Long-Term Results of Bucket Handle Resections

Traumatic meniscus injuries are common. The study of longitudinal meniscal lesions, known as bucket-handle lesions, seemed to us to be of interest because of their frequency and their clinical, paraclinical and therapeutic particularities. The aim of our work was to study the long-term results of resections of these lesions on stable knees.The main mechanism of injury was hyperflexion of the knee; on arthro-CT and MRI, the constant feature was the fragment in the EIC. Our long-term results were similar to those reported in the literature. Overall, good and very good results ranged from 80 to 90%. According to the ARPEGE score, we found 85% excellent and good results. According to the IKDC score, 57.5% of patients judged their knee to be normal or almost normal at the last follow-up. Meniscus function plays a major role in the transmission of femorotibial forces and passive stabilization of the knee, which means that meniscus capital must be preserved through economical ansectomy, the only guarantee of good long-term functional results.