Meniscus repair and centralization: Preserving meniscus function
Purpose: Meniscus injury and meniscus extrusion cause meniscus dysfunction, which then leads to the initiation and progression of knee osteoarthritis. Meniscus preservation surgery therefore plays an important role in preventing long-term cartilage degeneration. The purpose of this paper was to revi...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Journal of Joint Surgery and Research |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2949705123000014 |
| _version_ | 1827302617476235264 |
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| author | Nobutake Ozeki Tomomasa Nakamura Yusuke Nakagawa Ichiro Sekiya Hideyuki Koga |
| author_facet | Nobutake Ozeki Tomomasa Nakamura Yusuke Nakagawa Ichiro Sekiya Hideyuki Koga |
| author_sort | Nobutake Ozeki |
| collection | DOAJ |
| description | Purpose: Meniscus injury and meniscus extrusion cause meniscus dysfunction, which then leads to the initiation and progression of knee osteoarthritis. Meniscus preservation surgery therefore plays an important role in preventing long-term cartilage degeneration. The purpose of this paper was to review the current information about meniscus preservation surgeries, such as meniscal repair and centralization. Methods: We reviewed recent articles related to meniscus preservation surgery. We compiled sections for some special meniscus pathologies, including ramp lesion, discoid lateral meniscus, degenerative meniscus tear, posterior root tear, and meniscus extrusion. Results: Reoperation rates are higher after meniscal repair compared with arthroscopic partial meniscectomy; however, long-term follow-up studies have demonstrated better clinical outcomes and less severe degenerative changes for meniscal repair than for partial meniscectomy. Therefore, meniscal repair should be considered the first option for any meniscus injury when surgical intervention is necessary. Posterior root tears of the meniscus substantially affect meniscal hoop function and accelerate cartilage degeneration and accompanying meniscus extrusion. Therefore, surgical repair should be considered as early as possible. A centralization procedure has been developed to reduce meniscus extrusion and improve meniscus hoop function. Long-term follow-up should also be considered essential for the prevention of osteoarthritis. Conclusions: Meniscus preservation surgery provides satisfactory clinical outcomes at short- and mid-term follow-up. Further understanding of meniscus pathology and continued development of surgical techniques will improve the outcomes of meniscus preservation surgery. The long-term efficacy of these procedures should also be confirmed to validate this treatment strategy for meniscus dysfunction. |
| first_indexed | 2024-04-24T16:48:23Z |
| format | Article |
| id | doaj.art-6a883e6362304485b6fb89785222c20a |
| institution | Directory Open Access Journal |
| issn | 2949-7051 |
| language | English |
| last_indexed | 2024-04-24T16:48:23Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Joint Surgery and Research |
| spelling | doaj.art-6a883e6362304485b6fb89785222c20a2024-03-29T05:51:46ZengElsevierJournal of Joint Surgery and Research2949-70512023-12-01114655Meniscus repair and centralization: Preserving meniscus functionNobutake Ozeki0Tomomasa Nakamura1Yusuke Nakagawa2Ichiro Sekiya3Hideyuki Koga4Center for Stem Cell and Regenerative Medicine, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, JapanDepartment of Joint Surgery and Sports Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, JapanDepartment of Joint Surgery and Sports Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, JapanCenter for Stem Cell and Regenerative Medicine, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, JapanDepartment of Joint Surgery and Sports Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan; Corresponding author.Purpose: Meniscus injury and meniscus extrusion cause meniscus dysfunction, which then leads to the initiation and progression of knee osteoarthritis. Meniscus preservation surgery therefore plays an important role in preventing long-term cartilage degeneration. The purpose of this paper was to review the current information about meniscus preservation surgeries, such as meniscal repair and centralization. Methods: We reviewed recent articles related to meniscus preservation surgery. We compiled sections for some special meniscus pathologies, including ramp lesion, discoid lateral meniscus, degenerative meniscus tear, posterior root tear, and meniscus extrusion. Results: Reoperation rates are higher after meniscal repair compared with arthroscopic partial meniscectomy; however, long-term follow-up studies have demonstrated better clinical outcomes and less severe degenerative changes for meniscal repair than for partial meniscectomy. Therefore, meniscal repair should be considered the first option for any meniscus injury when surgical intervention is necessary. Posterior root tears of the meniscus substantially affect meniscal hoop function and accelerate cartilage degeneration and accompanying meniscus extrusion. Therefore, surgical repair should be considered as early as possible. A centralization procedure has been developed to reduce meniscus extrusion and improve meniscus hoop function. Long-term follow-up should also be considered essential for the prevention of osteoarthritis. Conclusions: Meniscus preservation surgery provides satisfactory clinical outcomes at short- and mid-term follow-up. Further understanding of meniscus pathology and continued development of surgical techniques will improve the outcomes of meniscus preservation surgery. The long-term efficacy of these procedures should also be confirmed to validate this treatment strategy for meniscus dysfunction.http://www.sciencedirect.com/science/article/pii/S2949705123000014MeniscusMeniscus injuryMeniscal repairMeniscus extrusionCentralizationPosterior root tear |
| spellingShingle | Nobutake Ozeki Tomomasa Nakamura Yusuke Nakagawa Ichiro Sekiya Hideyuki Koga Meniscus repair and centralization: Preserving meniscus function Journal of Joint Surgery and Research Meniscus Meniscus injury Meniscal repair Meniscus extrusion Centralization Posterior root tear |
| title | Meniscus repair and centralization: Preserving meniscus function |
| title_full | Meniscus repair and centralization: Preserving meniscus function |
| title_fullStr | Meniscus repair and centralization: Preserving meniscus function |
| title_full_unstemmed | Meniscus repair and centralization: Preserving meniscus function |
| title_short | Meniscus repair and centralization: Preserving meniscus function |
| title_sort | meniscus repair and centralization preserving meniscus function |
| topic | Meniscus Meniscus injury Meniscal repair Meniscus extrusion Centralization Posterior root tear |
| url | http://www.sciencedirect.com/science/article/pii/S2949705123000014 |
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