Modern treatment of meniscal tears

Abstract

The complex ultrastructure of the meniscus determines its vital functions for the knee, the lower extremity, and the body.The most recent concise, reliable, and valid classification system for meniscal tears is the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) Classification, which takes into account the subsequent parameters: tear depth, tear pattern, tear length, tear location/rim width, radial location, location according to the popliteal hiatus, and quality of the meniscal tissue.It is the orthopaedic surgeon’s responsibility to combine clinical information, radiological images, and clinical experience in an effort to individualize management of meniscal tears, taking into account factors related to the patient and lesion.Surgeons should strive not to operate in most cases, but to protect, repair or reconstruct, in order to prevent early development of osteoarthritis by restoring the native structure, function, and biomechanics of the meniscus.Currently, there are three main methods of modern surgical management of meniscus tears: arthroscopic partial meniscectomy; meniscal repair with or without augmentation techniques; and meniscal reconstruction. Meniscus surgery has come a long way from the old slogan, “If it is torn, take it out!” to the currently accepted slogan, “Save the meniscus!” which has guided evolving modern treatment methods for meniscal tears. This last slogan will probably constitute the basis for newer alternative biological treatment methods in the future.Cite this article: EFORT Open Rev 2018;3 DOI: 10.1302/2058-5241.3.170067.

Examination of the Role of Platelet-Rich Plasma in Meniscal Tears

“…2 Meniscal tears remain a prevalent knee injury in the young and in the elderly and are one of the most frequent reasons for knee surgery. 3,4 Risk factors for a meniscal tear include repetitive mechanical movement, such as squatting and climbing stairs, male sex, and advanced age. 3 Management of meniscal tears includes operative measures, such as meniscectomy and meniscal repair/reconstruction, and more conservative measures, namely, analgesics, activity modification, physical therapy, and intra-articular corticosteroid injections.…”

“…3,4 Risk factors for a meniscal tear include repetitive mechanical movement, such as squatting and climbing stairs, male sex, and advanced age. 3 Management of meniscal tears includes operative measures, such as meniscectomy and meniscal repair/reconstruction, and more conservative measures, namely, analgesics, activity modification, physical therapy, and intra-articular corticosteroid injections. 3 Rest, physical therapy, and nonsteroidal antiinflammatories (NSAIDs) are typically the initial choice of treatment for meniscal tears.…”

“…3 Management of meniscal tears includes operative measures, such as meniscectomy and meniscal repair/reconstruction, and more conservative measures, namely, analgesics, activity modification, physical therapy, and intra-articular corticosteroid injections. 3 Rest, physical therapy, and nonsteroidal antiinflammatories (NSAIDs) are typically the initial choice of treatment for meniscal tears. 5 Intra-articular injections present another, less-invasive option for meniscal tear management.…”

“…Menisci are C-shaped fibrocartilaginous structures between the tibiofemoral areas of the knee. 3 Menisci help to cushion the knee joint. 5 Unfortunately, tears can occur in the meniscus from a variety of causes, including mechanical force, such as plant/pivot injuries, or degeneration caused by a weakened meniscus due to advanced age, osteoarthritis, or both.…”

Indutores De Rádio Frequência Externos Com Altos Fatores De Qualidade Usando Ouro, Su8 E Alumina

“…engenharia de tecidos tem emergido como um potencial tratamento para lesões meniscais(DORAL et al, 2018;TRZECIAK et al, 2016). No entanto, o sucesso desta abordagem está intimamente ligado ao desenvolvimento de scaffolds de biomateriais adequados.…”