Abstract
The results of 17 adult patients with symptomatic lateral discoid meniscal lesions were retrospectively analyzed. Six of the patients were female, mean age was 25 (19-42), mean follow-up was 31 (12-47) months. Six subtotal and 11 partial meniscectomies were performed. A patient with a Wrisberg type lateral meniscus underwent saucerization and postero-lateral repair. At the last follow-up visit, 10 cases (59%) were graded excellent, 5 cases (29%) were graded good and 2 cases (12%) were graded fair using the Ikeuchi scale. Mean Lysholm-II score was 90 ± 7 (75-100). The Lysholm scores of patients undergoing subtotal meniscectomy were slightly better than those undergoing partial meniscectomy, but the difference was not statistically significant. No correlation was found between Lysholm scores and age or Lysholm scores and length of follow-up. Good results can be obtained in patients with lateral discoid mensical lesions if a partial or subtotal meniscectomy is performed taking into consideration the type of tear and meniscal morphology. Saucerization and posterolateral repair should be attempted in Wrisberg type lesions if certain prerequisites are met.
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