Discoid lateral meniscus in children. Long-term follow-up after excision.

Washington, Eleby R.; Root, Leon; Liener, U. C.

doi:10.2106/00004623-199509000-00011

Cited by 156 publications

(72 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Regression of prior femoropatellar pain (five knees) was probably due to reinstatement of the normal femorotibial axis, since the prosthesis centres the patella in the femoral fossa. Function improved from 13.00 (range 12-17) to 18.48 (range [12][13][14][15][16][17][18][19][20][21][22]. Here, too, walking obtained the most benefit with an increase in the free perimeter and the number of metres before the onset of pain, whereas climbing stairs and transfer activities were only slightly improved since most patients were elderly.…”

Section: Resultsmentioning

confidence: 99%

“…The rise in the average age of the population and the introduction of increasingly precise and specific surgical techniques have permitted a widening of the indications for employment of UKA. Lateral arthritis usually presents as a deformity in valgus due to a more than 7°-10°alteration of the femorotibial axis [15][16][17]. Degeneration secondary to injury, tibial plateau fractures, osteonecrosis and osteotomy [18][19][20], or total and subtotal lateral meniscectomy is less common.…”

Section: Indicationsmentioning

confidence: 99%

See 1 more Smart Citation

Lateral unicompartimental knee arthroplasty: indications, technique and short-medium term results

Volpi

Marinoni

Bait

et al. 2007

Knee Surg Sports Traumatol Arthr

View full text Add to dashboard Cite

Lateral unicompartmental knee arthroplasty (UKA) is a valid alternative treatment in the event of arthritis confined to the lateral compartment. This paper examines its indications, technique and short to medium-term results. A total of 159 Miller-Galante cemented UKA prostheses (Zimmer, Warsaw, Indiana) were implanted consecutively (131 medial and 28 lateral) by the same surgeon. This study investigates 28 lateral UKAs in 27 patients. Twenty-five implants in 24 patients (including a subject operated bilaterally) were followed up for 12-60 months. Three patients were discarded on account of to short a follow-up period. The Hospital for Special Surgery (HSS) knee score was used to compare the pre- and post-operative results of the lateral UKA patients. The HSS score improved from a pre-op mean of 59.92 (range 48-68) to 88.04 (range 71-95) at the last follow-up. There was a positive increase in the pain, function and ROM components of the score. The lateral UKA prosthesis can be regarded as a sound alternative to total knee replacement. Correct patient selection on the basis of optimum surgical indications, however, is essential.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Indicationsmentioning

confidence: 99%

Lateral unicompartimental knee arthroplasty: indications, technique and short-medium term results

Volpi

Marinoni

Bait

et al. 2007

Knee Surg Sports Traumatol Arthr

View full text Add to dashboard Cite

show abstract

“…1 Historical treatment of discoid lateral meniscal tears has shown poor long-term results with total meniscectomy. 6,7 An evolution in the contemporary literature strongly supports repair with meniscal preservation in an effort to restore long-term function. 8 Recent literature also supports a timely repair for isolated discoid meniscal tears to decrease the incidence of articular cartilage lesions.…”

Section: Discussionmentioning

confidence: 99%

“…Prior studies in which total meniscectomy was performed have shown good short-term results and poor long-term results with the development of early advanced arthritis. 6,7 More recent literature promotes meniscal preservation with saucerization accompanied by repair of unstable discoid meniscal tears. Ahn et al 8 performed a retrospective study that examined 23 patients with symptomatic discoid meniscal tears with peripheral instability.…”

mentioning

confidence: 99%

Arthroscopic Saucerization and Repair of Discoid Lateral Meniscal Tear

Fields

Caldwell

2015

Arthroscopy Techniques

View full text Add to dashboard Cite

Meniscal tears are among the most commonly diagnosed knee injuries and often require surgical intervention. Understanding the types of meniscal tears and treatment options is paramount to caring for the young athlete. Sports medicine and arthroscopic physicians now recognize that meniscal preservation in the young athlete is essential to the longterm health and function of the knee. Although uncommon, the discoid lateral meniscus is more prone to injury because of its increased thickness and lack of blood supply. Because of the abnormal development, the peripheral attachments are frequently absent and instability often persists after a partial meniscectomy. If the instability is unrecognized during the initial treatment, a recurrence of pain and mechanical symptoms is likely and a subsequent subtotal meniscectomy may be the only treatment option. With increased awareness, arthroscopic saucerization accompanied by arthroscopically assisted inside-out meniscal repair is a preferable treatment option with an excellent outcome.

show abstract

“…However, it often led to progressive osteoarthritis and lateral instability [12,21]. In spite of the introduction of arthroscopic technique some authors believe the total meniscectomy is favorable despite demonstrable radiographic arthritic change [2,13,15,25,28]. With the development of arthroscopy, partial meniscectomy for symptomatic incomplete or complete discoid meniscus has been preferred [1,7,8,10,11,13,20,22,24].…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic partial meniscectomy for horizontal tear of discoid lateral meniscus

Bin

Jeong

Kim

et al. 2001

Knee Surg, Sports Traumatol, Arthrosc

View full text Add to dashboard Cite

A new method of arthroscopic partial meniscectomy for horizontal tear of discoid lateral meniscus was devised to preserve as much meniscal tissue as possible. To evaluate the clinical result of this method for horizontal tear of discoid lateral meniscus, 31 knees (30 patients) were reviewed at an average follow-up of 35 months (range 14-48 months). Horizontally torn discoid lateral menisci were classified as incomplete (11 cases) or complete (20 cases) by the Watanabe classification; no Wrisberg type was noted. Partial meniscectomy was performed in all cases. For the technique of a new method of partial meniscectomy, the unstable leaf of the horizontally torn meniscus was removed to the peripheral rim, but the stable one was preserved and reshaped to produce the similar appearance to the normal lateral meniscus in terms of width and thickness. It was trimmed to have a balanced rim of meniscal tissue about 6-8 mm in width. Meniscal repair was added to partial meniscectomy in one case. All the cases were rated using the Lysholm Knee Scoring Scale and were reviewed to recognize retear clinically. The scores increased after partial meniscectomy by average 20.7 (from 73.0 to 93.7). Recurrence of tear or aggravation of symptoms was not noted at the final follow-up.

show abstract

Discoid lateral meniscus in children. Long-term follow-up after excision.

Cited by 156 publications

References 18 publications

Lateral unicompartimental knee arthroplasty: indications, technique and short-medium term results

Lateral unicompartimental knee arthroplasty: indications, technique and short-medium term results

Arthroscopic Saucerization and Repair of Discoid Lateral Meniscal Tear

Arthroscopic partial meniscectomy for horizontal tear of discoid lateral meniscus

Contact Info

Product

Resources

About