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How to Treat a Meniscal Lesion?

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The role of menisci is essential to the biomechanics of the knee joint. They act as mechanical links which allow better load distribution between the cartilaginous surfaces of the femur and the tibia, absorb stress peaks and also contribute to the stability of the joint. Being so important to the function of the joint, they are prone to traumatic injuries and degeneration which can both occur with or without the coexistence of ligamentous lesions. Previously, when a menis-cal lesion was diagnosed, a meniscectomy was considered to be the solution for many years. In spite of a decline in the morbidity thanks to the evolution of surgical practice and especially to the development of arthroscopic techniques, the effects of this very common procedure on the joint bio-mechanics have not changed and the development of the osteoarthritis is not infrequent [9].

It is time that the association of a meniscal lesion with routine meniscectomy is abandoned and that alternative methods of treatment such as conservative treatment, repair and grafting be considered.

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Charrois, O. (2009). How to Treat a Meniscal Lesion?. In: Bentley, G. (eds) European Instructional Lectures. European Federation of National Associations of Orthopaedics and Traumatology, vol 9. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-00966-2_20

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  • DOI: https://doi.org/10.1007/978-3-642-00966-2_20

  • Publisher Name: Springer, Berlin, Heidelberg

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