Meniscus tears seen at the time of anterior cruciate ligament reconstruction are usually asymptomatic, and treatment varies greatly between surgeons, with meniscus repair being used for tears that could be left in situ. Recent outcome studies of most types of lateral meniscus tears show that leaving the tears in situ can give equal or superior results. Meniscus repair being performed for degenerative medial meniscus tears does not give better results than removing the tears. As an alternative to repair, trephination through the meniscus into the peripheral capsule can create many bloody channels to promote healing. Long-term follow-up of meniscus treatment with anterior cruciate ligament reconstruction can help us understand outcomes and prevent us from overtreating tears.
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http://dx.doi.org/10.1016/j.arthro.2021.06.016 | DOI Listing |
Cureus
December 2024
Department of Orthopedic Sports Medicine, Seifu Hospital, Sakai, JPN.
To the best of our knowledge, there are no reports on the results of the repair of radial tears of the midbody of the complete discoid lateral meniscus (DLM). A 14-year-old female underwent meniscal replacement with autologous tendon transplantation for early re-tear after repair of the radial tear in the midbody of complete DLM. Two years after the tendon transplantation, there was no effusion or swelling, and the patient was able to exercise completely without symptoms.
View Article and Find Full Text PDFBMJ Open
January 2025
Warwick Clinical Trials Unit, University of Warwick, Warwick Medical School, Coventry, UK.
Objectives: There is a paucity of qualitative research exploring the patient experience of living with a meniscal tear, vital to effective patient management. The aim of this study was to explore the experiences and expectations of treatment of patients aged 18-55 years with a meniscal tear of the knee.
Design: Qualitative study involving semistructured interviews.
Cureus
December 2024
Department of Physical Therapy, School of Health Sciences, Shinshu University, Matsumoto, JPN.
The meniscus plays a vital role in knee biomechanics, particularly in load distribution and stability. Meniscus root tears (MRTs) compromise these functions, resulting in biomechanical alterations and knee osteoarthritis. The effectiveness of different MRT treatments is not yet well defined.
View Article and Find Full Text PDFJ Orthop
July 2025
Jiangsu Province Hospital of Traditional Chinese Medicine, Department of Orthopedics, Nanjing, 210000, PR China.
Background: Medial meniscus posterior root tears (MMPRTs) significantly contribute to knee dysfunction, leading to abnormal biomechanics and accelerated cartilage degeneration. Arthroscopic transtibial pullout and all-inside repair are two commonly used techniques for treating MMPRTs, each with unique advantages and limitations.
Objective: To compare the clinical and functional outcomes of the transtibial pullout and all-inside repair techniques in the treatment of MMPRTs, with a focus on postoperative recovery, knee function, and complications.
Am J Sports Med
January 2025
Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, New York, USA.
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