Related Experiment Videos
Meniscal injury: II. Management.
Patrick E Greis1, Michael C Holmstrom, Davide D Bardana
1Department of Orthopedic Surgery, University of Utah, Salt Lake City 84132, USA.
Summary
Meniscal repair is a viable surgical option, with success rates over 80% when combined with anterior cruciate ligament reconstruction. Factors like tear width and surgical technique influence outcomes, while complications can occur.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomaterials Science
Background:
- Meniscal tears are common knee injuries.
- Meniscal resection is often performed, but repair is a viable alternative.
- Traditional repair methods include inside-out and outside-in techniques.
Purpose of the Study:
- To review the current status of meniscal repair techniques.
- To discuss factors influencing the success of meniscal repair.
- To explore complications and alternatives to meniscal repair.
Main Methods:
- Review of current literature on meniscal repair.
- Discussion of arthroscopic techniques, including bioabsorbable implants for all-inside repairs.
- Analysis of factors affecting repair success, such as tear characteristics and concomitant injuries.
Main Results:
- Meniscal repair is successful in many clinical situations, especially when combined with anterior cruciate ligament reconstruction (>80% success).
- All-inside arthroscopic repairs are facilitated by bioabsorbable implants.
- Isolated meniscal repairs have lower success rates compared to those associated with ligament reconstruction.
Conclusions:
- Meniscal repair is a valuable treatment option, with success dependent on surgical technique and patient-specific biologic factors.
- Complications such as neurologic injury, stiffness, re-tear, and infection are possible.
- Meniscal allograft transplantation serves as an alternative when repair is not feasible or after total meniscectomy.