and the early clinical results of all three groups were satisfactory. We found that the Tegner activity level score was significantly higher in the group with meniscus repair combined with anterior cruciate ligament reconstruction than in the meniscus resection group.