Abstract
Meniscal lesions should be approached with a repair technique as the first choice of treatment, especially in patients below 40–50 years, since performing a partial or total meniscectomy frequently leads to irreparable joint damage, including degeneration of the articular cartilage. It has been reported that, as early as 4.5 years after meniscectomy, degenerative changes can be seen on an X-ray, as flattening of the articular surfaces and subchondral bone sclerosis. Thus, when it is indicated, meniscal repair should be done meticulously. In some complex tears the surgical time could be similar to an ACL reconstruction surgery. Successful healing of meniscal repair may be achieved by biologic augmentation (the addition of a fibrin clot). Meniscal transplant should be performed in young patients with continuous pain in daily activities with no other surgical options.
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References
Andersson-Molina H, Karlsson H, Rockborn P (2002) Arthroscopic partial and total meniscectomy: a long-term follow-up study with matched control. Arthroscopy 18:183–189
Noyes FR, Barber-Wenstin SD, Chen RC (2011) Repair of complex and avascular meniscal tears and meniscal Transplantation. In: Egol KA, Tornetta III P (eds) Instructional course lectures, vol 60. American Academy of Orthopaedic Surgeons, Rosemont Illinois, pp 415–437
Kessler MW, Sgaglione NA (2011) All-arthroscopic repair of avascular and biologically at-risk meniscal tears. In: Egol KA, Tornetta III P (eds) Instructional course lectures, vol 60. American Academy of Orthopaedic Surgeons, Rosemont Illinois, pp 439–452
Arnoczky SP, Warren RF (1982) Microvasculature of the human meniscus. Am J Sports Med 10:90–95
Noyes FR, Bassett RW, Grood ES, Butler DL (1980) Arthroscopy in acute traumatic hemarthrosis of the knee: incidence of anterior cruciate tears and other injuries. J Bone Joint Surg Am 62:687–695
Brittberg M, Winalski CS (2003) Evaluation of cartilage injuries and repair. J Bone Joint Surg Am 85(suppl 2):58–69
Harner CD, Mauro CS, Lesniak BP, Romanowski JR (2009) Biomechanical consequences of a tear of the posterior root of the medial meniscus. J Bone Joint Surg Am 91:257–270
Buseck MS, Noyes FR (1991) Arthroscopic evaluation of meniscal repairs after anterior cruciate ligament reconstruction and immediate motion. Am J Sports Med 19:489–494
Rubman MH, Noyes FR, Barber-Westin SD (1998) Arthroscopic repair of meniscal tears that extend into the avascular zone: a review of 198 single and complex tears. Am J Sports Med 26:87–95
Noyes FR, Barber-Westin SD (2000) Arthroscopic repair of meniscus tears extending into the avascular zone with or without anterior cruciate ligament reconstruction in patients 40 years of age and older. Arthroscopy 16:822–829
Kotsovolos ES, Hantes ME, Mastrokalos DS, Lorbach O, Paessler HH (2006) Results of all-inside meniscal repair with the FasT-Fix meniscal repair system. Arthroscopy 22:3–9
Barber FA, Schroeder FA, Oro FB, Beavis RC (2008) FasT-Fix meniscal repair: mid–term results. Arthroscopy 24:1342–1348
Quinby JS, Golish SR, Hart JA, Diduch DR (2006) All-inside meniscal repair using a new flexible, tensionable device. Am J Sports Med 34:1281–1286
Billante MJ, Diduch DR, Lunardini DJ, Treme GP, Miller MD, Hart JM (2008) Meniscal repair using an all-inside, rapidly absorbing, tensionable device. Arthroscopy 24:779–785
Sgaglione NA (2004) Complications of meniscus surgery. Sports Med Arthrosc 12:148–159
Verdonk PCM, Demurie A, Almqvist KF, Veys EM, Verbruggen G, Verdonk R (2006) Transplantation of viable meniscal allograft. J Bone Joint Surg Am 88:109–118
Szomor ZL, Martin TE, Bonar F, Murrell GA (2000) The protective effects of meniscal transplantation on cartilage: an experimental study in sheep. J Bone Joint Surg Am 82:80–88
Locht RC, Gross AE, Langer F (1984) Late osteochondral allograft resurfacing for tibial plateau fractures. J Bone Joint Surg Am 66:328–335
Noyes FR, Barber-Westin SD, Butler DL, Wilkins RM (1998) The role of allografts in repair and reconstruction of knee joint ligaments and menisci. Instructional Course Lectures, Rosemont Illinois 47:379–396
Noyes FR, Barber-Westin SD, Rankin M (2004) Meniscal transplantation in symptomatic patients less than fifty years old. J Bone Joint Surg Am 86:1392–1404
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Fernández-González, J., Ponce, S.J., Fole, R. (2013). Meniscus Tears. In: Rodrìguez-Merchán, E. (eds) Traumatic Injuries of the Knee. Springer, Milano. https://doi.org/10.1007/978-88-470-5298-7_9
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DOI: https://doi.org/10.1007/978-88-470-5298-7_9
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