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Journal Title
Title of Journal: Knee Surg Sports Traumatol Arthrosc
Abbravation: Knee Surgery, Sports Traumatology, Arthroscopy
Publisher
Springer Berlin Heidelberg
DOI
10.1002/chin.200902063
ISSN
1433-7347
Seventeen patients treated with combined ACL reconstruction and medial CMI and 17 patients treated with ACL reconstruction and partial medial meniscectomy were evaluated with mean followup 96 years with Lysholm Tegner objective and subjective International Knee Documentation Committee scores and VAS for pain Arthrometric evaluation was performed with KT 2000 Weighbearing radiographs anteroposterior and Rosenberg view were also performed and evaluated with KellgrenLawrence score Ahlback score and joint space narrowingPreoperative demographic parameters and clinical scores between patients treated with CMI and partial medial meniscectomy revealed no significant differences A significant improvement of all the clinical scores was detected in both groups from preoperative status to final followup No significant difference between groups were found for clinical and radiographic scores however the chronic subgroup of patients treated with CMI showed a significantly lower level of postoperative knee pain compared to patients treated with partial medial meniscectomy and the acute subgroup of medial CMI showed better arthrometric scoresGood longterm clinical results in terms of stability subjective outcomes and objective evaluation were reported both for medial CMI implant and partial medial meniscectomy combined with ACL reconstruction for the treatment of partial medial meniscus tears combined with ACL lesions Chronic meniscal tears treated with medial CMI reported lower levels of postoperative pain compared to meniscectomy while acute lesions treated with medial CMI showed less knee laxity Therefore the use of the collagen meniscus implant in the case of anterior knee instability with a meniscal defect appears justified and able to improve clinical outcomes in the long term