Long-Term Outcome After Arthroscopic Meniscal Repair Versus Arthroscopic Partial Meniscectomy for Traumatic Meniscal Tears

Stein, Thomas; Mehling, A.P.; Welsch, F.; Eisenhart-Rothe, Rüdige von; Jäger, A.

doi:10.1177/0363546510364052

Cited by 399 publications

(334 citation statements)

References 48 publications

(52 reference statements)

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“…40,44 Candidates are active patients who have tibiofemoral joint line pain and usually less than 50 years of age, or in their fifties and athletically active. 62 The patient must be willing to follow the rehabilitation program, including protected weight bearing for up to 6 weeks. Those in whom complex tears are repaired must agree to avoid strenuous activities and deep knee flexion for 4 to 6 months to prevent tearing and failure of the repair.…”

Section: Indicationsmentioning

confidence: 99%

See 1 more Smart Citation

Meniscus Repair and Transplantation: A Comprehensive Update

Noyes¹,

Heckmann²,

Barber-Westin³

2012

Journal of Orthopaedic & Sports Physical Therapy

101

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Synopsis Preservation of meniscal tissue is paramount for long-term joint function, especially in younger patients who are athletically active. Many studies have reported encouraging results following repair of meniscus tears for both simple longitudinal tears located in the periphery and complex multiplanar tears that extend into the central third avascular region. This operation is usually indicated in active patients who have tibiofemoral joint line pain and are less than 50 years of age. However, not all meniscus tears are repairable, especially if considerable damage has occurred. In select patients, meniscus transplantation may restore partial load-bearing meniscus function, decrease symptoms, and provide chondroprotective effects. The initial postoperative goal after both meniscus repair and transplantation is to prevent excessive weight bearing, as high compressive and shear forces can disrupt healing meniscus repair sites and transplants. Immediate knee motion and muscle strengthening are initiated the day after surgery. Variations are built into the rehabilitation protocol according to the type, location, and size of the meniscus repair, if concomitant procedures are performed, and if articular cartilage damage is present. Meniscus repairs located in the periphery heal rapidly, whereas complex multiplanar repairs tend to heal more slowly and require greater caution. The authors have reported the efficacy of the rehabilitation programs and the results of meniscus repair and transplantation in many studies. J Orthop Sports Phys Ther 2012;42(3):274–290, Epub 4 September 2011. doi:10.2519/jospt.2012.3588

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Section: Indicationsmentioning

confidence: 99%

“…In the 5 years since our last update on this topic in the JOSPT, 22 further longer-term data have been published supporting both meniscus repair 30,48,62 and meniscus transplantation. 63,69,73,76,77 The operative techniques and rehabilitation programs remain relatively similar, as do the indications and contraindications.…”

mentioning

confidence: 99%

Meniscus Repair and Transplantation: A Comprehensive Update

Noyes¹,

Heckmann²,

Barber-Westin³

2012

Journal of Orthopaedic & Sports Physical Therapy

101

View full text Add to dashboard Cite

show abstract

“…Short-and long-term results are good when compared to a subtotal meniscectomy [1][2][3]. Therefore, meniscal repair has become the treatment of choice for traumatic meniscal lesions located in the vascularised area [4,5].…”

Section: Introductionmentioning

confidence: 99%

Magnetic Resonance Imaging is not suitable for interpretation of meniscal status ten years after arthroscopic repair

Pujol

Tardy

Boisrenoult

et al. 2013

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to assess the MRI features of the all-inside repaired meniscus in the long-term. Methods Among 27 consecutive all-inside arthroscopic meniscal repairs, 23 patients aged 25±5 years at the time of surgery were reviewed at a median follow-up of 10±1 years. Retrospective clinical examinations and imaging assessments using a 1.5-T MRI after all-inside arthroscopic meniscal repair were conducted. Results At follow-up, Lysholm and IKDC averaged 89±11 and 95±8, respectively. MRI examinations revealed no meniscal signal alteration in three patients (13 %), a vertical signal located in the previously torn area in seven (30 %), a horizontal grade 3 in nine (39 %), and a complex tear (grade 4) in four (17.5 %). There were no differences between medial and lateral menisci (p=0.15), stable and stabilised knees (p=0.56). Conclusions Several abnormal vertical and/or horizontal hypersignals are still present on MRI examination ten years after arthroscopic all-inside meniscal repair. The appearance of early signs of osteoarthritis is rare, suggesting a chondroprotective effect of the repaired meniscus.

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“…Stein et al 9 reported on a series of patients who underwent root repair and found favorable preservation of the articular surface at long-term follow-up. Kim et al 10 expanded on this study, demonstrating superior clinical and radiographic findings of posteromedial meniscus root repair when compared with medial meniscectomy.…”

Section: Discussionmentioning

confidence: 99%

A Transosseous Bone Bridge Repair for Posterior Horn Meniscal Root Tears During Anterior Cruciate Ligament Reconstruction

Frank

Liechti

Anavian

et al. 2017

Arthroscopy Techniques

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Meniscal root tears occur in isolation or concurrently with ligamentous knee injury and cause significantly altered knee mechanics with the loss of normal meniscus hoop stress. This loss of normal meniscus function can result in abnormal knee kinematics and, subsequently, more rapid degenerative changes of the knee articular surface. In the setting of anterior cruciate ligament tear, the posterolateral meniscus root is most commonly damaged. Several techniques exist for meniscus root repair; however, none have been shown to be clearly superior. We present a safe, effective, and reproducible arthroscopic transtibial technique for posterior horn lateral meniscal root tears.

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Long-Term Outcome After Arthroscopic Meniscal Repair Versus Arthroscopic Partial Meniscectomy for Traumatic Meniscal Tears

Abstract: Arthroscopic meniscal repair offers significantly improved results for isolated traumatic meniscal tears regarding the long-term follow-up in osteoarthritis prophylaxis and sports activity recovery compared with partial meniscectomy.

Cited by 399 publications

References 48 publications

Meniscus Repair and Transplantation: A Comprehensive Update

Meniscus Repair and Transplantation: A Comprehensive Update

Magnetic Resonance Imaging is not suitable for interpretation of meniscal status ten years after arthroscopic repair

A Transosseous Bone Bridge Repair for Posterior Horn Meniscal Root Tears During Anterior Cruciate Ligament Reconstruction

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