Arthroscopic Partial Meniscectomy of a Posteriorly Flipped Superior Leaflet in a Horizontal Medial Meniscus Tear Using a Posterior Transseptal Portal

Orthopedics ◽  
2012 ◽  
Author(s):  
Ki-Mo Jang ◽  
Jin Hwan Ahn ◽  
Joon Ho Wang
Keyword(s):  
Medial Meniscus ◽  
Partial Meniscectomy ◽  
Meniscus Tear ◽  
Arthroscopic Partial Meniscectomy

scholarly journals Arthroscopic partial meniscectomy versus placebo surgery for a degenerative meniscus tear: a 2-year follow-up of the randomised controlled trial

2017 ◽  
Vol 77 (2) ◽  
pp. 188-195 ◽  
Author(s):  
Raine Sihvonen ◽  
Mika Paavola ◽  
Antti Malmivaara ◽  
Ari Itälä ◽  
Antti Joukainen ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Knee Pain ◽  
Medial Meniscus ◽  
Controlled Trial ◽  
Partial Meniscectomy ◽  
Meniscus Tear ◽  
Arthroscopic Partial Meniscectomy ◽  
Serious Adverse Events ◽  
Secondary Outcomes

ObjectiveTo assess if arthroscopic partial meniscectomy (APM) is superior to placebo surgery in the treatment of patients with degenerative tear of the medial meniscus.MethodsIn this multicentre, randomised, participant-blinded and outcome assessor-blinded, placebo-surgery controlled trial, 146 adults, aged 35–65 years, with knee symptoms consistent with degenerative medial meniscus tear and no knee osteoarthritis were randomised to APM or placebo surgery. The primary outcome was the between-group difference in the change from baseline in the Western Ontario Meniscal Evaluation Tool (WOMET) and Lysholm knee scores and knee pain after exercise at 24 months after surgery. Secondary outcomes included the frequency of unblinding of the treatment-group allocation, participants' satisfaction, impression of change, return to normal activities, the incidence of serious adverse events and the presence of meniscal symptoms in clinical examination. Two subgroup analyses, assessing the outcome on those with mechanical symptoms and those with unstable meniscus tears, were also carried out.ResultsIn the intention-to-treat analysis, there were no significant between-group differences in the mean changes from baseline to 24 months in WOMET score: 27.3 in the APM group as compared with 31.6 in the placebo-surgery group (between-group difference, −4.3; 95% CI, −11.3 to 2.6); Lysholm knee score: 23.1 and 26.3, respectively (−3.2; −8.9 to 2.4) or knee pain after exercise, 3.5 and 3.9, respectively (−0.4; −1.3 to 0.5). There were no statistically significant differences between the two groups in any of the secondary outcomes or within the analysed subgroups.ConclusionsIn this 2-year follow-up of patients without knee osteoarthritis but with symptoms of a degenerative medial meniscus tear, the outcomes after APM were no better than those after placebo surgery. No evidence could be found to support the prevailing ideas that patients with presence of mechanical symptoms or certain meniscus tear characteristics or those who have failed initial conservative treatment are more likely to benefit from APM.

Partial meniscectomy provides the favorable outcomes for symptomatic medial meniscus tear with an intact posterior root

2019 ◽  
Vol 28 (11) ◽  
pp. 3497-3503 ◽  
Author(s):  
Jae-Young Kim ◽  
Seong-Il Bin ◽  
Jong-Min Kim ◽  
Bum-Sik Lee ◽  
Sung-Mok Oh ◽  
...  
Keyword(s):  
Medial Meniscus ◽  
Partial Meniscectomy ◽  
Meniscus Tear ◽  
Posterior Root

Mechanical Symptoms and Arthroscopic Partial Meniscectomy in Patients With Degenerative Meniscus Tear

2016 ◽  
Vol 164 (7) ◽  
pp. 449 ◽  
Author(s):  
Raine Sihvonen ◽  
Martin Englund ◽  
Aleksandra Turkiewicz ◽  
Teppo L.N. Järvinen ◽  
Keyword(s):  
Partial Meniscectomy ◽  
Meniscus Tear ◽  
Arthroscopic Partial Meniscectomy

scholarly journals A Hospital Clinic Experience with Isolated Lateral Meniscal Tears in Sports: A Chart Review on Rugby

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Satoshi Ochiai ◽  
Tetsuo Hagino ◽  
Shinya Senga ◽  
Naofumi Taniguchi ◽  
Takashi Ando ◽  
...  
Keyword(s):  
Lateral Meniscus ◽  
High Sensitivity ◽  
Partial Meniscectomy ◽  
Return To Play ◽  
Meniscus Tear ◽  
Arthroscopic Partial Meniscectomy ◽  
Middle Segment ◽  
Meniscus Tears ◽  
Clinic Experience ◽  
Rugby Players

Background: Rugby is a contact sport, and the frequency of injuries is high. In our clinical experience with patients diagnosed arthroscopically with lateral meniscus tears in the middle segment, rugby players are more prevalent than players of other sports. We hypothesized that a meniscus tear in the middle segment is a common injury in rugby players and is associated with specific positions in rugby. Objectives: This study aimed to describe a series of lateral meniscus tears in rugby players. Methods: We retrospectively reviewed the medical charts of cases with an arthroscopically confirmed isolated lateral meniscus tear in the middle segment associated with rugby players in our center between 2006 and 2020. We investigated the epidemiology of injury, including the player position and phase of play, the symptoms; as well as imaging and arthroscopic findings. Results: Of 4452 cases (4666 knees) diagnosed arthroscopically with meniscus tears, 27 cases (28 knees) were isolated radial lateral meniscus tears in the middle segment, 26 of which were sports-associated, including 11 cases related to rugby. Among the 11 rugby players, 10 were forwards, 5 of whom were in the front row. The injury was associated with a tackle in 4 patients, while the phase of play of injury was unknown in 6 patients. In the clinical manual examination, tenderness and a positive hyperextension test had a relatively high sensitivity. In imaging examination, MRI depicted a characteristic image of a partial meniscal defect in the sagittal view. All patients underwent arthroscopic partial meniscectomy. The postoperative course was favorable. All patients returned to play rugby at the pre-injury competition level. Conclusions: In this study, radial lateral meniscus tears involving the middle segment frequently occurred in rugby players, mostly in forward positions. Arthroscopic partial meniscectomy achieved a return to play in all players.

The Effect of Arthroscopic Partial Medial Meniscectomy on Tibiofemoral Stability

2012 ◽  
Author(s):  
C. P. Bell ◽  
S. Arno ◽  
S. Hadley ◽  
K. Campbell ◽  
M. Hall ◽  
...  
Keyword(s):  
Medial Meniscus ◽  
Femoral Condyle ◽  
Standard Of Care ◽  
Partial Meniscectomy ◽  
Posterior Horn ◽  
Meniscal Injury ◽  
Arthroscopic Partial Meniscectomy ◽  
Current Standard ◽  
Medial Meniscectomy ◽  
Anterior Posterior

Irreparable tears of the posterior horn of the medial meniscus are the most common meniscal injury and arthroscopic partial meniscectomy is the current standard of care (1–3). However, despite the excellent results of partial meniscectomy, there is still little known regarding the effects of the size of a resection on tibiofemoral stability, as measured by laxity and anterior-posterior (AP) position. Therefore in this study, we sought to determine this by conducting three successive partial meniscectomies of the posterior horn of the medial meniscus (PMM) and measuring the laxity and AP position of the medial femoral condyle over a series of loading conditions following each resection. It was hypothesized that more than a 50% resection would result in significant changes in laxity and AP position equivalent to a 100% removal of the PMM.

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