Partial lateral meniscectomy in athletes

Osti, Leonardo; Liu, Stephen H.; Raskin, Alexander; Merlo, F.; Bocchi, L

doi:10.1016/s0749-8063(05)80194-x

Cited by 48 publications

(30 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…To our knowledge, however, only one study focusing on factors regarding the period of the return-to-sport after surgery has been published. That study, by Osti et al [19], investigated the results after lateral meniscectomy. They reported that the mean period of return-to-sport from surgery was 41 days in athletes who had isolated, longitudinal tears of the lateral meniscus.…”

Section: Discussionmentioning

confidence: 99%

Return to sport after arthroscopic meniscectomy on stable knees

Kim

Nagao

Kamata

et al. 2013

BMC Sports Sci Med Rehabil

View full text Add to dashboard Cite

BackgroundAthletes suffering from any injuries want to know when they will be able to return sports activity. The period of return-to-sport after the arthroscopic meniscectomy is still unknown. The aim of this study is to investigate the period of the return-to-sport from surgery and the clinical symptoms after the meniscectomy on stable knees.MethodsFifty-six athletes who underwent the arthroscopic meniscectomy were evaluated. The patients with an average age of 26.7 years (range, 13–67) comprised 45 men and 11 women, 16 medial meniscus and 40 lateral meniscus injuries. The average of the follow-up period was 9.2 months. The parameter examined were age, the injured side of meniscus (medial or lateral), articular cartilage status, amount of resection, and sports activity level.ResultsThe mean period was 54 days in young group, and was 89 days in old group (p = 0.0013). The period was 79 days in medial meniscus (MM) injured group, and was 61 days in lateral meniscus (LM) group (p = 0.017). There was a significant difference among the groups in activity levels and in amount of resection. Pain and/or effusion in the knee after the return-to-sport were found 22% of the MM group and 53% in the LM group.ConclusionsThe period of the return-to-sport was shorter in young age, high activity and large amount of resection group. Although athletes in LM group can return to sports earlier than those in MM group, more than half of athletes have pain or effusion at the time of return-to sport.

show abstract

Section: Discussionmentioning

confidence: 99%

Return to sport after arthroscopic meniscectomy on stable knees

Kim

Nagao

Kamata

et al. 2013

BMC Sports Sci Med Rehabil

View full text Add to dashboard Cite

show abstract

“…Other predictive factors are: amount of resection; age at surgery; and extent of articular cartilage damage. These two last factors explain why Osti et al 14 reported 100% of excellent or good functional results after meniscectomy for longitudinal tears versus 79% for complex tears and why Matsusue and Thomson 15 obtained 74% for excellent results after treatment for traumatic tears and 64% for degenerative tears.…”

Section: Traumatic Tearsmentioning

confidence: 99%

The knee meniscus: management of traumatic tears and degenerative lesions

et al. 2017

View full text Add to dashboard Cite

Meniscectomy is one of the most popular orthopaedic procedures, but long-term results are not entirely satisfactory and the concept of meniscal preservation has therefore progressed over the years. However, the meniscectomy rate remains too high even though robust scientific publications indicate the value of meniscal repair or non-removal in traumatic tears and non-operative treatment rather than meniscectomy in degenerative meniscal lesionsIn traumatic tears, the first-line choice is repair or non-removal. Longitudinal vertical tears are a proper indication for repair, especially in the red-white or red-red zones. Success rate is high and cartilage preservation has been proven. Non-removal can be discussed for stable asymptomatic lateral meniscal tears in conjunction with anterior cruciate ligament (ACL) reconstruction. Extended indications are now recommended for some specific conditions: horizontal cleavage tears in young athletes, hidden posterior capsulo-meniscal tears in ACL injuries, radial tears and root tears.Degenerative meniscal lesions are very common findings which can be considered as an early stage of osteoarthritis in middle-aged patients. Recent randomised studies found that arthroscopic partial meniscectomy (APM) has no superiority over non-operative treatment. Thus, non-operative treatment should be the first-line choice and APM should be considered in case of failure: three months has been accepted as a threshold in the ESSKA Meniscus Consensus Project presented in 2016. Earlier indications may be proposed in cases with considerable mechanical symptoms.The main message remains: save the meniscus!Cite this article: EFORT Open Rev 2017;2. DOI: 10.1302/2058-5241.2.160056. Originally published online at www.efortopenreviews.org

show abstract

“…[15][16][17][18][19] Reports on knee performance after total or partial lateral meniscectomies are much less frequent. 2,6,20,21 Numerical modeling has become an important tool for assessing the overall biomechanical behavior of many different organs.…”

Section: Introductionmentioning

confidence: 99%

Why lateral meniscectomy is more dangerous than medial meniscectomy. A finite element study

Peña

Calvo

Martı́nez

et al. 2006

Journal Orthopaedic Research

166

160

View full text Add to dashboard Cite

Total meniscectomies are commonly thought to cause progressive degenerative arthrosis pathology in articular cartilage in a period of a few years because of alteration of the biomechanical environment including increased joint instability. This concern has lead to a preference for partial meniscectomies, although lateral partial meniscectomies sometimes lead to catastrophic results. We performed a three-dimensional finite element model of the human tibiofemoral joint to examine the effect of lateral meniscectomy on knee biomechanics. The results were compared to those from modeling a medial meniscectomy. Under axial femoral compressive loads, the peak contact stress and maximum shear stress in the articular cartilage increased 200% more after a lateral than a medial meniscectomy. These increased stresses could partly explain the higher cartilage degeneration observed after a lateral meniscectomy. ß

show abstract

Partial lateral meniscectomy in athletes

Cited by 48 publications

References 16 publications

Return to sport after arthroscopic meniscectomy on stable knees

Return to sport after arthroscopic meniscectomy on stable knees

The knee meniscus: management of traumatic tears and degenerative lesions

Why lateral meniscectomy is more dangerous than medial meniscectomy. A finite element study

Contact Info

Product

Resources

About