Results of Arthroscopic Partial Meniscectomy for Lateral Discoid Meniscus Tears Associated with New Technique

Lee, Chul Hyung; Song, In Soo; Jang, Sung Won; Eun, Hong

doi:10.5792/ksrr.2013.25.1.30

Cited by 20 publications

(14 citation statements)

References 11 publications

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“…Many authors have reported good clinical results after partial meniscectomy with or without meniscus repair over short-, mid-, and long-term follow ups30,32,49,50,54,56–59) (Table 1). Ahn et al32) reported in their study with a minimum 2-year follow-up (mean, 51 months) that arthroscopic partial meniscectomy with peripheral repair was effective for treating symptomatic discoid lateral menisci.…”

Section: Clinical Outcomesmentioning

confidence: 99%

Diagnosis and Treatment of Discoid Meniscus

Kim

Han

Lee

2016

Knee Surg Relat Res

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There is a greater incidence of discoid meniscus in Asian countries than in Western countries, and bilateral discoid menisci are also common. The discoid meniscus may be a congenital anomaly, and genetics or family history may play a role in the development of discoid menisci. Because the histology of discoid meniscus is different from that of normal meniscus, it is prone to tearing. Individuals with a discoid meniscus can be asymptomatic or symptomatic. Asymptomatic discoid menisci do not require treatment. However, operative treatment is necessary if there are symptoms. Total meniscectomy leads to an increased risk of osteoarthritis. Therefore, total meniscectomy is generally reserved for rare unsalvageable cases. Partial meniscectomy (saucerization) with preservation of a stable peripheral rim combined with or without peripheral repair is effective, and good short-, mid-, and long-term clinical results have been reported.

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Section: Clinical Outcomesmentioning

confidence: 99%

Diagnosis and Treatment of Discoid Meniscus

Kim

Han

Lee

2016

Knee Surg Relat Res

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“…After the removal of duplicates and exclusion by screening the titles and abstracts, 31 records remained. After reviewing the full text, 15 studies [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] were finally included in the present study (►Fig. 1).…”

Section: Study Selectionmentioning

confidence: 99%

“…Only four studies 17,26,27,30 clearly reported the indication for surgery. Thirteen studies [16][17][18][19][20][22][23][24][25][26][27][28][29] provided relevant data about Ikeuchi grade, two studies 21,30 provided relevant data about IKDC score, and three studies 17,21,30 provided relevant data about Lysholm score for DLM patients. None of the included studies reported failure rate after surgery.…”

Section: Description Of Patients and Studiesmentioning

confidence: 99%

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Discoid Lateral Meniscus

et al. 2017

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Partial and total meniscectomies are the most common treatments for patients with discoid lateral meniscus (DLM). We conducted this study to quantitatively assess and compare the outcomes of partial and total meniscectomies for DLM. We also assessed whether the outcomes differed by the type of DLM, duration of follow-up, and age of patients. We searched PubMed, Embase, and the Cochrane database to identify relevant studies that reported outcomes, including Ikeuchi grade, the International Knee Documentation Committee (IKDC) Subjective Knee score, Lysholm score, or failure rate, in patients who underwent partial and total meniscectomies. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated for dichotomous outcomes, whereas mean difference and 95% CIs were calculated for continuous outcomes. Fifteen studies met the inclusion criteria. The overall rate of excellent (E) or good (G) postoperatively was 85.5% (95% CI: 79.5-91.5%). The E or G rate of partial meniscectomy was significantly higher than that of total meniscectomy (OR= 1.97, 95% CI: 1.03-3.75, = 0.038). Besides, patients younger than 20 years had a significantly higher E or G rate than those older than 20 years. (OR = 3.12, 95% CI: 1.18-8.23, = 0.022). We also found the E or G rate tended to decrease from short- to long-term follow-up. Our systematic review and meta-analysis showed that that partial meniscectomy could achieve better outcomes compared with total meniscectomy for DLM patients.

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“…42 The therapy that is currently recommended in the case of a discoid meniscus is arthroscopic partial resection and reshaping. 43 The best results appear to be achievable when the partial resection and reshaping are completed soon after the first onset of symptoms. A root tear, which is similar to a complete radial tear, is a grave injury that leads to a complete loss of the meniscal function and therefore to the rapid development of OA; this is similar to the effects of a total meniscectomy.…”

Section: Indications For Meniscus Surgerymentioning

confidence: 99%

Meniscectomy: indications, procedure, outcomes, and rehabilitation

Anetzberger¹,

Birkenmaier²,

Lorenz³

2013

ORR

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Meniscal injuries are among the most frequent reasons for knee problems. The goal of this manuscript is to review the biomechanical relevance of the human knee's menisci in relation to surgical indications, surgical techniques, rehabilitation, and outcomes. In order to identify the relevant literature, we performed a PubMed search for the years ranging from 1980-2013 using the following search terms: meniscus; biomechanical function; meniscectomy; meniscal repair; and clinical outcome. The meniscus helps to distribute the forces between the tibial and femoral articular cartilage layers in a load-sharing capacity. Meniscus damage or meniscectomy intuitively leads to an overloading of the cartilage and, hence, to the development of osteoarthrosis. Precise knowledge of meniscal shape and function, of the type of injury, of surgical techniques, as well as of postsurgical rehabilitative care are of decisive importance for an individually-adjusted treatment strategy. Other underlying coexisting knee pathologies also need to be considered. The diagnosis of a meniscal injury is based upon clinical history, physical examination, and imaging studies. The treatment of a meniscal lesion includes conservative, as well as operative, procedures. The goals of surgery are to reduce pain and disability, as well as to preserve meniscal function without causing additional cartilage damage. The resection of meniscal tissue should be restricted to as much as is necessary, and as little as is reasonably possible. Postoperative rehabilitation serves the purpose of improving functional deficits and pain, as well as of restoring a good range of motion and preventing secondary damage. It is the surgical therapy that dictates the aftercare, and with regards to the latter, there are clear differences between meniscectomy and meniscal repair.

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Results of Arthroscopic Partial Meniscectomy for Lateral Discoid Meniscus Tears Associated with New Technique

Cited by 20 publications

References 11 publications

Diagnosis and Treatment of Discoid Meniscus

Diagnosis and Treatment of Discoid Meniscus

Discoid Lateral Meniscus

Meniscectomy: indications, procedure, outcomes, and rehabilitation

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