Arthroscopic Repair of Horizontal Meniscal Cleavage Tears With Marrow-Stimulating Technique

Ahn, Jeongmin; Kwon, Ohmyoung; Nam, Tae-Seok

doi:10.1016/j.arthro.2014.07.029

Cited by 61 publications

(61 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, other studies have reported that the clinical results of meniscus repair were better in cases where meniscectomy had been applied [16]. There are also studies reporting good results of repair in horizontal meniscus tears [17, 18]. Following arthroscopic repair, the anatomic shape of the meniscus is regained and it can be made properly functional.…”

Section: Discussionmentioning

confidence: 99%

“…These include mechanical abrasion, fibrin clot delivery system [21], augmentation [22], gelatin hydrogels incorporating fibroblast growth factor 2 on meniscal application [23], bone marrow-stimulating technique [18] and various meniscus repair materials such as biological enhancement [24] and these have been applied in attempts to provide neovascularisation of the meniscus tissue. Ahin et al applied bone marrow stimulation in the repair of horizontal meniscus tears and reported good results recommending this as an alternative treatment method for avascular and degenerated tears [18]. In the current study, augmentation and fibrin clot were not applied to any patient.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Repair of isolated horizontal meniscal tears with all-inside suture materials using the overlock method: outcome study with a minimum 2-year follow-up

Tiftikçi

Serbest

2016

J Orthop Surg Res

View full text Add to dashboard Cite

BackgroundThis study aimed to consider the use of a meniscal repair in patients in order to close the horizontal cleavage extending up to the avascular zone. The hypothesis was to examine the clinical and arthroscopic outcomes following meniscal repair of degenerative horizontal cleavage tears with new-generation all-inside suture materials using the overlock method.MethodsWe retrospectively reviewed a consecutive series of 55 patients which had a horizontal pattern, and finally, 27 patients with a horizontal tear only which required no additional intra-articular surgical intervention were included in the study. Arthroscopic meniscal repair was performed using the overlock method. Functional outcomes were evaluated using Lysholm knee scoring scale, Cincinnati scores, subjective International Knee Documentation Committee (IKDC) criteria and Tegner activity scale. Assessment of meniscal healing was evaluated clinically by the presence of meniscal signs. The preoperative and postoperative MRIs were examined.ResultsThe mean follow-up period was 29 months (range, 24–38). The mean Lysholm score improved significantly from 59.5 ± 12.4 points preoperatively to 90.0 ± 4.7 points postoperatively (P < 0.0001). The Cincinnati score increased from 14.8 ± 5.3 to 26.9 ± 1.6 (P < 0.0001). The Tegner activity score increased from 3.7 ± 1.4 to 6.4 ± 1.6 (P < 0.0001). The mean IKDC subjective score also improved significantly from 48.5 ± 9.8 preoperatively to 90.4 ± 5.0 postoperatively (P < 0.0001).ConclusionMeniscal repair of degenerative horizontal tears using the overlock method resulted in improved Lysholm and IKDC subjective scores. With careful selection of the patients and the horizontal meniscus tears, the success of the meniscus repairs increases. Repair can be recommended for all horizontal meniscus tears which can be repaired arthroscopically.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Repair of isolated horizontal meniscal tears with all-inside suture materials using the overlock method: outcome study with a minimum 2-year follow-up

Tiftikçi

Serbest

2016

J Orthop Surg Res

View full text Add to dashboard Cite

show abstract

“…They concluded that intrasubstance meniscal lesions are best treated by partial meniscectomy, but that arthroscopic suture repair with trephination might give better medium-to longterm results by preserving the meniscal function [16]. Although meniscal repairs have a higher reoperation rate than partial meniscectomies, they are associated with better long-term outcomes, higher clinical scores, and less radiographically detected degeneration [18]. Meniscal repair may avoid the long-term articular cartilage degeneration that results from meniscectomy.…”

Section: Discussionmentioning

confidence: 99%

Huge intrameniscal cyst successfully treated by open debridement and combined arthroscopic and open repair: a case report

Kim

D’Lima

Joo

et al. 2020

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background: Meniscal cysts are not uncommon in clinical practice, with reported incidence rates varying from 1 to 22%. Most meniscal cysts are parameniscal cysts, which are created by extravasation of synovial fluid through the meniscal tear into the adjacent soft tissue. In contrast, intrameniscal cysts in which the fluid collects in the meniscus are very rare. We encountered a teenager with a huge intrameniscal cyst accompanied by a small vertical meniscal tear in the red-white zone of the upper surface of the medial meniscus. A literature search revealed no information regarding the appropriate treatment methods and results for this type of lesion. Case presentation: A 14-year-old boy presented to our outpatient clinic because of right knee pain that had been present for the previous 2 months. The patient participated in Hapkido, but had no specific trauma history. Magnetic resonance imaging revealed a huge intrameniscal cyst located in the central parenchyma of the posteromedial corner of the medial meniscus. In addition, one sagittal slice on MRI revealed a vertical tear in the red-white zone of the upper surface of the medial meniscus. The presence of such a tear accompanied by a huge intrameniscal cyst is very unusual. The patient was treated via arthroscopic inside-out meniscal suture repair and open cystic debridement with additional meniscocapsular suturing. During 4 years of magnetic resonance imaging follow-up, the lesion has completely disappeared and the meniscus has successfully recovered its normal form. Conclusions: Our treatment method may be considered as the first choice for young patients who require surgical treatment for large intrameniscal cysts with accompanying small vertical meniscal tears.

show abstract

“…Loss of meniscal tissue causes increased contact stress and leads to degenerative joint disease. [1][2][3] Therefore, the focus of meniscal surgery is directed toward meniscal preservation. Meniscal repair is most likely to be successful for an acute longitudinal tear in the vascular periphery of the meniscus in a relatively young patient with a stable knee.…”

mentioning

confidence: 99%

“…Meniscal repair is most likely to be successful for an acute longitudinal tear in the vascular periphery of the meniscus in a relatively young patient with a stable knee. 1 Chronic meniscal tears have a lower healing rate compared with acute tears. 4 Meniscal tears in the anterior horn of the lateral meniscus are common in China, especially in discoid menisci.…”

mentioning

confidence: 99%

Arthroscopic Repair of Chronic Tears of the Anterior Horn of the Lateral Meniscus That Includes Covering the Lesion With an Infrapatellar Pedicle Fat Flap

Dai¹,

Chen²,

Liao³

et al. 2018

Orthopedics

View full text Add to dashboard Cite

This study analyzed the efficacy and safety of arthroscopic outside-in repair of the anterior horn of the lateral meniscus that includes covering the lesion with an infrapatellar pedicle fat flap in patients with chronic tears. This retrospective study reviewed 87 patients with chronic tears of the anterior horn of the lateral meniscus who underwent arthroscopic outside-in repair, which included covering the lesion with an infrapatellar pedicle fat flap (group A, n=45) or not (group B, n=42). The 2 groups were similar in terms of age, sex, body mass index, and disease duration. Patient results were assessed with Tegner, Lysholm, and visual analog scale scores; healing criteria; magnetic resonance imaging; and complication rates. Mean follow-up was 38.2 months. Tegner and Lysholm scores improved postoperatively in both groups (all P<.01) and were similar for the 2 groups (all P>.05). Visual analog scale scores were reduced postoperatively in both groups (P<.01) and similar for the 2 groups (P>.05). Healing rates and complication rates did not differ between the 2 groups (all P>.05), but healing on magnetic resonance imaging was better in group A than group B (P<.05). The repair of chronic tears of the anterior horn of the lateral meniscus can lead to good clinical outcomes and a satisfactory success rate. Covering the repair site with an infrapatellar pedicle fat flap may improve meniscal healing and does not increase the complication rate. [Orthopedics. 2018; 41(3):e360-e364.].

show abstract

Arthroscopic Repair of Horizontal Meniscal Cleavage Tears With Marrow-Stimulating Technique

Cited by 61 publications

References 34 publications

Repair of isolated horizontal meniscal tears with all-inside suture materials using the overlock method: outcome study with a minimum 2-year follow-up

Repair of isolated horizontal meniscal tears with all-inside suture materials using the overlock method: outcome study with a minimum 2-year follow-up

Huge intrameniscal cyst successfully treated by open debridement and combined arthroscopic and open repair: a case report

Arthroscopic Repair of Chronic Tears of the Anterior Horn of the Lateral Meniscus That Includes Covering the Lesion With an Infrapatellar Pedicle Fat Flap

Contact Info

Product

Resources

About