From surgery to sports career: The long-term fate of athletes with discoid meniscus

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dc.authorid0000-0002-0926-5879
dc.authorid0000-0003-1766-8413
dc.authorid0000-0002-9147-7677
dc.authorid0000-0001-9453-7738
dc.authorid0000-0002-5938-776X
dc.contributor.authorErden, Tunay
dc.contributor.authorAğır, Muzaffer
dc.contributor.authorAli, Jotyar
dc.contributor.authorToker, Berkin
dc.contributor.authorTaşer, Ömer
dc.date.accessioned2025-05-27T12:56:50Z
dc.date.available2025-05-27T12:56:50Z
dc.date.issued2025
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractObjective: This study aimed to evaluate the long-term effectiveness of different surgical techniques for discoid meniscus in athletes. Design: This retrospective cohort study included 44 athletes (51 knees) who underwent arthroscopic surgery for symptomatic discoid meniscus between 1996 and 2019. Setting: The study was conducted at a tertiary-level sports medicine center. Patients: Athletes aged 15 to 35 years with symptomatic discoid meniscus confirmed by magnetic resonance imaging and requiring surgical treatment were included. Exclusion criteria were cartilage injuries (Outerbridge grades 3-4), concomitant ligament injuries requiring surgery, osteochondritis dissecans, and prior knee surgery. Interventions: Patients underwent arthroscopic partial, subtotal, or total meniscectomy, with or without meniscus repair. Main outcome measures: Functional outcomes were assessed using Visual Analog Scale (VAS), International Knee Documentation Committee (IKDC), and Lysholm scores. Osteoarthritis progression was evaluated using the Kellgren-Lawrence classification. Return to sports time and total career duration were also recorded and compared between the surgical groups. Results: The mean follow-up was 13.5 ± 6.2 years (range: 5-27 years). At the final follow-up, 72% of the meniscus-preserving group (partial meniscectomy and repair) had KL grade 0 osteoarthritis, whereas 38% of the subtotal/total meniscectomy group developed KL grades 3 to 4 osteoarthritis (P < 0.001). All groups showed significant postoperative functional improvements (P < 0.001), but career duration and return to play time were significantly longer in the meniscus-preserving group (P = 0.004, P < 0.001, respectively). Conclusions: Subtotal/total meniscectomy significantly accelerates osteoarthritis progression. Meniscus-preserving techniques provide better long-term outcomes.
dc.identifier.citationErden, T., Ağır, M., Ali, J., Toker, B., & Taşer, Ö. (2025). From surgery to sports career: The long-term fate of athletes with discoid meniscus. Clinical Journal of Sport Medicine, pp. 1-6. https://doi.org/10.1097/JSM.0000000000001369
dc.identifier.doi10.1097/JSM.0000000000001369
dc.identifier.endpage6
dc.identifier.issn1050-642X
dc.identifier.issn1536-3724
dc.identifier.pmid40407384
dc.identifier.scopusqualityQ1
dc.identifier.startpage1
dc.identifier.urihttps://doi.org/10.1097/JSM.0000000000001369
dc.identifier.urihttps://hdl.handle.net/20.500.13055/993
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.institutionauthorErden, Tunay
dc.institutionauthorid0000-0002-0926-5879
dc.language.isoen
dc.publisherLippincott Williams and Wilkins Ltd.
dc.relation.ispartofClinical Journal of Sport Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectArthroscopy
dc.subjectAthletes
dc.subjectDiscoid Meniscus
dc.subjectMeniscus Repair
dc.subjectSport Injury.
dc.titleFrom surgery to sports career: The long-term fate of athletes with discoid meniscus
dc.typeArticle
dspace.entity.typePublication

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