Meniscal Repair: Results

Pujol, Nicolas; Lorbach, Olaf

doi:10.1007/978-3-662-49188-1_36

Cited by 4 publications

(3 citation statements)

References 82 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For vertical peripheral longitudinal tears, the rate of failure is acceptable (6% to 28%). 19 Repaired tears in the red-red or red-white zones lead to excellent and good clinical mid-term results ( Fig. 3 ).…”

Section: Longitudinal Tearsmentioning

confidence: 96%

The knee meniscus: management of traumatic tears and degenerative lesions

et al. 2017

Self Cite

View full text Add to dashboard Cite

Meniscectomy is one of the most popular orthopaedic procedures, but long-term results are not entirely satisfactory and the concept of meniscal preservation has therefore progressed over the years. However, the meniscectomy rate remains too high even though robust scientific publications indicate the value of meniscal repair or non-removal in traumatic tears and non-operative treatment rather than meniscectomy in degenerative meniscal lesionsIn traumatic tears, the first-line choice is repair or non-removal. Longitudinal vertical tears are a proper indication for repair, especially in the red-white or red-red zones. Success rate is high and cartilage preservation has been proven. Non-removal can be discussed for stable asymptomatic lateral meniscal tears in conjunction with anterior cruciate ligament (ACL) reconstruction. Extended indications are now recommended for some specific conditions: horizontal cleavage tears in young athletes, hidden posterior capsulo-meniscal tears in ACL injuries, radial tears and root tears.Degenerative meniscal lesions are very common findings which can be considered as an early stage of osteoarthritis in middle-aged patients. Recent randomised studies found that arthroscopic partial meniscectomy (APM) has no superiority over non-operative treatment. Thus, non-operative treatment should be the first-line choice and APM should be considered in case of failure: three months has been accepted as a threshold in the ESSKA Meniscus Consensus Project presented in 2016. Earlier indications may be proposed in cases with considerable mechanical symptoms.The main message remains: save the meniscus!Cite this article: EFORT Open Rev 2017;2. DOI: 10.1302/2058-5241.2.160056. Originally published online at www.efortopenreviews.org

show abstract

Section: Longitudinal Tearsmentioning

confidence: 96%

The knee meniscus: management of traumatic tears and degenerative lesions

et al. 2017

Self Cite

View full text Add to dashboard Cite

show abstract

“…13 The location of the tear as defined by the Cooper zones is predictive of healing, with peripheral tears (zone 1, red-red) having significantly higher healing rates (87% to 91%) due to the peripheral capsular blood supply than those in the avascular zone (zone 2, red-white) (59% to 79%). [21][22][23] Tears extending from the periphery into the central third of the meniscus should be repaired if possible and reasonable clinical outcomes can be expected. 24,25 Other important tear characteristics include the pattern, length, and acuity.…”

Section: Indicationsmentioning

confidence: 99%

“…Several factors are considered in each individual patient to determine the likelihood of successful repair and good clinical outcomes 13. The location of the tear as defined by the Cooper zones is predictive of healing, with peripheral tears (zone 1, red-red) having significantly higher healing rates (87% to 91%) due to the peripheral capsular blood supply than those in the avascular zone (zone 2, red-white) (59% to 79%) 21–23. Tears extending from the periphery into the central third of the meniscus should be repaired if possible and reasonable clinical outcomes can be expected 24,25.…”

Section: Indicationsmentioning

confidence: 99%

Meniscus Repair Techniques

McClain

DeFoor

Patzkowski

2021

Sports Medicine and Arthroscopy Review

View full text Add to dashboard Cite

The menisci play a vital role in maintaining knee function and protecting the chondral surfaces. Acute and chronic tears are common injuries among both young athletes and older patients with early degenerative changes. The progression of physiological derangement and chondral injury after meniscus injury and meniscectomy have prompted interest in expanding meniscus repair techniques. Recent literature encourages an attempt at repair in tear patterns previously declared irreparable if the tissue quality allows. The orthopedic surgeon should understand the multitude of techniques available to them and be prepared to combine techniques to optimize the quality of their repair construct. While biological augmentation may show some promising early results, the quality of the current data precludes strong recommendations in their favor.

show abstract

Anatomical Meniscal Repair

Dijck

2021

Clinical Anatomy of the Knee

View full text Add to dashboard Cite

Meniscal Repair: Results

Cited by 4 publications

References 82 publications

The knee meniscus: management of traumatic tears and degenerative lesions

The knee meniscus: management of traumatic tears and degenerative lesions

Meniscus Repair Techniques

Anatomical Meniscal Repair

Contact Info

Product

Resources

About