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Meniscal Injury and Surgical Treatment: Meniscectomy and Meniscus Repair

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Knee Arthroscopy

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Abstract

Meniscal tears are common injuries that may result in pain and functional limitation. Treatment options include benign neglect, rehabilitation, meniscectomy, and repair. Nonsurgical care can be used for older patients with degenerative meniscal pathology. Meniscectomy remains a viable and successful intervention for pain relief and functional improvement for symptomatic meniscal tears in appropriately indicated patients. However, it results in an increase in contact stresses in the articular cartilage of the affected compartment, leading to osteoarthritis. Meniscus repair provides improved long-term outcomes, better clinical outcomes, and less degenerative changes compared with meniscectomy. Orthopedic surgeons should know the proper indications of meniscus repair and understand various techniques and surgical devices for the management of repairable meniscal tears. A new technology of biologic augmentation for better healing and tissue engineering for meniscal defect is currently developing, and they may help the management of complex meniscal tears in the future.

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  1. Department of Orthopedic Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Republic of Korea

    Ji Hoon Bae

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  1. Department of Orthopedic, Hanyang University, Myong Ji Hospital, Gyeonggi-do, Korea (Republic of)

    Jin Goo Kim

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Bae, J.H. (2021). Meniscal Injury and Surgical Treatment: Meniscectomy and Meniscus Repair . In: Kim, J.G. (eds) Knee Arthroscopy. Springer, Singapore. https://doi.org/10.1007/978-981-15-8191-5_16

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