Treatment Of Meniscal Tears Research Articles

Meniscal tears: current treatment options

Meniscal tears are common knee injuries in the athlete. The treatment of meniscal tears has evolved over the years from open total meniscectomy to meniscal preservation techniques. Tears in the peripheral three to five millimeters of the meniscus are often suitable for repair. Repair techniques incl

The fate of meniscal tears after anterior cruciate ligament reconstruction.

To investigate the incidence of meniscal pathology and subsequent treatment at an index arthroscopically assisted reconstruction of acute ACL tears (<3 weeks after injury) and to determine the outcome of meniscal pathology. Cohort study with average postoperative follow-up of 40 months (range, 24-76 months). University-based sports medicine center. Series of 162 patients admitted between January 1989 and July 1993. Follow-up was obtained for 105 patients. Initial presence, location, and treatment of meniscal tears. Subsequent surgery performed and further investigation or surgery being planned. Approximately 40% of patients had meniscal pathology at the index procedure. Most tears were in the lateral meniscus (34 of 45). All posterolateral tears and most other small tears were left untreated (25 of 45). Partial meniscectomies were performed on 17 large, complex, or radial tears that were not amenable to meniscal resuturing. Three meniscal repairs were performed on large, unstable tears. Most patients achieved good functional results. Of the five patients who required late meniscal surgery, three had normal menisci at the index procedure. The other two were asymptomatic until experiencing a reinjury. Despite ACL reconstruction in the acute phase, only two patients required treatment for postoperative arthrofibrosis. Three patients required revision ACL reconstruction after return to full activities and experiencing reinjuries. Stable tears of both lateral and medial menisci remain asymptomatic at 2 to 6 years' follow-up if treated conservatively. Those requiring further surgery had de novo tears or tears that were asymptomatic before reinjury. Although repair may be of benefit for large flap or bucket-handle tears, it does not appear necessary for most tears and may increase the incidence of postoperative stiffness.

Classijications of meniscal tears and principles of arthroscopic meniscal resection

The aim is tO examine meniscal tear types in details and to j/nd out the most suitable methods of surgical treatment. A Classijication system which shows localization of meniscal tears has been built up in order to talk about the various types ofmeniscal tears and to make clinical documentation easy. The principles of resection which is very orthopedie surgeon. The correct approach to the treatment ofmeniscal tears is possible with the understanding of the jimetion, biology and the strueture of the meniscus, its repair and the resection prineiples.

Sports Medicine

Sports medicine combines nonsurgical and surgical subspecialties that deal with the health care issues of athletes (young or old, competitive or recreational, professional or amateur, and healthy or injured). This update reviews the recent advances in the care of the female athlete, the drug problem in sports, new techniques of knee rehabilitation, and treatment of meniscus tears. Engstrom et al¹noted that 41 elite female soccer players experienced a higher rate of injuries (12 per 1000 hours of exposure) than a comparable group of male soccer players (five per 1000 hours). Approximately one in six of these female players sustained a major knee ligament or meniscus tear. Ireland and Wall²investigated Olympic trial basketball players and found a higher incidence of knee injuries among women (34 of 64) than among men (11 of 80). The severity and requirement for surgery were also statistically higher. These studies indicate the