Outcome of repaired unstable meniscal tears in children and adolescents

Kraus, Tanja; Heidari, Nima; Švehlík, Martin; Schneider, Frank; Sperl, Matthias; Linhart, Wolfgang E.

doi:10.3109/17453674.2012.693017

Cited by 53 publications

(72 citation statements)

References 48 publications

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“…Arthroscopic meniscectomy and repair are the surgical options for symptomatic lateral discoid menisci, and good results have been reported9). Repair outcomes have been reported similarly for both lateral and medial menisci10), and it has been recommended that the discoid meniscus be preserved if severe symptoms are not present. The patient described here played sports recreationally, but experienced only lateral pain and clicking in both knees.…”

Section: Discussionmentioning

confidence: 99%

Medial and Lateral Discoid Menisci of Both Knees

Kan

Nakagawa

Inoue

et al. 2016

Knee Surg Relat Res

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Discoid menisci on both the medial and lateral sides are rare, and there are very few reports on cases involving both sides. We report a case of a 52-year-old female with medial and lateral discoid menisci in both knees. Arthroscopy revealed the lateral menisci of both knees were complete discoid menisci, and partial meniscectomy was performed. The medial menisci were incomplete discoid menisci, but there were no findings of abnormal mobility or injury; therefore, the medial menisci were observed without treatment. At six months postoperatively, her pain and range of motion restrictions disappeared.

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Section: Discussionmentioning

confidence: 99%

Medial and Lateral Discoid Menisci of Both Knees

Kan

Nakagawa

Inoue

et al. 2016

Knee Surg Relat Res

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“…Because of their good healing potential, meniscus tears in a skeletally immature patient should be repaired regardless of the lesion's location or tear pattern. 46,47 In adults, the success rate of a meniscus repair mainly depends on the lesion's location, tear pattern, and the patient's age. 47 To improve meniscus healing, several different techniques (such as needling, abrasion, trephination, or application of fibrin clots or platelet-rich plasma) have been recommended.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Meniscectomy: indications, procedure, outcomes, and rehabilitation

Anetzberger¹,

Birkenmaier²,

Lorenz³

2013

ORR

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Meniscal injuries are among the most frequent reasons for knee problems. The goal of this manuscript is to review the biomechanical relevance of the human knee's menisci in relation to surgical indications, surgical techniques, rehabilitation, and outcomes. In order to identify the relevant literature, we performed a PubMed search for the years ranging from 1980-2013 using the following search terms: meniscus; biomechanical function; meniscectomy; meniscal repair; and clinical outcome. The meniscus helps to distribute the forces between the tibial and femoral articular cartilage layers in a load-sharing capacity. Meniscus damage or meniscectomy intuitively leads to an overloading of the cartilage and, hence, to the development of osteoarthrosis. Precise knowledge of meniscal shape and function, of the type of injury, of surgical techniques, as well as of postsurgical rehabilitative care are of decisive importance for an individually-adjusted treatment strategy. Other underlying coexisting knee pathologies also need to be considered. The diagnosis of a meniscal injury is based upon clinical history, physical examination, and imaging studies. The treatment of a meniscal lesion includes conservative, as well as operative, procedures. The goals of surgery are to reduce pain and disability, as well as to preserve meniscal function without causing additional cartilage damage. The resection of meniscal tissue should be restricted to as much as is necessary, and as little as is reasonably possible. Postoperative rehabilitation serves the purpose of improving functional deficits and pain, as well as of restoring a good range of motion and preventing secondary damage. It is the surgical therapy that dictates the aftercare, and with regards to the latter, there are clear differences between meniscectomy and meniscal repair.

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“…Patient age seems to be important, with poorer outcomes following repair of degenerate tears in older patients. Conversely, good outcomes from meniscal repair have been reported in children, regardless of the morphology and the vascular zone of the injury [16].…”

Section: Introductionmentioning

confidence: 97%