Meniscal Injuries in Patients Aged 40 Years or Older: A Comparative Study Between Meniscal Repair and Partial Meniscectomy.

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Abstract

Conflict of interest statement: The authors have declared that no competing interests exist. 6. Knee Surg Sports Traumatol Arthrosc. 2023 Jan;31(1):102-109. doi: 10.1007/s00167-022-07152-7. Epub 2022 Sep 25. The German Arthroscopy Registry DART: what has happened after 5 years? Hinz M(1), Lutter C(2), Mueller-Rath R(3), Niemeyer P(4), Miltner O(5), Tischer T(2)(6). Author information: (1)Department of Sports Orthopaedics, Technical University of Munich, Ismaninger Street 22, 81675, Munich, Germany. maximilian.hinz@tum.de. (2)Department of Orthopaedics, Rostock University Medical Center, Rostock, Germany. (3)OPND Orthopädische Praxisklinik, Neuss and Düsseldorf, Germany. (4)OCM Clinic, Munich, Germany. (5)DocOrtho, Berlin, Germany. (6)Department of Orthopaedic and Traumatologic Surgery, Waldkrankenhaus, Erlangen, Germany. PURPOSE: The German Arthroscopy Registry (DART) has been initiated in 2017 with the aim to collect real-life data of patients undergoing knee, shoulder, hip or ankle surgery. The purpose of this study was to present an overview of the current status and the collected data thus far. METHODS: Data entered between 11/2017 and 01/2022 were analyzed. The number of cases (each case is defined as a single operation with or without concomitant procedures) entered for each joint, follow-up rates and trends between different age groups (18-29 years, 30-44 years, 45-64 years,  ≥ 65 years) and across genders, and quality of life improvement (pre- vs. 1 year postoperative EQ visual analogue scale [EQ-VAS]) for frequently performed procedures (medial meniscus repair [MMR] vs. rotator cuff repair [RCR] vs. microfracturing of the talus [MFX-T]) were investigated. RESULTS: Overall, 6651 cases were entered into DART, forming three distinct modules classified by joint (5370 knee, 1053 shoulder and 228 ankle cases). The most commonly entered procedures were: knee: partial medial meniscectomy (n = 2089), chondroplasty (n = 1389), anterior cruicate ligament reconstruction with hamstring autograft (n = 880); shoulder: sub acromial decompression (n = 631), bursectomy (n = 385), RCR (n = 359); ankle: partial synovectomy (n = 117), tibial osteophyte resection (n = 72), loose body removal (n = 48). In the knee and shoulder modules, middle-aged patients were the predominant age group, whereas in the ankle module, the youngest age group was the most frequent one. The two oldest age groups had the highest 1-year follow-up rates across all modules. In the knee and shoulder module, 1-year follow-up rates were higher in female patients, whereas follow-up rates were higher in male patients in the ankle module. From pre- to 1-year postoperative, MFX-T (EQ-VAS: 50.0 [25-75% interquartile range: 31.8-71.5] to 75.0 [54.3-84.3]; ∆ + 25.0) led to a comparably larger improvement in quality of life than did MMR (EQ-VAS: 70.0 [50.0-80.0] to 85.0 [70.0-94.0]; ∆ + 15.0) or RCR (EQ-VAS: 67.0 [50.0-80.0] to 85.0 [70.0-95.0]; ∆ + 18.0). CONCLUSION: DART has been sufficiently established and collects high-quality patient-related data with satisfactory follow-up allowing for a comprehensive analysis of the collected data. The current focus lies on improving patient enrolment and follow-up rates as well as initiating the hip module. © 2022. The Author(s). DOI: 10.1007/s00167-022-07152-7 PMCID: PMC9510517