Platelet-rich plasma for open meniscal repair in young patients: Any benefit?

Pujol, Nicolas; Chou, E. Salle de; Boisrenoult, Philippe; Beaufils, Philippe

doi:10.1007/s00167-014-3417-3

Cited by 130 publications

(144 citation statements)

References 51 publications

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“…Platelet-rich plasma (PRP) use is controversial: one study did not show any improvement compared with isolated meniscus repairs. 31 Pujol et al 32 did demonstrate improvement with the specific indication of horizontal cleavages in athletes. Local application of cells has not been studied with a robustly designed trial yet.…”

Section: Extended Indicationsmentioning

confidence: 94%

“…Preliminary results are encouraging demonstrating better results in terms of functional scores and rate of failure (secondary meniscectomy). 32 Again, this treatment has to be compared with a meniscectomy which is subtotal and which would provoke early advanced osteoarthritis, especially on the lateral side. ‘Take the risk of failure!’…”

Section: Extended Indicationsmentioning

confidence: 99%

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The knee meniscus: management of traumatic tears and degenerative lesions

et al. 2017

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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

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Section: Extended Indicationsmentioning

confidence: 94%

Section: Extended Indicationsmentioning

confidence: 99%

The knee meniscus: management of traumatic tears and degenerative lesions

et al. 2017

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“…Pujol et al [ 23 ] propose to add injection of PRP to enhance the healing process in the avascular zone of the lesion.…”

Section: Traumatic Lesionsmentioning

confidence: 99%

Indications in Meniscus Surgery: Synthesis

Beaufils

Pujol

2016

Surgery of the Meniscus

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“…Platelet rich plasma can also be infiltrated to enhance meniscal healing, particularly if tear extends into the avascular zone. 13 The posterolateral incision is closed with interrupted No. 2-0 Monocryl subcutaneous and running No.…”

Section: Radial Tear Repair Of Lateral Meniscusmentioning

confidence: 99%

Inside-Out Repair for Radial Meniscus Tears

Pareek

O’Malley

Levy

et al. 2016

Arthroscopy Techniques

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Understanding of meniscal function through basic science, natural history, and biomechanics has highlighted the importance of preserving the meniscus to maintain normal knee biomechanics. Tears that may alter these biomechanics can contribute to the progressive nature of degenerative joint disease in the knee. Radial tears result in the disruption of the circumferential fibers causing inability of the native meniscus to resist normal hoop stresses, thereby leading to increased focal areas of pressure that cause complications such as early onset arthrosis. In this technical note, we describe our preferred operative technique to repair radial meniscal tears using an arthroscopic inside-out approach with satisfactory clinical outcomes and healing response.

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Platelet-rich plasma for open meniscal repair in young patients: Any benefit?

Abstract: III.

Cited by 130 publications

References 51 publications

The knee meniscus: management of traumatic tears and degenerative lesions

The knee meniscus: management of traumatic tears and degenerative lesions

Indications in Meniscus Surgery: Synthesis

Inside-Out Repair for Radial Meniscus Tears

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