Techniques to treat challenging meniscus tears
Introduction: Meniscus tears are one of the most common knee pathologies encountered. Although meniscus tears were initially treated with meniscectomy, numerous studies have described the effect of meniscectomy on accelerating degenerative changes of the knee. In addition, certain tear patterns that...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | Journal of Cartilage & Joint Preservation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667254523000082 |
| _version_ | 1797867604679852032 |
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| author | Charles Qin David C. Flanigan |
| author_facet | Charles Qin David C. Flanigan |
| author_sort | Charles Qin |
| collection | DOAJ |
| description | Introduction: Meniscus tears are one of the most common knee pathologies encountered. Although meniscus tears were initially treated with meniscectomy, numerous studies have described the effect of meniscectomy on accelerating degenerative changes of the knee. In addition, certain tear patterns that may have been traditionally underrecognized are now the subject of recent investigation on the merits of repair. Objectives: We review the existing literature on the biomechanical and clinical outcomes following treatment of radial, horizontal cleavage, and ramp meniscus tears. This article will also highlight meniscus repair strategies for these tear patterns. Methods: PubMed was searched. All levels of evidence (I-IV) pertaining to meniscus tears were analyzed and presented. Results: For radial tears, all-inside techniques are gaining popularity, with 2 emerging strategies: “tie-grip” sutures and transtibial approaches. For horizontal tears, circumferential sutures allow even compression of the superior and inferior leaflets of the tear. Multiple techniques have been described for repair of ramp lesions, which are best recognized with a systematic exploration of the posteromedial aspect of the knee. Conclusions: Increased awareness of certain meniscus tear types and their effect on knee kinematics and stability has led to investigation and evolution of repair techniques, with an increased emphasis on all-inside repairs. |
| first_indexed | 2024-04-09T23:42:49Z |
| format | Article |
| id | doaj.art-8884c785e6284bde9ef707a47b4bafcc |
| institution | Directory Open Access Journal |
| issn | 2667-2545 |
| language | English |
| last_indexed | 2024-04-09T23:42:49Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Cartilage & Joint Preservation |
| spelling | doaj.art-8884c785e6284bde9ef707a47b4bafcc2023-03-18T04:43:08ZengElsevierJournal of Cartilage & Joint Preservation2667-25452023-03-0131100106Techniques to treat challenging meniscus tearsCharles Qin0David C. Flanigan1Department of Orthopaedics, Wexner Medical Center, The Ohio State University, Columbus, OH, USADavid C. Flanigan, Department of Orthopaedics, Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, 2835 Fred Taylor Dr, Columbus, OH 43202.; Department of Orthopaedics, Wexner Medical Center, The Ohio State University, Columbus, OH, USAIntroduction: Meniscus tears are one of the most common knee pathologies encountered. Although meniscus tears were initially treated with meniscectomy, numerous studies have described the effect of meniscectomy on accelerating degenerative changes of the knee. In addition, certain tear patterns that may have been traditionally underrecognized are now the subject of recent investigation on the merits of repair. Objectives: We review the existing literature on the biomechanical and clinical outcomes following treatment of radial, horizontal cleavage, and ramp meniscus tears. This article will also highlight meniscus repair strategies for these tear patterns. Methods: PubMed was searched. All levels of evidence (I-IV) pertaining to meniscus tears were analyzed and presented. Results: For radial tears, all-inside techniques are gaining popularity, with 2 emerging strategies: “tie-grip” sutures and transtibial approaches. For horizontal tears, circumferential sutures allow even compression of the superior and inferior leaflets of the tear. Multiple techniques have been described for repair of ramp lesions, which are best recognized with a systematic exploration of the posteromedial aspect of the knee. Conclusions: Increased awareness of certain meniscus tear types and their effect on knee kinematics and stability has led to investigation and evolution of repair techniques, with an increased emphasis on all-inside repairs.http://www.sciencedirect.com/science/article/pii/S2667254523000082Horizontal cleavageMeniscus tearsMenisectomyRadial tearRamp tear |
| spellingShingle | Charles Qin David C. Flanigan Techniques to treat challenging meniscus tears Journal of Cartilage & Joint Preservation Horizontal cleavage Meniscus tears Menisectomy Radial tear Ramp tear |
| title | Techniques to treat challenging meniscus tears |
| title_full | Techniques to treat challenging meniscus tears |
| title_fullStr | Techniques to treat challenging meniscus tears |
| title_full_unstemmed | Techniques to treat challenging meniscus tears |
| title_short | Techniques to treat challenging meniscus tears |
| title_sort | techniques to treat challenging meniscus tears |
| topic | Horizontal cleavage Meniscus tears Menisectomy Radial tear Ramp tear |
| url | http://www.sciencedirect.com/science/article/pii/S2667254523000082 |
| work_keys_str_mv | AT charlesqin techniquestotreatchallengingmeniscustears AT davidcflanigan techniquestotreatchallengingmeniscustears |