Article

Indications for Meniscus Repair

The Sports Medicine and Shoulder Department of Orthopaedic Surgery, Hospital for Special Surgery, NY 10021, USA.
Clinics in sports medicine (Impact Factor: 1.22). 01/2012; 31(1):1-14. DOI: 10.1016/j.csm.2011.08.012
Source: PubMed

ABSTRACT

The function and anatomy of the menisci are fundamental to the chondral protection and biomechanics of the knee joint. Healing of the meniscus after meniscal damage is crucial to preservation of its function. The ability to maximize healing after meniscal repair depends on accurate selection of repairable tears based on tear type and biology, patient selection and tear etiology, concomitant pathology, and meticulous repair technique. A thorough understanding of surgical indications and attention to each component of the algorithm that guides the decision for meniscal excision or repair improve identification of repairable meniscal tears, improve healing rates, and optimize surgical outcomes.

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    ABSTRACT: Over the past 2 decades there has been a profound shift in our perception of the role of the meniscus in the knee joint. Orthopaedic opinion now favors salvaging and restoring the damaged meniscus where possible. Basic science is characterizing its form (anatomy) and functionality (biological and biomechanical) in an attempt to understand the effect of meniscal injury and repair on the knee joint as a whole. The meniscus is a complex tissue and has warranted extensive basic science, translational, and clinical research to identify techniques to augment healing and even replace the meniscus. The application of quantitative magnetic resonance image sequencing to the meniscus and articular cartilage of the affected compartment promises to add a quantifiable outcome measure to the body of clinical evidence that supports restoration of the meniscus. This article discusses the recent advances and outcomes in the pursuit of meniscal restoration with particular focus on the use of augmentation strategies in meniscal repair, meniscal imaging, and translational strategies.
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