Abstract
The menisci and the anterior cruciate ligament (ACL) are two essential structures responsible for antero-posterior stability of the knee. Meniscal and ligamentous lesions often co-exist, either because of the initial trauma or as a consequence of chronic instability, and their treatment is interrelated. It is the ACL reconstruction which is the key to the treatment of the meniscal lesion. The technique of ligament reconstruction is not altered as such by the co-existence of a meniscal lesion. The aim of the treatment of meniscal lesions is to spare as much of the meniscus as possible. Meniscectomy is only justified if the meniscal tear is symptomatic and irreparable. On the other hand, when meniscal repair is feasible, it is imperative that the ACL be reconstructed in order to restore stability. The results of these repairs are then comparable to those in stable knees. When a meniscal lesion is a consequence of chronic instability, the joint cartilage status needs to be assessed prior to performing functional restoration or continuing with the treatment of an arthritic deterioration.
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Charrois, O., Podgorski, A., Beaufils, P. (2010). Traumatic Lesions, ACL Knee: Masterly Neglect, Meniscectomy, Repair. In: Beaufils, P., Verdonk, R. (eds) The Meniscus. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-02450-4_27
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DOI: https://doi.org/10.1007/978-3-642-02450-4_27
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