Die arthroskopische Meniskusnaht

Petersen, Wolf; Zantop, Thore

doi:10.1007/s00064-006-1185-2

Cited by 26 publications

(10 citation statements)

References 26 publications

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“…Bei Meniskusläsionen gelten folgende Therapierichtlinien [11]: F Bei peripheren Längsrissen im Vorderhorn und in der Pars intermedia erfolgt eine Refixation mittels "Outside-in-Naht". F Im Bereich des Hinterhornes erfolgt eine "All-inside-Naht".…”

Section: Meniskusläsionenunclassified

Tibiakopffraktur

Raschke

Zantop

Petersen

2007

Chirurg

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Fractures of the tibial head are marked by huge variety. They can be classified into fractures of the tibial plateau, luxation fractures, and comminuted fractures. Luxation fractures are commonly associated with lesions of the menisci and intra- and extra-articular ligaments. Several factors may be responsible for the development of post-traumatic OA: anatomically nonreduced joint surface, malalignment, and unaddressed associated injuries. Therefore a sophisticated therapeutic regime is necessary. In case of severely damaged soft tissue or unstable patients, the fracture should first be reduced and fixed with an external fixateur and the osteosynthesis should be performed in a second setting. Arthroscopically assisted reduction and osteosynthesis are indicated for fractures of the tibial eminence, crack fractures, and impression fractures. Comminuted fractures can be addressed via several different incisions. Due to locking plates, the bilateral use of large plates can be avoided. In specific cases such as compound fractures and for patients with low compliance, hybrid fixateurs may be an alternative.

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Section: Meniskusläsionenunclassified

Tibiakopffraktur

Raschke

Zantop

Petersen

2007

Chirurg

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“…As a movable articular surface, the menisci play an important role in the load distribution in the knee joint [26]. Other functions of the menisci include stabilization and lubrification of the knee joint [27]. Various studies have shown that the removal of meniscal tissue leads to osteoarthritis in the long-term [6,7,34].…”

Section: Introductionmentioning

confidence: 99%

“…Meniscal repair is a procedure for which various surgical techniques have been described: open and arthroscopic procedures, inside-out sutures, outside-in sutures, and allinside sutures [27,32]. Various factors have been identified that influence the success of meniscal repair (joint stability, associated ACL reconstruction, age, tear shape, methods of stimulating healing) [16,32].…”

Section: Introductionmentioning

confidence: 99%

“…In the past, these studies mainly concerned open procedures or inside-out sutures [4,5,10,14,21,23,30,33]. Inside-out sutures are usually combined with an additional posteromedial or posterolateral incision, as iatrogenic nerve and vascular injuries can occur in these regions [9,27,32]. These additional incisions can be avoided with the use of meniscus suture implants [27].…”

Section: Introductionmentioning

confidence: 99%

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A systematic review about long-term results after meniscus repair

Petersen

Karpinski

Bierke

et al. 2021

Arch Orthop Trauma Surg

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Purpose Aim of this systematic review was to analyze long-term results after meniscus refixation. Methods A systematic literature search was carried out in various databases on studies on long-term results after meniscus refixation with a minimum follow-up of 7 years. Primary outcome criterion was the failure rate. Secondary outcome criteria were radiological signs of osteoarthritis (OA) and clinical scores. Results A total of 12 retrospective case series (level 4 evidence) were identified that reported about failure rates of more than 7 years follow-up. There was no statistical difference in the failure rates between open repair, arthroscopic inside-out with posterior incisions and arthroscopic all-inside repair with flexible non-resorbable implants. In long-term studies that examined meniscal repair in children and adolescents, failure rates were significantly higher than in studies that examined adults. Six studies have shown minor radiological degenerative changes that differ little from the opposite side. The reported clinical scores at follow-up were good to very good. Conclusion This systematic review demonstrates that good long-term outcomes can be obtained in patients after isolated meniscal repair and in combination with ACL reconstruction. With regard to the chondroprotective effect of meniscus repair, the long-term failure rate is acceptable. Level of evidence IV.

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“…In einem nicht unerheblichen Teil (etwa 10-25%) finden sich bei Spaltimpressions-und Luxationsfrakturen am Tibiakopf begleitende relevante Meniskusläsionen [1,4,10,25]. Bei Letzteren gelten folgende Therapierichtlinien: Periphere Längsrisse im Vorderhorn und in der Pars intermedia können mittels Inside-out-/Outside-in-Naht refixiert werden, im Bereich des Hinterhorns sind Allinside-Nähte gut geeignet, und komplexe Läsionen im avaskulären Anteil werden in der Regel teilreseziert [23,25].…”

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