Older age may not be associated with failed meniscal repair
CHICAGO — Although patients aged 40 years or older undergoing meniscal repair did not have a higher risk of failure compared with patients younger than 40 years, failure may occur more rapidly among older patients, according to results presented here.
Walter J. Kim, MD, MPH, and colleagues categorized 276 patients who underwent meniscal repair into patients aged 40 years or older (n=76) and patients younger than 40 years (n=200).
“Failure was defined as any subsequent meniscectomy, revision repair or total knee arthroplasty,” Kim said in his presentation at the Arthroscopy Association of North America Annual Meeting.
At 5-year follow-up, results showed the older- and younger-aged cohorts had no difference in repair failure rates.
“We did find a significantly shorter time to failure in our age over 40 cohort,” Kim said.
He noted univariate analysis showed no association between repair failure and weight, gender, ligament status, implants utilized, tear pattern or chondral defects. After adjusting and controlling for these covariates, according to Kim, age older than 40 years was not associated with an increased risk of failure.
“Therefore, in our cohort, no significant difference was found in repair failure rates among our older and younger aged populations,” Kim said. – by Casey Tingle
Walter KJ, et al. Paper 27. Presented at: Arthroscopy Association of North America Annual Meeting; April 26-28, 2018; Chicago.
Disclosure: Kim reports no relevant financial disclosures.