Abstract
The menisci are C-shaped disks of fibrocartilage interposed between the condyles of the femur and tibia. Once described as the functionless remains of leg muscle,1 the menisci were relegated to an obscure role within the knee and were often removed with impunity. Unfortunately, the importance of the menisci to the well-being of the knee was often appreciated only after they were removed and the attendant degenerative joint changes became evident.2–5 Subsequent clinical and basic science studies defined the critical role of the menisci in the complex biomechanics of the knee and underscored the importance of preserving these structures whenever possible.3–21
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References
Sutton JB. Ligaments: Their Nature and Morphology. London: MK Lewis & Co; 1897.
Fairbank TJ. Knee joint changes after meniscectomy. J Bone Joint Surg Br. 1948;30:664–670.
Johnson RJ, Kettlekamp DB, Clark W, Leaverton P. Factors affecting late results after meniscectomy. J Bone Joint Surg Am. 1974;56:719–729.
Krause WR, Clemson MS, Pope MH, Johnson RJ, Wilder DG. Mechanical changes in the knee after meniscectomy. J Bone Joint Surg Am. 1976;58:599–604.
Tapper EM, Hoover NW. Late results after meniscectomy. J Bone Joint Surg Am. 1969;51:517–526.
Ahmed AM, Burke DL. In vivo measurement of static pressure distribution in synovial joints. Part I. Tibial surface of the knee. J Biomech Eng. 1983;105:201–209.
Arnoczky SP, Cooper DE. Meniscal repair. In: Goldberg VM, ed. Controversies of Total Knee Arthroplasty. New York: Raven Press; 1991;291–302.
Baratz ME, Fu FH, Mengato R. Meniscal tears: The effect of meniscectomy and of repair on intra-articular contact areas and stresses in the human knee. Am J Sports Med. 1986;14:270–275.
Cox JS, Cordell LD. The degenerative effects of medial meniscal tears in dog’s knees. Clin Orthop. 1977;125:236–242.
Cox JS, Nye CE, Schaeffer WW, Woodstein IJ. The degenerative effect of partial and total resection of the medial meniscus in dogs. Clin Orthop. 1975;109:178–183.
Fukubayashi T, Kurosawa H. The contact area and pressure distribution pattern of the knee. A study of normal and osteoarthritic knee joints. Acta Orthop Scand. 1980;51:871–880.
Kettlekamp DB, Jacobs AW. The tibio-femoral contact area: Determinations and implications. J Bone Joint Surg Am. 1972;54:349–356.
Levy M, Torzilli PA, Warren RF. The effect of medial meniscectomy on anterior-posterior motion of the knee. J Bone Joint Surg Am. 1982;64:883–888.
McGinty JB, Geuss LF, Marvin RA. Partial or total meniscectomy? J Bone Joint Surg Am. 1977;59:763–766.
Mow VC, Arnoczky SP, Jackson DW. Knee Meniscus: Basic Science and Clinical Foundations. New York: Raven Press; 1992.
Radin EL, Burr DB. Meniscal function and the importance of meniscal regeneration in preventing late medial compartment osteoarthritis. Clin Orthop Relat Res. 1982;171:121–126.
Seedholm BB, Hargreaves DJ. Transmission of the load in the knee joint with special reference to the role of the menisci, Part II. Eng Med. 1979;8:220–228.
Shrive NG, O’Connor JJ, Goodfellow JW. Loadbearing in the knee joint. Clin Orthop Relat Res. 1978;131:279–287.
Veth RPH, Den Heeten GJ, Jansen HWB, Nielsen HKL. Repair of the meniscus. An experimental investigation in rabbits. Clin Orthop. 1983;175:258–262.
Voloshin AS, Wosk J. Shock absorption of meniscectomized and painful knees. A comparative in vivo study. J Biomed Eng. 1983;5:157–161.
Walker PS, Erkman MJ. The role of the menisci in force transmission across the knee. Clin Orthop Relat Res. 1975;109:184–192.
Barber FA, Stone RG. Meniscal repair. An arthroscopic technique. J Bone Joint Surg Br. 1985;67:39–41.
Cassidy RE, Shaffer AJ. Repair of peripheral meniscal tears: A preliminary report. Am J Sports Med. 1981;9:209.
DeHaven KE. Peripheral meniscal repair: An alternative to meniscectomy. J Bone Joint Surg Br. 1981;63:463.
DeHaven KE. Meniscus repair: Open vs. arthroscopic. Arthroscopy. 1985;1:173–174.
DeHaven, KE. Meniscus repair in the athlete. Clin Orthop. 1985;198:31–35.
DeHaven KE. Meniscectomy versus repair: Clinical experience. In: Mow VC, Arnoczky SP, Jackson DW, eds. Knee Meniscus: Basic and Clinical Foundations. New York: Raven Press; 1992;131–139.
Hamberg P, Gillquist J, Lysholm, J. Suture of new and old peripheral meniscal tears. J Bone Joint Surg Am. 1983;65:193.
Henning CE, Lynch MA, Clark JR. Vascularity for healing of meniscus repairs. Arthroscopy. 1987;3:13–18.
Jacob RP, Staubli HU, Zuber K, Esser M. The arthroscopic meniscal repair: Technique and experience. Am J Sports Med. 1988;16:137–142.
Lynch MA, Henning, and Glick KR Jr. Knee joint surface changes: Long-term follow-up meniscus tear treatment in stable ACL reconstructions. Clin Orthop 1983;172:148–153.
Marshall SC. Combined arthroscopic/open repair of meniscal injuries. Contemp Orthop. 1987;14:15–24.
Morgan CD, Casscells SW. Arthroscopic meniscus repair: A safe approach to the posterior horn. Arthroscopy. 1986;2:3–12.
Rosenberg TD, Scott SM, Coward DB, et al. Arthroscopic meniscal repair evaluated with repeat arthroscopy. Arthroscopy. 1986;2:14–20.
Ryu RK, Dunbar WH. Arthroscopic meniscal repair with two year follow-up: A clinical review. Arthroscopy. 1988;4:168–173.
Scott GA, Jolly BL, Henning CE. Combined posterior incision and arthroscopic intra-articular repair of the meniscus. An examination of factors affecting healing. J Bone Joint Surg Am. 1986;68:847–861.
Sommerlath K. Prognosis of repaired and intact menisci in unstable knees: A comparative study. Arthroscopy. 1988;4:93–95.
Stone RG, Van Winkle GN. Arthroscopic review of meniscal repair: Assessment of healing parameters. Arthroscopy. 1986;2:77–81.
Warren RF. Arthroscopic meniscal repair. Arthroscopy. 1985;1:170–172.
Wirth C. Meniscus repair. Clin Orthop. 1981;157:153.
Arnoczky SP, McDevitt CA, Schmidt MB, Mow VC, Warren RF. The effect of cryopreservation on canine menisci. J Orthop Res. 1988;6:1–12.
Arnoczky SP, Milachowski KA. Meniscal allografts: Where do we stand? In: Ewing JW, ed. Articular Cartilage and Knee Joint Function: Basic Science and Arthroscopy. New York: Raven Press; 1990;129–136.
Arnoczky SP, O’Brien SJ, DiCarlo E, Warren RF. Cellular repopulation of deep-frozen meniscal autografts—An experimental study in the dog. Arthroscopy. 1992;8:428–436.
Arnoczky SP, Warren RF, McDevitt CA. Meniscal replacement using a cryopreserved allograft—An experimental study in the dog. Clin Orthop. 1990;252:121–128.
Garrett JC, Stevenson RN. Meniscal transplantation in the human knee: A preliminary report. Arthroscopy. 1991;7:57–62.
Jackson DW, McDevitt CA, Astwell EA, Arnoczky SP, and Simon TM. Meniscal transplantation using fresh and cryopreserved allografts: An experimental study in goats. Trans Orthop Res. 1990;15:221.
Jackson DW, Simon TM. Biology of meniscal allograft. In: Mow VC, Arnoczky SP, Jackson DW, eds. Knee Meniscus: Basic and Clinical Foundations. New York: Raven Press; 1992;141–152.
Milachowski KA, Weismeier K, Erhardt W, Remberger K. Transplantation of meniscus—An experimental study in sheep. Sportverletzung Sportschaden. 1987;1:20–24.
Milachowski KA, Weismeier K, Wirth CJ. Homologous meniscus transplantation. Experimental and clinical results. Int Orthop. 1989;13:1–11.
Milachowski KA, Weismeier K, Wirth CJ, Kohn D. Meniscus transplantation—Experimental study and first clinical report. Am J Sports Med. 1987;15:626.
Milton J, Flandry F, Terry G, et al. Transplantation of viable, cryopreserved menisci. Trans Orthop Res. 1990;15:22.
Schmidt MB, Arnoczky SP, Mow VC, Warren RF. Biomechanical evaluation of cryopreserved meniscal allografts. Trans Orthop Res Soc. 1986;11:458.
Zukor DJ, Cameron JC, Brooks PJ, et al. The fate of human meniscal allografts. In: Ewing JW, ed. Articular Cartilage and Knee Joint Function: Basic Science and Arthroscopy. New York: Raven Press: 1990;147–152.
Zukor DJ, Rubins IM, Daigle MR, et al. Allotransplantation of frozen, irradiated menisci in rabbits. Trans Orthop Res. 1990;15:219.
Radin EL, Rose RM. Role of subchondral bone in the initiation and progression of cartilage damage. Clin Orthop. 1986;213:34–40.
Arnoczky SP, Adams ME, DeHaven K, Eyre DR, Mow VC. The meniscus. In Woo SL-Y, Buckwalter J, eds. NIAMS/AAOS Workshop on the Injury and Repair of the Musculoskeletal Soft Tissues. Park Ridge, IL: American Academy of Orthopaedic Surgeons; 1988;487–537.
O’Connor BL, McConnaughey JS. The structure and innervation of cat knee menisci, and their relation to a “sensory hypothesis” of meniscal function. Am J Anat. 1978;153:431–442.
Wilson AS, Legg PG, McNeur JC. Studies on the innervation of the medial meniscus in the human knee joint. Anat Rec. 1969;165:485–492.
Annandale T. An operation for displaced semilunar cartilage. Br Med J. 1885;1:779.
King D. The healing of the semilunar cartilages. J Bone Joint Surg. 1936;18:333–342.
Arnoczky SP, Warren RF. Microvasculature of the human meniscus. Am J Sports Med. 1982;10:90–95.
Arnoczky SP, Warren RF. The microvasculature of the meniscus and its response to injury—An experimental study in the dog. Am J Sports Med. 1983;11:131–141.
Cabaud HE, Rodkey WG, Fitzwater JE. Medial meniscus repairs: An experimental and morphological study. Am J Sports Med. 1981;9:129–134.
Arnoczky SP. Gross and vascular anatomy of the meniscus and its role in meniscal healing, regeneration, and remodeling. In: Mow VC, Arnoczky SP, Jackson DW, eds. Knee Meniscus: Basic and Clinical Foundations. New York: Raven Press; 1992:1–14.
Gershuni DH, Skyhar MJ, Danzig LA, Camp J, Hargens AR, Akeson WH. Experimental models to promote healing of tears in the avascular segment of canine knee menisci. J Bone Joint Surg Am. 1989;71:1363–1370.
Arnoczky SP, Warren RF, Spivak JM. Meniscal repair using an exogenous fibrin clot. An experimental study in dogs. J Bone Joint Surg Am. 1988;70:1209–1217.
Weiss CB, Lunberg M, Hanburg D, DeHaven KE, Gillquist J. Non-operative treatment of meniscal tears. J Bone Joint Surg Am. 1989;71:811–822.
Cannon WD. Arthroscopic meniscal repair. In: McGinty J, ed. Operative arthroscopy. New York: Raven Press; 1991;237–251.
Clancy WG, Graf BK. Arthroscopic meniscal repair. Orthopaedics. 1983;6:1125–1128.
Morgan CD. The all-inside meniscus repair. Arthroscopy. 1991;7:120–125.
Henning CE, Lynch M, Yearout K, Vequist S, Stallbaumer R, Decker K. Arthroscopic meniscal repair using an exogenous fibrin clot. Clin Orthop. 1990;252:64–72.
Fu F. Meniscal motion. Presented at the Arthroscopy Association of North America Annual meeting, 1990.
Morgan CD. Meniscal repair. Presented at the American Orthopaedic Society for Sports Medicine Annual Meeting, 1989.
Deutsch AL, Mink JH, Fox JM, et al. Peripheral meniscal tears: MR findings after conservative treatment or arthroscopic repair. Radiology. 1990;176:485, 488.
DeHaven KE. Meniscal repair. Presented at the American Orthopaedic Society for Sports Medicine Annual Meeting, 1991.
Buseck M, Noyes FR. Arthroscopic evaluation of meniscal repairs after anterior cruciate ligament reconstruction and immediate motion. Am J Sports Med. 1991;19:489–494.
Small NC. Complications in arthroscopic surgery performed by experienced arthroscopists. Arthroscopy. 1988;4:215–221.
Arnoczky SP, Ashlock MA, and Warren RF. Replacement of the anterior cruciate ligament using a patellar tendon allograft: An experimental study. J Bone Joint Surg Am. 1986;68:376.
Aston JE, Bentley G. Repair of articular cartilage surfaces by allografts and articular and growth-plate cartilage. J Bone Joint Surg Br. 1986;68:29.
Brown KLB, Cruess RL. Bone and cartilage transplantation in orthopaedic surgery: A review. J Bone Joint Surg Am. 1982;64:270.
Campbell CJ, Ishida H, Takahashi H, Kelly F. The transplantation of articular cartilage. J Bone Joint Surg Am. 1963;45:1570.
Elves MW. The study of transplantation antigens on chondrocytes from articular cartilage. J Bone Joint Surg Br. 1974;56:178–185.
Elves MW. Bone and cartilage grafting and organ transplantation. In: Owen R, Goodfellow J, Bullough PM, eds. Scientific Foundations of Orthopaedics and Traumatology. London: Heineman; 1980;273.
Friedlander GE, Strong DM, Sell KW. Studies on the antigenicity of bone. I. Freeze-dried and deep-frozen allografts in rabbits. J Bone Joint Surg Am. 1976;58:854.
Langer F, Czitrom A, Pritzker KP, Gross AE. The immunogenicity of fresh and frozen allogeneic bone. J Bone Joint Surg Am. 1975;57:216.
Lexer E. Joint transplantation and arthroplasty. Surg Gynecol Obstet. 1925;41:782–800.
Mankin HJ, Doppel SH, Sullivan TR, Tomford WW. Osteoarticular and intercalary allograft transplantation in the management of malignant tumors of bone. Cancer. 1982;50:613–630.
Minami A, Ishii S, Ogino T, Oikawa T, Kubayashi H. Effect of the immunological antigenicity of the allogeneic tendons on tendon grafting. Hand. 1983;14:111.
Mnaymneh W, Malinin T. Massive allografts in surgery of bone tumors. Orthof Clin North Am. 1989;20:3:455–467.
Shino K, Kawasaki T, Hirose J, Gotoh I, Inoue M, Ono K. Replacement of the anterior cruciate ligament by an allogeneic tendon graft: An experimental study in the dog. J Bone Joint Surg Br. 1984;66:672.
Tomford WW, Fredericks GR, Mankin HJ. Cryopreservation of intact articular cartilage. Trans Orthop Res Soc. 1982;7:176.
Keene GCR, Paterson RS, Teague DC. Advances in arthroscopic surgery. Clin Orthop. 1987;224:64–70.
Black J, Shadle CA, Parsons JR, Brighton CT. Articular cartilage preservation and storage. II. Mechanical indentation of viable, stored articular cartilage. Arthritis Rheum. 1979;22:1102–1108.
Brighton CT, Shadle CA, Jiminez SA, Irwin JT, Lane JM, Lipton M. Articular cartilage preservation and storage. I. Application of tissue culture techniques to the storage of viable articular cartilage. Arthritis Rheum. 1979;22:1093–1101.
Jackson DW, Windier GE, Simon TS. Intra-articular reaction associated with the use of freeze-dried, ethylene oxide sterilized, bone-patellar tendon-bone allografts in the reconstruction of the anterior cruciate ligament. Am J Sports Med. 1990;18:1–10.
Stone KR, Rodkey WG, Webber RJ, McKinney LA, Steadman JR. Development of a prosthetic meniscal replacement. In: Mow VC, Arnoczky SP, Jackson DW, eds. Knee Meniscus: Basic and Clinical Foundations. New York: Raven Press; 1992;165–173.
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Arnoczky, S.P., Dodds, J., Cooper, D.E. (1994). Meniscal Repair and Replacement. In: Siliski, J.M. (eds) Traumatic Disorders of the Knee. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-4310-6_19
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DOI: https://doi.org/10.1007/978-1-4612-4310-6_19
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