Turkiye Klinikleri Journal of Sports Sciences

.: ORIGINAL RESEARCH
Comparison of Athletes and Non-Athletes on Meniscal Repair Outcomes: A Retrospective Study
Sporcu ve Sporcu Olmayanların Menisküs Onarım Sonuçlarının Karşılaştırılması: Retrospektif Çalışma
Mehmet Cenk TURGUTa, Muhammet Salih AYASa, Mehmet KÖSE b, Ahmet KÖSEa
aDepartment of Orthopedics and Traumatology, University of Health Sciences Erzurum City Hospital, Erzurum, Türkiye
bDepartment of Orthopedics and Traumatology, Atatürk University Faculty of Medicine, Erzurum, Türkiye
Turkiye Klinikleri J Sports Sci. 2022;14(1):56-60
doi: 10.5336/sportsci.2021-85324
Article Language: EN
Full Text
ABSTRACT
 Objective: Menisci play a key role in knee biomechanics and load transfer. Studies on meniscus repair have often been done on professional athletes. This retrospective study clinically and functionally compared athletes and non-athletes on post-meniscal repair health outcomes. Material and Methods: The sample consisted of 49 patients who underwent all-inside meniscal repair between 2018 and 2020 in our clinic. The sample was divided into two groups including athletes (n=22; Group 1) and non-athletes (n=27; Group 2). Demographic characteristics (affected side, gender, and age) were recorded. Data were collected using the International Knee Documentation Committee (IKDC) and Tegner Lysholm Knee Scoring Scale (TLKSS) scores. The 6th-month preoperative (preop) and postoperative (postop) IKDC and TLKSS scores were compared based on the demographic characteristics at a significance level of 0.05. Results: The groups were similar in terms of gender, age, and the affected side. Participants had significantly higher postop IKDC and TLKSS scores than preop scores. There was no significant difference in preop IKDC and TLKSS scores between the groups. However, Group 1 had significantly higher postop IKDC and TLKSS scores than Group 2. Conclusion: Post-meniscal repair physical therapy protocols are closely associated with good surgical outcomes. Observance with physical therapy protocols vary from person to person. Athletes had better surgical outcomes than non-athletes. We think that this is due to the better observance of the athletes with the physical therapy protocols for early return to sports.

Keywords: Meniscus; athletes; sport injury
ÖZET
 Amaç: Menisküs, diz biyomekaniği ve yük transferinde anahtar rol oynar. Menisküs onarımı üzerine yapılan çalışmalar sıklıkla profosyonel sporcular üzerine yapıldı. Bu retrospektif çalışma ile sporcu ve sporcu olmayan hastalarda menisküs tamirinin klinik ve fonksiyonel sonuçlarını karşılaştırmayı amaçladık. Gereç ve Yöntemler: Kliniğimizde 2018-2020 yılları arasında 'all-inside' yöntemiyle menisküs onarımı yapılmış olan 49 hasta örneklemi oluşturdu. Örneklem sporcular (n=22,; Grup 1) ve sporcu olmayanlar (n=27; Grup 27) olmak üzere iki gruba ayrıldı. Demografik özellikler (etkilenen taraf, cinsiyet ve yaş) kaydedildi. Veriler Uluslararası Diz Dökümantasyon Komitesi [International Knee Documentation Committee (IKDC)] ve Tegner Lysholm Diz Skorlama Skalası [Tegner Lysholm Knee Scoring Scale (TLKSS)] ile toplandı. Preoperatif (perop) ve postoperatif (postop) 6. ay IKDC ve TLKSS skorları demografik özelliklere göre 0.05 anlamlılık seviyesinde karşılaştırıldı. Bulgular: Gruplar cinsiyet, yaş ve etkilenen taraf açısından benzerdi. Katılımcıların postop IKDC ve TLKSS skorları preop skorlarına göre anlamlı olarak daha yüksekti. Fakat Grup 1'in postop IKDC ve TLKSS skorları Grup 2'ye göre anlamlı olarak daha yüksekti. Sonuç: Menisküs tamiri yapılan hastaların cerrahi sonrası fizik tedavi protokolleri iyi cerrahi sonuçlarla yakın ilişkilidir. Bu protokollere uyum bireyden bireye değişmektedir. Sporcuların, sporcu olmayan bireylere göre menisküs cerrahisi sonuçları daha iyidir. Bunun sporcuların spora erken dönüş amacıyla fizik tedavi protokollerine daha iyi uyum göstermeleri nedeniyle olduğunu düşünüyoruz.

Anahtar Kelimeler: Menisküs; sporcular; spor yaralanmaları
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