Evaluation of clinical results after arthroscopic meniscus repair and partial meniscectomy

2020 ◽  
Vol 27 (5) ◽  
pp. 1464
Author(s):  
Ali Canbay ◽  
Resit Sevimli ◽  
Gokay Gormeli ◽  
Yunus Oklu ◽  
Ekrem Ozdemir
Keyword(s):  
Clinical Results ◽  
Meniscus Repair ◽  
Partial Meniscectomy

scholarly journals Early Functional Rehabilitation after Meniscus Surgery: Are Currently Used Orthopedic Rehabilitation Standards Up to Date?

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Matthias Koch ◽  
Clemens Memmel ◽  
Florian Zeman ◽  
Christian G. Pfeifer ◽  
Johannes Zellner ◽  
...  
Keyword(s):  
Surgical Procedure ◽  
Weight Bearing ◽  
Meniscus Repair ◽  
Partial Meniscectomy ◽  
Early Rehabilitation ◽  
Daily Routine ◽  
Functional Rehabilitation ◽  
Orthopedic Surgeons ◽  
Meniscus Replacement ◽  
Rehabilitation Concepts

Meniscus therapy is a challenging process. Besides the respective surgical procedure such as partial meniscectomy, meniscus repair, or meniscus replacement, early postoperative rehabilitation is important for meniscus regeneration and return to sport and work as well as long-term outcome. Various recommendations are available. However, the current literature lacks information concerning the actual early rehabilitation in daily routine recommended by orthopedic surgeons. Thus, the purpose of this study was to investigate currently used standard early rehabilitation protocols in the daily routine of orthopedic surgeons. This study investigated the recommendations and concepts for early rehabilitation after meniscus therapy given by German, Austrian, and Swiss orthopedic institutions. Standardized criteria such as weight bearing, range of motion, use of an orthosis, and rehabilitation training were analyzed according to the conducted surgical procedure: partial meniscectomy, meniscus repair, or meniscus replacement. The analysis of standard rehabilitation concepts for partial meniscectomy (n=15), meniscus repair (n=54), and meniscus replacement (n=7) showed significantly earlier functional rehabilitation in all criteria after partial meniscectomy in contrast to meniscus repair techniques (p<0.001). In addition, significant restrictions were found in full weight bearing, full range of motion, and the use of braces. In summary, a wide range of recommendations for weight bearing, ROM, brace therapy, and mobilization is available, particularly after meniscus repair and meniscus replacement. Most concepts are in accordance with those described in the current literature. Further research is necessary to enhance the scientific evidence on currently used early rehabilitation concepts after meniscus therapy.

Mid-term clinical results of medial meniscus repair with the meniscus arrow in the unstable knee

2006 ◽  
Vol 15 (2) ◽  
pp. 138-143 ◽  
Author(s):  
Nikolaos Koukoulias ◽  
Stergios Papastergiou ◽  
Konstantinos Kazakos ◽  
Georgios Poulios ◽  
Konstantinos Parisis
Keyword(s):  
Medial Meniscus ◽  
Clinical Results ◽  
Meniscus Repair ◽  
Meniscus Arrow

scholarly journals Evaluation of Midterm Clinical Results of All inside Suture Technique in Meniscus Repair

2015 ◽  
Vol 53 (1) ◽  
pp. 47-51
Author(s):  
Murat Gül ◽  
Engin Çetinkaya ◽  
Yavuz Arıkan ◽  
Sami Sökücü ◽  
Umut Yavuz ◽  
...  
Keyword(s):  
Clinical Results ◽  
Suture Technique ◽  
Meniscus Repair

scholarly journals Clinical results of arthroscopic partial meniscectomy.

1989 ◽  
Vol 37 (3) ◽  
pp. 964-968
Author(s):  
Hiroaki Tamura ◽  
Mahito Kawashima ◽  
Makoto Sasaki ◽  
Katuhiro Tada
Keyword(s):  
Clinical Results ◽  
Partial Meniscectomy ◽  
Arthroscopic Partial Meniscectomy

scholarly journals Knee meniscus suturing techniques in children and indications for their use

2021 ◽  
Vol 27 (4) ◽  
pp. 424-430
Author(s):  
D.D. Pavlova ◽  
◽  
S.M. Sharkov ◽  
M.A. Petrov ◽  
◽  
...  
Keyword(s):  
Knee Joint ◽  
Clinical Results ◽  
Suture Technique ◽  
Meniscus Repair ◽  
X Rays ◽  
Results Of Treatment ◽  
Meniscus Suture ◽  
Meniscus Sutures ◽  
One Year ◽  
Meniscus Injuries

Relevance The problem of meniscus injuries in children has acquired a particular relevance. The growth in their incidence has been caused not only by an active sports- and lifestyle of pediatric patients but also by improved diagnosis due to magnetic resonance and arthroscopic techniques. Aim To formulate indications for the use of various methods of meniscus suturing in children and to evaluate the results of treatment of meniscus injuries in children, depending on the location of the tears. Materials and methods Our study included 74 patients who underwent meniscus suturing from March 2018 to December 2020. The age of the children ranged from 10 to 17 years. Time since the injury ranged from one day to 3 years. Before surgery, they underwent instrumental examination; knee joint radiography was performed in all patients, knee MRI was performed in 66 patients. Results Meniscus sutures were evaluated clinically and instrumentally at 6 months after the operation (MRI). One year after the meniscus repair, X-rays of the knee were taken to assess osteoarthritis. There was no pain after surgery in 68 children (91.9 %). There were no blocks of the knee joint after surgery in all children. Full recovery of the range of motion in the knee joint was observed in 69 children (93.2 %). Complications were noted in five children. Conclusion Poor results after meniscectomy has led to the emergence of several methods that allow meniscus repair and avoid meniscectomy that impairs knee functions. In children, the potential for restoration of menisci after their reconstruction is higher than in adults. It is possible to repair lesions not only in the white zone but after periods of more than three months since the injury. The choice of the meniscus suture technique used is determined by the location of the tear, taking into account possible complications. The use of a combination of methods allows reconstruction of the damaged meniscus regardless of the location of the tear and the complexity of the injury. Good clinical results, absence of complaints and return to usual physical activities in the immediate postoperative period should be regarded as positive outcomes subjected to further study.

scholarly journals Clinical Results after Arthroscopic Meniscus Repair for Recurrent Subluxation of the Lateral Meniscus

2017 ◽  
Vol 5 (2_suppl2) ◽  
pp. 2325967117S0009
Author(s):  
Sang Hak Lee ◽  
Jin Hwan Ahn ◽  
Kyung Ho Yoon ◽  
Chan Il Bae
Keyword(s):  
Full Range ◽  
Lateral Meniscus ◽  
Clinical Results ◽  
Suture Technique ◽  
Meniscus Repair ◽  
Activity Level ◽  
Discoid Lateral Meniscus ◽  
Limited Function ◽  
Tegner Activity Level

Purpose: This study was undertaken to diagnose and to document clinical results and the technical aspects of arthroscopic meniscus repair for treating the recurrent subluxation with peripheral tears around popoliteal hiatus of the LM. Methods: Twenty two patients (23 knees) with symptomatic recurrent subluxation of the LM treated by arthroscopic meniscus repair were included. The inclusion criteria were (1) patients with knee pain, locking or snapping symptoms despite 3 months of conservative treatment, (2) non-discoid lateral meniscus, (3) stable knee, and (4) tears involving the red-white or red–red zone. All tears were repaired with either the modified all-inside suture technique only or a combination of the modified all-inside and modified outside-in techniques. Clinical results were evaluated preoperatively and at final follow-up using Tegner activity level, Lysolm knee, and Hospital for Special Surgery (HSS) scores. Results: All patients returned to their prior life activities with little or no limitations, and no reoperation was required after an average follow-up of 52.3 months(range, 24–160). At the final follow-up, all knees achieved a full range of motion. Catching sensation was experienced in three knees, and limited function during squatting and jumping was complained in two knees. However no patient had recurrence of a locking episode. At the last follow-up, the mean Tegner activity level had improved significantly from 3.7 (range, 2–6) to 7.2 (range, 3–10, p<0.0001), mean Lysolm knee score improved from 75.1 92.0 (range, 76-100) preoperatively to 92.0 (range, 76-100) at final follow-up (p < 0.0001), and mean preoperative HSS score improved from 83.4 to 94.6 at final follow-up (p < 0.0001). Conclusion: Arthroscopic meniscus repair using the modified all-inside suture and outside-in techniques showed excellent clinical outcomes for treating symptomatic recurrent subluxation with peripheral tears around popoliteal hiatus of the LM without any complications or recurrence. [Figure: see text][Figure: see text]

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