Open meniscus repair. Indications, technique, and results

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Biomedical Engineering

Background:

• Total meniscectomy is associated with significant degenerative changes in the knee.
• Partial meniscectomy results in less severe degenerative changes compared to total meniscectomy.
• The degree of meniscal damage correlates with the extent of degenerative changes observed.

Purpose of the Study:

• To compare the outcomes of partial meniscectomy versus total meniscectomy.
• To evaluate the efficacy of meniscal repair in preserving knee function and preventing degeneration.
• To review existing literature on meniscectomy and meniscal repair techniques.

Main Methods:

• Review of existing studies on meniscectomy (total and partial) in canine and human knees.
• Analysis of follow-up data comparing functional recovery, morbidity, and complication rates.
• Examination of evidence regarding the healing capacity, durability, and biomechanical function of repaired menisci.

Main Results:

• Partial meniscectomy leads to less severe degenerative changes than total meniscectomy.
• Partial meniscectomy is associated with earlier return to function, decreased morbidity, and fewer complications compared to total meniscectomy.
• Meniscal repairs demonstrate satisfactory healing, durability, and maintenance of biomechanical function.

Conclusions:

• Partial meniscectomy is a preferable surgical option over total meniscectomy due to better outcomes.
• Meniscal repair is a viable alternative that may prevent degenerative changes associated with meniscectomy.
• Long-term studies are needed to confirm that successful meniscal repair prevents future degenerative joint disease.