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[Meniscus preserving interventions of the knee joint]
1Klinik und Poliklinik für Sportverletzungen der Technischen Universität München.
Summary
Meniscal lesions are common knee injuries. Preserving meniscus parts, like suturing longitudinal tears, is crucial for knee stability and preventing arthrosis, as confirmed by postoperative arthrographies.
Area of Science:
- Orthopedics
- Sports Medicine
- Biomechanics
Background:
- Meniscal lesions are the most frequent knee joint injuries.
- The meniscus, particularly the posterior horn of the medial meniscus, is vital for knee joint stability and biomechanics.
- Total meniscectomy increases the risk of arthrosis and ligamentous insufficiency.
Purpose of the Study:
- To highlight the importance of meniscus preservation in knee injuries.
- To discuss current surgical aims focusing on preserving meniscal tissue.
- To evaluate the efficacy of meniscus repair techniques.
Main Methods:
- Review of experimental and clinical studies over the past 15 years.
- Focus on surgical techniques like meniscopexia and suturing longitudinal tears in vascularized areas.
- Postoperative assessment using arthrography to evaluate repair integrity.
Main Results:
- Arthrographies demonstrated smooth meniscal contours post-surgery.
- No contrast fluid penetration was observed, indicating successful repair and absence of persistent lesions.
- Suturing techniques aim to preserve meniscal function and prevent long-term complications.
Conclusions:
- Meniscus preservation is the current standard for treating knee injuries.
- Suturing longitudinal tears in vascularized zones is an effective method.
- Postoperative arthrography is a reliable tool for confirming successful meniscal repair.