Combined meniscal allograft transplantation and anterior cruciate ligament reconstruction show good 2- to 14-year outcomes: a systematic review

Purpose: To evaluate the clinical outcomes of anterior cruciate ligament reconstruction (ACLR) with meniscal allograft transplantation (MAT) through a systematic review of current available evidence. Methods: A systematic database search of PubMed, Embase, Web of Science, and CINAHL was performed fr...

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Main Authors: Tan, Ashton Kai Shun, Chua, Shaun Kai Kiat, Yeo, Ellis Ying Heng, Hamid Rahmatullah Bin Abd Razak
Other Authors: Lee Kong Chian School of Medicine (LKCMedicine)
Format: Article
Language:English
Published: 2023
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Online Access:https://hdl.handle.net/10356/170006
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spelling sg-ntu-dr.10356-1700062023-08-21T07:31:07Z Combined meniscal allograft transplantation and anterior cruciate ligament reconstruction show good 2- to 14-year outcomes: a systematic review Tan, Ashton Kai Shun Chua, Shaun Kai Kiat Yeo, Ellis Ying Heng Hamid Rahmatullah Bin Abd Razak Lee Kong Chian School of Medicine (LKCMedicine) Science::Medicine Anterior Cruciate Ligament Injury Anterior Cruciate Ligament Reconstruction Purpose: To evaluate the clinical outcomes of anterior cruciate ligament reconstruction (ACLR) with meniscal allograft transplantation (MAT) through a systematic review of current available evidence. Methods: A systematic database search of PubMed, Embase, Web of Science, and CINAHL was performed from inception up to December 7, 2021, in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses. Follow-up studies (inception cohort studies/nonrandomized controlled trials/retrospective cohort studies) and case series that had more than 10 people published in English and involved patients who underwent a combination of ACLR and MAT were included. The quality of these studies was appraised using the Cochrane Risk Of Bias In Non-randomized Studies of Interventions tool. Systematic review of International Knee Documentation Committee (IKDC), Lysholm, and Tegner activity scores were conducted. Results: Seven studies involving 363 patients were included. The average mean follow-up time was 4.08 years, ranging from 1.75 to 14 years. All studies used the Lysholm Knee Scoring system to report clinical outcomes, whereas 2 studies and 4 studies used the IKDC Questionnaire and Tegner activity scale respectively to measure clinical outcomes postoperatively. Comparing postoperative with preoperative scores, we found an improvement above the minimal clinically important difference for the Lysholm (mean difference [MD] range 16.00-26.10) and Tegner activity scores (MD range 1.50-1.90). All but one study reported an increase above the minimal clinically important difference for IKDC scores postoperatively (MD range 5.60-23.00). Conclusions: Combined MAT and ACLR have good 2- to 14-year clinical outcomes postoperatively and is an optimal procedure for patients with concurrent ACL injuries with irreparable meniscus injuries. Level of Evidence: IV, systematic review and/or meta-analysis of studies with Levels I to IV. 2023-08-21T05:32:53Z 2023-08-21T05:32:53Z 2023 Journal Article Tan, A. K. S., Chua, S. K. K., Yeo, E. Y. H. & Hamid Rahmatullah Bin Abd Razak (2023). Combined meniscal allograft transplantation and anterior cruciate ligament reconstruction show good 2- to 14-year outcomes: a systematic review. Arthroscopy : the Journal of Arthroscopic & Related Surgery, 39(6), 1584-1592.e1. https://dx.doi.org/10.1016/j.arthro.2022.10.042 0749-8063 https://hdl.handle.net/10356/170006 10.1016/j.arthro.2022.10.042 36343764 2-s2.0-85153625894 6 39 1584 1592.e1 en Arthroscopy : The Journal of Arthroscopic & Related Surgery © 2022 by the Arthroscopy Association of North America. All rights reserved.
institution Nanyang Technological University
building NTU Library
continent Asia
country Singapore
Singapore
content_provider NTU Library
collection DR-NTU
language English
topic Science::Medicine
Anterior Cruciate Ligament Injury
Anterior Cruciate Ligament Reconstruction
spellingShingle Science::Medicine
Anterior Cruciate Ligament Injury
Anterior Cruciate Ligament Reconstruction
Tan, Ashton Kai Shun
Chua, Shaun Kai Kiat
Yeo, Ellis Ying Heng
Hamid Rahmatullah Bin Abd Razak
Combined meniscal allograft transplantation and anterior cruciate ligament reconstruction show good 2- to 14-year outcomes: a systematic review
description Purpose: To evaluate the clinical outcomes of anterior cruciate ligament reconstruction (ACLR) with meniscal allograft transplantation (MAT) through a systematic review of current available evidence. Methods: A systematic database search of PubMed, Embase, Web of Science, and CINAHL was performed from inception up to December 7, 2021, in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses. Follow-up studies (inception cohort studies/nonrandomized controlled trials/retrospective cohort studies) and case series that had more than 10 people published in English and involved patients who underwent a combination of ACLR and MAT were included. The quality of these studies was appraised using the Cochrane Risk Of Bias In Non-randomized Studies of Interventions tool. Systematic review of International Knee Documentation Committee (IKDC), Lysholm, and Tegner activity scores were conducted. Results: Seven studies involving 363 patients were included. The average mean follow-up time was 4.08 years, ranging from 1.75 to 14 years. All studies used the Lysholm Knee Scoring system to report clinical outcomes, whereas 2 studies and 4 studies used the IKDC Questionnaire and Tegner activity scale respectively to measure clinical outcomes postoperatively. Comparing postoperative with preoperative scores, we found an improvement above the minimal clinically important difference for the Lysholm (mean difference [MD] range 16.00-26.10) and Tegner activity scores (MD range 1.50-1.90). All but one study reported an increase above the minimal clinically important difference for IKDC scores postoperatively (MD range 5.60-23.00). Conclusions: Combined MAT and ACLR have good 2- to 14-year clinical outcomes postoperatively and is an optimal procedure for patients with concurrent ACL injuries with irreparable meniscus injuries. Level of Evidence: IV, systematic review and/or meta-analysis of studies with Levels I to IV.
author2 Lee Kong Chian School of Medicine (LKCMedicine)
author_facet Lee Kong Chian School of Medicine (LKCMedicine)
Tan, Ashton Kai Shun
Chua, Shaun Kai Kiat
Yeo, Ellis Ying Heng
Hamid Rahmatullah Bin Abd Razak
format Article
author Tan, Ashton Kai Shun
Chua, Shaun Kai Kiat
Yeo, Ellis Ying Heng
Hamid Rahmatullah Bin Abd Razak
author_sort Tan, Ashton Kai Shun
title Combined meniscal allograft transplantation and anterior cruciate ligament reconstruction show good 2- to 14-year outcomes: a systematic review
title_short Combined meniscal allograft transplantation and anterior cruciate ligament reconstruction show good 2- to 14-year outcomes: a systematic review
title_full Combined meniscal allograft transplantation and anterior cruciate ligament reconstruction show good 2- to 14-year outcomes: a systematic review
title_fullStr Combined meniscal allograft transplantation and anterior cruciate ligament reconstruction show good 2- to 14-year outcomes: a systematic review
title_full_unstemmed Combined meniscal allograft transplantation and anterior cruciate ligament reconstruction show good 2- to 14-year outcomes: a systematic review
title_sort combined meniscal allograft transplantation and anterior cruciate ligament reconstruction show good 2- to 14-year outcomes: a systematic review
publishDate 2023
url https://hdl.handle.net/10356/170006
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