Surgery of the Meniscus by Christophe Hulet Helder Pereira Giuseppe Peretti & Matteo Denti

Author:Christophe Hulet, Helder Pereira, Giuseppe Peretti & Matteo Denti
Language: eng
Format: epub
Publisher: Springer Berlin Heidelberg, Berlin, Heidelberg

33.4 Conclusion

Summarizing, partial meniscectomy after meniscal tear is a very common surgical procedure, and its results and complications have been extensively reported in the literature. However, there are few studies that investigate the outcome of partial meniscectomy after bucket-handle tear. The majority of them indicate that despite the fact the long-term results might be decent, it is proposed that the need of meniscal repair after a bucket-handle tear especially in cases of young active patients or athletes should be addressed always. The gold standard is to try to save as much meniscal mass as possible, even with a meniscal repair or a partial meniscectomy, as loss of meniscal tissue is associated with early osteoarthritis. The selection of patients in each case should be performed according to the advisable criteria. However, in cases of extensive meniscal resection, the orthopedic surgeon should always be aware of the solution that can be provided by human allograft meniscal transplantation, a relatively new procedure with very encouraging results. As clear indications and long-term results have not yet been established, further investigation should be performed to assess the efficacy of meniscal transplantation in restoring normal meniscal function and preventing from early osteoarthritis in the knee joint.

Download

Copyright Disclaimer:
This site does not store any files on its server. We only index and link to content provided by other sites. Please contact the content providers to delete copyright contents if any and email us, we'll remove relevant links or contents immediately.