Skip to main content
SpringerLink
Log in

Relevanz des Meniskusverlustes für die Arthroseprogression und Therapieoption bei bereits bestehender Früharthrose

Relevance of meniscus loss for the progression of osteoarthritis and treatment options for early arthritis

  • Leitthema
  • Published:
Der Orthopäde Aims and scope Submit manuscript

Zusammenfassung

Meniskusverletzungen zählen unverändert zu den häufigsten Verletzungen des Kniegelenks. Die Relevanz des Meniskusverlustes für die Entstehung der Arthrose ist unbestritten. Meniskuserhalt, -ersatz und -transplantation spielen eine wichtige Rolle bei der Behandlung der Früharthrose, besonders wenn sie in ein komplettes Behandlungskonzept mit Berücksichtigung aller möglichen Komorbiditäten, wie Achsenfehler, Instabilitäten und Knorpelschäden, eingebettet sind. Wissenschaftliche Daten sprechen für eine Evidenz betreffend Arthroseprotektion, wenngleich das Fehlen von Studien mit Vergleichsgruppen eingestanden werden muss.

Abstract

Meniscal tears are still one of the most frequent lesions in the knee joint. The relevance of meniscus loss for the development of osteoarthritis is undisputed. Meniscus repair, replacement and transplantation play an important role in the treatment of early arthritis, especially when they are a part of a master plan including alignment correction, stabilization and cartilage surgery, if needed. Scientific data show evidence concerning the protection of osteoarthritis, even though a lack of studies including comparison groups has to be admitted.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5
Abb. 6
Abb. 7
Abb. 8
Abb. 9
Abb. 10

Abbreviations

IMREF:

International Meniscus Reconstruction Experts Forum

MAT :

Meniskus-Allograft-Transplantation

PCL :

Hinteres Kreuzband

PDS :

Polydioxanon

PRP :

Plättchenreiches Plasma

VKB :

Vorderes Kreuzband

Literatur

  1. Aagard H, Verdonk R (1999) Function of the normal Meniscus and consequences of meniscal resection. Scand J Med Sci Sports 9:134–140

    Article  Google Scholar 

  2. Abraham AC, Donahue TL (2013) From meniscus to bone: a quantitative evaluation of structure and function of the human meniscal attachments. Acta Biomater. https://doi.org/10.1016/j.actbio.2013.01.031

    Article  PubMed  PubMed Central  Google Scholar 

  3. Barber-Westin SD, Noyes FR (2014) Clinical healing rates of meniscus repairs of tears in the central—third (re-white) zone. Arhtroscopy 30:134–146

    Article  Google Scholar 

  4. Bloecker K, Wirth W, Hunter DJ, Duryea J, Guermazi A, Kwoh CK, Resch H, Eckstein F (2013) Contribution of regional 3D meniscus and cartilage morphometry by MRI to joint space width in fixed flexion knee radiography—a between-knee comparison in subjects with unilateral joint space narrowing. Eur J Radiol. https://doi.org/10.1016/j.ejrad.2013.08.041

    Article  PubMed  Google Scholar 

  5. Chahla J, Dean S, Moatshe G, LaPrade RF et al (2016) Meniscal ramp lesions. Orthop J Sports Med 4(7):1–7

    Article  Google Scholar 

  6. Chatain F, Robinson A, Adeleine P, Chambat P, Neyret P (2001) The natural history of the knee following arthroscopic medial meniscectomy. Knee Surg Sports Traumatol Arthrosc 9:15–18

    Article  CAS  Google Scholar 

  7. Chong C, Chan K, Chang C (2006) A simple method of meniscus repair using the arthroscopic outside-in technique. Arthroscopy 22(7):794

    Article  Google Scholar 

  8. Crawford M, Hellwinkel J, Aman Z, LaPrade RF et al (2020) Microvascular anatomy and intrinsic gene expression of menisci from young adults. Am J Sports Med. https://doi.org/10.1177/0363546520961555

    Article  PubMed  Google Scholar 

  9. Englund M (2009) The role of the meniscus in osteoarthritis genesis. Med Clin North Am. https://doi.org/10.1016/j.rdc.2008.05.009

    Article  PubMed  Google Scholar 

  10. Fairbank TJ (1948) Knee joint changes after meniscectomy. J Bone Joint Surg Br 30B:664–670

    Article  CAS  Google Scholar 

  11. Feucht M, Salzmann G, Bode G, Niemeyer Ph et al (2014) Posterior root tears of the lateral meniscus. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-014-2904-x

    Article  PubMed  Google Scholar 

  12. Forkel PH, Herbort M, Petersen W et al (2014) The biomechanical effect of a lateral meniscus posterior root tear with and without damage to the meniscofemoral ligament: Efficacy of different repair techniques. Arthroscopy. https://doi.org/10.1016/j.arthro.2014.02.040

    Article  PubMed  Google Scholar 

  13. Getgood A, LaPrade RF, Verdonk P, Gersoff W, Cole B, Spalding T, IMREF Group. (2017) International meniscus reconstruction experts forum (IMREF) 2015 consensus statement on the practice of meniscal allograft transplantation. Am J Sports Med. https://doi.org/10.1177/0363546516660064

    Article  PubMed  Google Scholar 

  14. Hoshino Y, Mijaji N, Kuroda R et al (2018) The concomitant lateral meniscus injury increased the pivot shift in the anterior cruciate ligament—injured knee. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-018-5209-7

    Article  PubMed  Google Scholar 

  15. Jacob G, Shimomura K, Krych A, Nakamura N (2020) The meniscus tear: a review of stem cell therapies. Cells 9:92

    Article  Google Scholar 

  16. Karia M, Ghaly Y, Al-Hadithy N et al (2018) Current concepts in the techniques, inidcations and outcomes of meniscal repair. Eur J Orthop Surg Traumatol 29:509–520

    Article  Google Scholar 

  17. Karia M, Ghaly Y, Al-Hadithy N, Mordecai S, Gupte C (2019) Current concepts in the techniques, indications and outcomes of meniscal repairs. Eur J Orthop Surg Traumatol 29:509–520. https://doi.org/10.1007/s00590-018-2317-5

  18. Kopf S, Beaufils PH, Hirschmann M et al (2020) Managment of traumatic meniscus tears: the 2019 ESSKA meniscusw consensus. Knee Surg Sports Traumatol Arthrosc 28:1177–1194

    Article  Google Scholar 

  19. Krych A, Hevesi M, Leland D, Stuart M (2019) Meniscal root tears. J Am Acad Orthop Surg. https://doi.org/10.5435/JAAOS-D-19-00102

    Article  Google Scholar 

  20. Lee S, Ahn J, Kim J et al (2018) Evaluation of healing after medial meniscal root repair using second-look arthroscopy, clinical and radiological criteria. Am J Sports Med. https://doi.org/10.1177/0363546518788064

    Article  PubMed  Google Scholar 

  21. Lenschow S, Raschke MJ (2015) Meniskuserhalt. Arthroskopie 28:31–37

    Article  Google Scholar 

  22. McDermott ID, Lie DT, Edwards A, Bull AM, Amis AA (2008) The effect of lateral meniscal allograft transplantation techniques on tibio-femoral contact pressures. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-008-0503-4

    Article  PubMed  Google Scholar 

  23. Okazaki Y, Furumatsu T, Kamatsuki Y et al (2020) Transtibial pullout repair of the lateral meniscus posterior root tear combined with anterior cruciate ligament reconstruction reduces lateral meniscus extrusion: a retrospective study. Orthop Traumatol Surg Res 106:469–473

    Article  Google Scholar 

  24. Schneider O, Scharf HP, Stein T, Knapstein S, Hermann C, Flechtenmacher J (2016) Inzidenz von Kniegelenksverletzungen. Orthopäde. https://doi.org/10.1007/s00132-016-3301-6

    Article  PubMed  Google Scholar 

  25. Siegel MG, Roberts CS (1993) Meniscal allografts. Clin Sports Med 12(1):59–80. PMID: 8418978

    Article  CAS  Google Scholar 

  26. Smith NA, Parkinson B, Hutchinson CE, Costa ML, Spalding T (2016) Is meniscal allograft transplantation chondroprotective? A systematic review of radiological outcomes. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-015-3573-0

    Article  PubMed  PubMed Central  Google Scholar 

  27. Stone KR, Adelson WS, Pelsis JR, Walgenbach AW, Turek TJ (2010) Long-term survival of concurrent meniscus allograft transplantation and repair of the articular cartilage: a prospective two- to 12-year follow-up report. J Bone Joint Surg Br. https://doi.org/10.1302/0301-620X.92B7.23182

    Article  PubMed  Google Scholar 

  28. Toanen C, Dhollander A, Bulgheroni P, Filardo G, Zaffagnini S, Spalding T, Monllau JC, Gelber P, Verdonk R, Beaufils P, Pujol N, Bulgheroni E, Asplin L, Verdonk P (2020) Polyurethane meniscal scaffold for the treatment of partial meniscal deficiency: 5‑year follow-up outcomes: a European multicentric study. Am J Sports Med. https://doi.org/10.1177/0363546520913528

    Article  PubMed  Google Scholar 

  29. Verdonk PC, Verstraete KL, Almqvist KF, De Cuyper K, Veys EM, Verbruggen G, Verdonk R (2006) Meniscal allograft transplantation: long-term clinical results with radiological and magnetic resonance imaging correlations. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-005-0033-2

    Article  PubMed  Google Scholar 

  30. Williams L, Adesiba A (2018) Angiogenic approaches to meniscal healing. Injury. https://doi.org/10.1016/j.injury.2018.01.028

    Article  PubMed  Google Scholar 

  31. Willinger L, Lang J, Berthold D et al (2019) Varus alignment aggravates tibiofemural contact pressure rise after sequential medial meniscus resection. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-019-05654-5

    Article  PubMed  Google Scholar 

  32. Woodmass J, Johnson J, Krych A et al (2017) Horizontal cleavage meniscus tear treated with all-inside circumferential compression stitches. Arthrosc Tech 6(4):e1329–e1333

    Article  Google Scholar 

  33. Zellner L, Angele P (2017) Rolle des Meniskuserhalt in der Arthroseprotektion. Arthroskopie 30(2):121–127

    Article  Google Scholar 

  34. Ziegler R, Goebel L, Seidel R, Cucchiarini M, Pape D, Madry H (2015) Effect of open wedge high tibial osteotomy on the lateral tibiofemoral compartment in sheep. Part III: analysis of the microstructure of the subchondral bone and correlations with the articular cartilage and meniscus. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-014-3134-y

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Orthopädie & Sportchirurgie, Karl-Leitl-Straße 1, 4048, Linz-Puchenau, Österreich

    C. Patsch & F. Dirisamer

  2. Orthopädisch Chirurgisches Centrum Tübingen, Tübingen, Deutschland

    B. Schewe

Authors
  1. C. Patsch
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. F. Dirisamer
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. B. Schewe
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to C. Patsch.

Ethics declarations

Interessenkonflikt

C. Patsch und und F. Dirisamer haben Beraterverträge mit der Firma Arthrex. C. Patsch, F. Dirisamer und B. Schewe geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Es handelt sich um eine Review Arbeit zur Erhebung des aktuellen Standes.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Patsch, C., Dirisamer, F. & Schewe, B. Relevanz des Meniskusverlustes für die Arthroseprogression und Therapieoption bei bereits bestehender Früharthrose. Orthopäde 50, 366–372 (2021). https://doi.org/10.1007/s00132-021-04101-z

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00132-021-04101-z

Schlüsselwörter

Keywords

Search

Navigation