Meniscus Repair With Anterior Cord Release for Peripheral Tear Type of Discoid Lateral Meniscus
With improvement in arthroscopic techniques, partial meniscectomy with repair for symptomatic discoid lateral meniscus (DLM) has been the preferred treatment to restore meniscal function. It was reported that DLM exhibited deformation and extrusion shortly after saucerization with repair. Therefore...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-02-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628720302978 |
| _version_ | 1818836818420826112 |
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| author | Tomoyuki Suzuki, M.D., Ph.D. Takashi Matsumura, M.D., Ph.D. Hidenori Otsubo, M.D., Ph.D. Miki Kuroda, M.D., Ph.D. |
| author_facet | Tomoyuki Suzuki, M.D., Ph.D. Takashi Matsumura, M.D., Ph.D. Hidenori Otsubo, M.D., Ph.D. Miki Kuroda, M.D., Ph.D. |
| author_sort | Tomoyuki Suzuki, M.D., Ph.D. |
| collection | DOAJ |
| description | With improvement in arthroscopic techniques, partial meniscectomy with repair for symptomatic discoid lateral meniscus (DLM) has been the preferred treatment to restore meniscal function. It was reported that DLM exhibited deformation and extrusion shortly after saucerization with repair. Therefore it is desirable to minimize removal of the DLM. The anterior zone of the DLM is often tighter than that of the normal meniscus and anatomic variant. It is considered that the anterior and anterocentral dislocation types in the majority of symptomatic DLM can be related to both peripheral instability and anterior tightness. We present a technique that, first, the inside-out repair technique is applied from the posterior to middle segment of the DLM; next, the tension of the anterior zone during knee flexion–extension is confirmed to determine the released amount of that part; and, finally, all sutures are tied to reproduce the normal meniscus movement. Meniscus repair with anterior cord release without any meniscectomy could resolve peripheral instability of DLM and prevent degeneration of the articular cartilage. |
| first_indexed | 2024-12-19T03:12:39Z |
| format | Article |
| id | doaj.art-c81113dd746644f791195316b5554916 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-19T03:12:39Z |
| publishDate | 2021-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-c81113dd746644f791195316b55549162022-12-21T20:37:59ZengElsevierArthroscopy Techniques2212-62872021-02-01102e353e357Meniscus Repair With Anterior Cord Release for Peripheral Tear Type of Discoid Lateral MeniscusTomoyuki Suzuki, M.D., Ph.D.0Takashi Matsumura, M.D., Ph.D.1Hidenori Otsubo, M.D., Ph.D.2Miki Kuroda, M.D., Ph.D.3Department of Orthopaedic Surgery, Sapporo Maruyama Orthopaedic Hospital, Chuo-ku, Sapporo, Hokkaido, Japan; Address correspondence to Tomoyuki Suzuki, M.D., Ph.D. Department of Orthopaedic Surgery, Sapporo Maruyama Orthopaedic Hospital, N7-W27, 1-3, Chuo-ku, Sapporo, Hokkaido 060-0007, Japan.Department of Orthopaedic Surgery, Obihiro Kyokai Hospital, Chuo-ku, Sapporo, Hokkaido, JapanDepartment of Orthopaedic Surgery, Sapporo Sports Clinic, Chuo-ku, Sapporo, Hokkaido, JapanDepartment of Orthopaedic Surgery, Sapporo Maruyama Orthopaedic Hospital, Chuo-ku, Sapporo, Hokkaido, JapanWith improvement in arthroscopic techniques, partial meniscectomy with repair for symptomatic discoid lateral meniscus (DLM) has been the preferred treatment to restore meniscal function. It was reported that DLM exhibited deformation and extrusion shortly after saucerization with repair. Therefore it is desirable to minimize removal of the DLM. The anterior zone of the DLM is often tighter than that of the normal meniscus and anatomic variant. It is considered that the anterior and anterocentral dislocation types in the majority of symptomatic DLM can be related to both peripheral instability and anterior tightness. We present a technique that, first, the inside-out repair technique is applied from the posterior to middle segment of the DLM; next, the tension of the anterior zone during knee flexion–extension is confirmed to determine the released amount of that part; and, finally, all sutures are tied to reproduce the normal meniscus movement. Meniscus repair with anterior cord release without any meniscectomy could resolve peripheral instability of DLM and prevent degeneration of the articular cartilage.http://www.sciencedirect.com/science/article/pii/S2212628720302978 |
| spellingShingle | Tomoyuki Suzuki, M.D., Ph.D. Takashi Matsumura, M.D., Ph.D. Hidenori Otsubo, M.D., Ph.D. Miki Kuroda, M.D., Ph.D. Meniscus Repair With Anterior Cord Release for Peripheral Tear Type of Discoid Lateral Meniscus Arthroscopy Techniques |
| title | Meniscus Repair With Anterior Cord Release for Peripheral Tear Type of Discoid Lateral Meniscus |
| title_full | Meniscus Repair With Anterior Cord Release for Peripheral Tear Type of Discoid Lateral Meniscus |
| title_fullStr | Meniscus Repair With Anterior Cord Release for Peripheral Tear Type of Discoid Lateral Meniscus |
| title_full_unstemmed | Meniscus Repair With Anterior Cord Release for Peripheral Tear Type of Discoid Lateral Meniscus |
| title_short | Meniscus Repair With Anterior Cord Release for Peripheral Tear Type of Discoid Lateral Meniscus |
| title_sort | meniscus repair with anterior cord release for peripheral tear type of discoid lateral meniscus |
| url | http://www.sciencedirect.com/science/article/pii/S2212628720302978 |
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