Arthroscopic repair of the ruptured meniscus: One to 6.3 years follow up

Jensen, Niels Christian; Riis, Jess; Robertsen, Kim; Holm, Anna

doi:10.1016/s0749-8063(05)80096-9

Cited by 46 publications

(25 citation statements)

References 17 publications

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“…Other authors have demonstrated that an ACL reconstruction done with meniscal repair may protect the repair site through increased anterior-posterior stability and enhance healing from the postoperative hemarthrosis. 15,19,41,57 There were no complications or limitations of knee motion in our series. This study lead us to conclude that the preservation of meniscal tissue should be attempted whenever possible, regardless of age, in athletically active patients.…”

Section: Meniscus Repairmentioning

confidence: 57%

Meniscal Repair and Transplantation: Indications, Techniques, Rehabilitation, and Clinical Outcome

Heckmann

Barber-Westin²,

Noyes³

2006

J Orthop Sports Phys Ther

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The purpose of this paper is to provide current knowledge regarding the indications, operative techniques, rehabilitation programs, and clinical outcomes of meniscus repair and transplantation procedures. Meniscus tears that occur in the periphery may be repaired using a variety of operative procedures with high success rates. Complex multiplanar tears that extend into the central one-third avascular zone can also be successfully repaired using a meticulous vertically divergent suture technique. The outcome of these repairs justifies preservation of meniscal tissue, especially in younger athletic individuals. Meniscal transplantation is a valid treatment option for patients who have undergone meniscectomy and have related tibiofemoral joint pain, or in whom articular cartilage deterioration in the meniscectomized compartment is present. Rehabilitation after these operations includes knee motion and quadriceps-strengthening exercises initiated the first day postoperatively. The initial goal is to prevent excessive weight bearing and joint compressive forces that could disrupt the healing meniscus repair or transplant. The protocol contains modifications according to the type of meniscal tear, if a concomitant procedure is done (such as a ligament reconstruction) or if noteworthy articular cartilage deterioration is present. Patients who have repairs of peripheral meniscus tears are generally progressed more rapidly than those who have repairs of tears extending in the central one-third region or those who undergo meniscal transplantation. The safety and effectiveness of the rehabilitation program has been demonstrated in several clinical studies. We recommend preservation of meniscal tissue, regardless of age, in active patients whenever possible.

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Section: Meniscus Repairmentioning

confidence: 57%

Meniscal Repair and Transplantation: Indications, Techniques, Rehabilitation, and Clinical Outcome

Heckmann

Barber-Westin²,

Noyes³

2006

J Orthop Sports Phys Ther

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“…It seems quite surprising that even so called 'knee centers' do only +10 meniscus repairs per year [28,29] despite the fact that most of the published studies describe a 'success rate' of 80-100% [17,25,[29][30][31][32][33]]. This appears promising in relation to the questionable long term results after partial or total resection of the meniscus as mentioned above.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Meniscus Repair: Clinical and Isokinetic Results

Erggelet

Grosse²,

Henche³

et al. 1997

Diagnostic and Therapeutic Endoscopy

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The importance of the menisci for transmitting workloads in the knee joint to protect the articular cartilage is widely acknowledged. Therefore various techniques have been introduced to repair the damaged meniscus.We (extension 69%). No significant influence neither of the age of the patient nor the time period between trauma and operation on the outcome of the procedure could be found. No complications were reported.Based on our results and well aware of the deleterious long term effects of total meniscectomy the arthroscopic menical repair performed by an experienced surgeon should be generous choice of therapy for the treatment of the ruptured meniscus.

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“…In the majority of these studies, it seems that the outcome of a repair is better with concomitant reconstruction than in knees that remain unstable or even better than knees without ACL injury. [10][11][12][13][14][15] It must be assumed that in the subgroup of patients with concomitant ACL reconstruction, the main reason for the procedure is instability, and that conclusively not only symptomatic but also clinically silent lesions of the meniscus are identified and repaired. However, in patients with stable knees, the cause for the meniscus repair usually is meniscus symptoms, such as locking or effusion.…”

Section: Discussionmentioning

confidence: 99%