Medical Journal of the Islamic Republic Of Iran

other Meniscal Repair Compared to Meniscectomy for Meniscal Injury: 3-year Outcomes from a Retrospective Cohort Study Orthopedic Surgery Orthopedic Surgery Original Research Original Research Background: Meniscal injury is a common problem that can lead to knee pain and dysfunction. Meniscal repair and meniscectomy are two treatment approaches for meniscal injury, but the latter may increase the risk of osteoarthritis. We aimed to compare the 3-year outcomes of a new method of meniscal suturing with meniscectomy among patients with meniscal injury.    Methods: This retrospective cohort study compared meniscal repair (treatment group) and meniscectomy (control group) in patients with meniscal injury. We evaluated the outcomes of 134 patients. under treatment with these approaches based on the Lysholm scale, which measures knee function and symptoms. The study used the chi-square test and the Mann-Whitney U test to compare the proportion of patients with different outcomes and the Lysholm scale scores between the treatment and control groups. The study also conducted subgroup analyses based on gender and age using the Mann-Whitney U test. The level of significance was set at P < 0.05 for all statistical tests.    Results: The treatment group had a higher proportion of patients with excellent results, although the difference was not statistically significant (17.2% in the treatment group vs. 10.0% in the control group, P = 0.223). However, a comparative analysis of the proportion of patients with good results revealed statistically significant differences, with 67.2% of patients in the treatment group achieving good outcomes compared to 45.7% in the control group (χ2 = 6,256, df = 1 P = 0.012, HR 1,470 95%CI 1,081-1,999). The average score on the Lysholm scale was significantly higher in the treatment group (87.48, 95% CI 85.1-89.7, SD = 9.2) compared to the control group (81.73, 95% CI 78.4-84.9, SD = 13.7) (U = 1609, Z = -2.813, P = 0.005). Subgroup analyses based on gender and age also showed significant differences in the Lysholm scale scores.    Conclusion: The study demonstrates that meniscal repair is more effective than meniscectomy in improving patient outcomes, with a higher proportion of patients achieving excellent and good results and higher scores on the Lysholm scale. These findings support the use of meniscal repair as a preferred treatment approach for patients with meniscal injuries.   Knee Joint, Menisci, Meniscus Injury, Osteoarthritis, Arthroscopy, Meniscus Suture, Meniscus Resection 938 943 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-8476-6&slc_lang=other&sid=1 Ergali Nabiyev 9193md@mail.ru 200319475328460080652 200319475328460080652 No KazNMU named S.D. Asfendiyarov Arnat Baizakov Arnat_bayzakov@mail.ru 200319475328460080653 200319475328460080653 No Kazakhstan’s Medikal University “KSPH” Khadisha Kashikova hadisha.kash@gmail.com 200319475328460080654 200319475328460080654 Yes Caspian University, International School of Medicine, Almaty, Kazakhstan Ramazan Askerov Askerov.ramazan@mail.ru 200319475328460080655 200319475328460080655 No Kazakhstan’s Medikal University “KSPH” Zhenisbek Baubekov zh.tanir@mail.ru 200319475328460080656 200319475328460080656 No West Kazakhstan Marat Ospanov Medical University Zhassulan Argynbayev Argynbayev.zhasulan@gmail.com 200319475328460080657 200319475328460080657 No Kazakhstan’s Medikal University “KSPH” Kuanysh Baikubesov ortoped48@mail.ru 200319475328460080658 200319475328460080658 No Kazakhstan’s Medikal University “KSPH”