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Rolle des Meniskuserhalts in der Arthroseprotektion

Role of meniscus preservation in protection against osteoarthritis

  • Leitthema
  • Published:
Arthroskopie Aims and scope

Zusammenfassung

Einleitung

Aufgrund der entscheidenden Bedeutung der Meniskusfunktion für die Integrität des Kniegelenks erscheint der Erhalt von Meniskusgewebe im Rahmen der Therapie einer Verletzung sinnvoll. Es stellt sich jedoch die Frage, ob durch die Rekonstruktion des Meniskus der Entwicklung einer Gonarthrose im Verlauf entgegengewirkt werden kann.

Methoden

In einem Review der aktuellen Literatur sollen die Grundlagen einer erfolgreichen Meniskusrekonstruktion und deren Konsequenzen auf die Kniegelenkfunktion und die Protektion vor Arthrose erläutert werden.

Ergebnisse

Langzeitdaten zeigen positive Auswirkungen einer erfolgreichen Meniskusnaht auf die Funktion des Kniegelenks. Der protektive Effekt des Erhalts von Meniskusgewebe auf die Entwicklung einer Gonarthrose kann bestätigt werden. Allerdings geht die Meniskusnaht auch mit einer höheren operativen Revisionsrate einher.

Schlussfolgerung

Aufgrund des besseren funktionellen Outcomes und der Protektion des Kniegelenks vor einer Arthrose sollten im Rahmen der operativen Versorgung alle Anstrengungen unternommen werden, möglichst viel Meniskusgewebe zu erhalten. Über die erhöhte Revisionsrate nach Meniskusnaht muss der Patient aufgeklärt werden.

Abstract

Background

Due to the decisive importance of the meniscus with respect to the integrity of the knee joint, it seems reasonable to preserve meniscal tissue during treatment of injuries. The question is whether meniscal repair can protect the knee from early onset of osteoarthritis.

Methods

A review of the recent literature was carried out to explain the principles of a successful meniscal repair and analyze the functional outcome and its impact on the prevention of osteoarthritis.

Results

Long-term data show positive results of a successful meniscal repair on the functional outcome. A promising effect on the prevention of osteoarthritis by the restoration of meniscal tissue can be seen; however, meniscal repair strategies show a higher rate of revision surgery.

Conclusion

As meniscal repair shows a better long-term functional outcome and positive effects on the prevention of osteoarthritis, it is important to preserve as much meniscal tissue as possible. Patients should be informed about the higher revision rate after meniscal repair.

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Authors and Affiliations

  1. Klinik und Poliklinik für Unfallchirurgie, Universitätsklinikum Regensburg, Franz-Josef-Strauss Allee 11, 93042, Regensburg, Deutschland

    J. Zellner & P. Angele

  2. Klinik für Unfallmedizin, Caritas-Krankenhaus St. Josef, Regensburg, Deutschland

    J. Zellner

  3. Sporthopaedicum Regensburg, Regensburg, Deutschland

    P. Angele

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  1. J. Zellner
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Correspondence to J. Zellner.

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Interessenkonflikt

J. Zellner und P. Angele geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Zellner, J., Angele, P. Rolle des Meniskuserhalts in der Arthroseprotektion. Arthroskopie 30, 121–127 (2017). https://doi.org/10.1007/s00142-017-0134-1

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