Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original ArticleReoperation Rates Following Meniscus Transplantation Using the Truven Database
Section snippets
Methods
The MarketScan Commercial Claims and Encounters database from January 1, 2007, to December 31, 2016, was used for this study. This database is a collection of commercial inpatient, outpatient, and pharmaceutical claims. It is an insurance-based employer database that does not include any person that fails to maintain employer insurance or loses insurance. The database also does not follow any Medicare or Medicaid patient that is not copaid by the employer and does not include employee-paid
Results
The initial query of the database identified 537 subjects that underwent meniscus allograft transplantation between 2007 and 2016. A total of 284 patients (52.9%) met inclusion criteria and were included in the study (Table 1). The mean age was 26.2 ± 10.4 years old with 49.6% females. The average follow-up was 43.2 ± 19.2 months. Sixty-one patients (21.5%) had comorbidities.
One hundred and sixty-seven patients (58.8%) undergoing meniscus allograft transplantation underwent reoperation at an
Discussion
It was determined that meniscus allograft transplantation leads to a reoperation rate of 58.5% and low complication rates (1.4%) at a mean follow-up of 43.2 ± 19.2 months in the Truven database. This study confirms the authors’ hypotheses.
A total of 284 patients (mean age of 26.2 ± 10.4 years old and 49.6% females) were included in this study. This is similar to the patient demographics from prior studies indicating that the study population is representative of the current literature.18,20,23,
Conclusion
Patients undergoing meniscus allograft transplantation have a 58.8% reoperation rate at final follow-up with low (1.4%) 30-day complication rates in a large insurance database.
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Cited by (10)
Patients With Depression and/or Anxiety Having Arthroscopic Rotator Cuff Repair Show Decreased Number of Prescriptions and Number of Psychotherapy Sessions in the Year After Surgery
2023, Arthroscopy - Journal of Arthroscopic and Related SurgerySystematic Review of Clinical Results After Medial Meniscus Allograft Transplantation Reveals Improved Patient Reported Outcomes at Greater Than 5 Years Follow-Up
2023, Arthroscopy - Journal of Arthroscopic and Related SurgeryCitation Excerpt :Although a significant rate of meniscal extrusion was appreciated, no association between extruded meniscus and poor functional outcomes were reported. The overall rate of failure and complications is around 22% in these reported cases and may be higher when evaluating insurance-based reoperation rate data.21 However, in light of overall clinical improvement in the majority of patients who underwent this procedure with patient-reported outcomes improvement well above the minimal clinically detectable level, medial meniscus transplantation procedures are clinically successful.
Younger Patients Are More Likely to Undergo Arthroscopic Meniscal Repair and Revision Meniscal Surgery in a Large Cross-Sectional Cohort
2022, Arthroscopy - Journal of Arthroscopic and Related SurgeryCitation Excerpt :Furthermore, in our cohort, revision meniscal surgery after index debridement was less common than after index repair, with only 5.1% of patients who underwent index debridement returning for a repeated debridement. This finding is similar to data found using the Truven database (Truven Health Analytics, Ann Arbor, MI), which indicated that 5.3% of meniscectomy patients required a revision.29 Revision surgery after meniscal debridement was predominately repeated debridement (96.5%).
Imageless Computer Navigation Reduces 5-Year All-Cause Revision Rates After Primary Total Knee Arthroplasty
2022, Journal of ArthroplastyCitation Excerpt :Stanford University Department of Public Health Sciences provided the data source for this study to the Department of Orthopedics. Truven MarketScan data have been previously utilized in the orthopedic literature, particularly in sports medicine [26–28] and spine [29,30], with its usage increasing over the past decade [31]. Numerous validation studies of such administrative databases have described higher rates of comorbidities and postoperative adverse events [31–34].
Arthroscopic-Assisted Lateral Meniscal Allograft Transplantation With Open Ligamentous Extra-Articular Tenodesis
2021, Arthroscopy TechniquesCitation Excerpt :All patients had improved pain and function scores, with nearly equivalent results between isolated and combined procedures in Lysholm, visual analog scale on pain and satisfaction, and Knee Injury and Osteoarthritis Outcome Score. Despite a high rate of reoperation reported in the literature, recent studies have demonstrated a low rate of conversion to total knee arthroplasty in meniscus allograft patients.8 A recent cadaveric study reported that a combined ACLR and LET procedure resulted in less ATT and transferred some of the load on the ACL graft to the LET construct.9
Editorial Commentary: Meniscal Allograft Transplantation Results in Unacceptable Reoperation Rates According to a Large Claims Database—However, Reoperations Do Not Necessarily Equal Failure
2020, Arthroscopy - Journal of Arthroscopic and Related Surgery
The authors report the following potential conflicts of interest or sources of funding: M.R.S. reports American Journal of Sports Medicine: editorial or governing board; Biomimedica: stock or stock options; DJ Orthopaedics: IP royalties; International Society for Hip Arthroscopy: board or committee member; International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine: board or committee member; JISAKOS: editorial or governing board; Journal of Hip Preservation Surgery: editorial or governing board; Medacta: paid consultant, paid presenter or speaker; Saunders/Mosby-Elsevier: publishing royalties, financial or material support; Smith & Nephew: IP royalties, paid presenter or speaker, research support; Stryker: IP royalties; Wolters Kluwer Health - Lippincott Williams & Wilkins: publishing royalties, financial or material support. G.D.A. reports AAOS: board or committee member; American Orthopaedic Society for Sports Medicine: board or committee member; Arthrex, Inc: other financial or material support; Cytonics Inc.: paid consultant, stock or stock options; Fidia Pharma, paid consultant; International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine: board or committee member; RubiconMD: paid consultant; Sideline Sports Doc: paid consultant; Stryker: other financial or material support; TeachAIDS: unpaid consultant. J.D. reports Stabilynx: stock or stock options. T.W. reports DrBeen.com: publishing royalties, financial or material support. S.L.S. reports ACL Study Group: board or committee member; American Journal of Orthopedics: editorial or governing board; American Orthopaedic Society for Sports Medicine: board or committee member; Arthrex, Inc: paid consultant, research support; Arthroscopy: editorial or governing board; Arthroscopy Association of North America: board or committee member; Ceterix Orthopaedics: paid consultant; CONMED Linvatec: paid consultant; Flexion Therapeutics: paid consultant; GLG Consulting: paid consultant; International Cartilage Regeneration & Joint Preservation Society: board or committee member; International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine: board or committee member; JRF Ortho: paid consultant; Moximed: paid consultant; Olympus: paid consultant; Vericel: paid consultant. Full ICMJE author disclosure forms are available for this article online, as supplementary material.