Does practice of meniscus surgery change over time? A report of the 2021 ‘THE MENISCUS’ Webinar
Abstract Purpose The aim of this paper was to report the results presented in the session “Does practice of meniscus surgery change over time?” of the 2021 MENISCUS webinar held online on January 30th 2021. Method During the 2021 MENISCUS webinar, an evaluation of meniscus surgery practices was perf...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
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| Series: | Journal of Experimental Orthopaedics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40634-021-00365-8 |
| _version_ | 1797321255210188800 |
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| author | Christophe Jacquet Caroline Mouton Roland Becker Hideyuki Koga Matthieu Ollivier Peter Verdonk Philippe Beaufils Romain Seil |
| author_facet | Christophe Jacquet Caroline Mouton Roland Becker Hideyuki Koga Matthieu Ollivier Peter Verdonk Philippe Beaufils Romain Seil |
| author_sort | Christophe Jacquet |
| collection | DOAJ |
| description | Abstract Purpose The aim of this paper was to report the results presented in the session “Does practice of meniscus surgery change over time?” of the 2021 MENISCUS webinar held online on January 30th 2021. Method During the 2021 MENISCUS webinar, an evaluation of meniscus surgery practices was performed by analyzing: (1) The presentation of the results of a survey conducted among ESSKA members and assessing their current practices in the field of meniscus surgery, (2) Four reports by national experts analyzing the trends in Arthroscopic Partial Meniscectomy (APM) and meniscus repair procedures in their respective countries (France, Belgium, Germany and Japan). Results (1) ESSKA Survey: Among the 461 respondents, 75% of surgeons claimed to perform more meniscus repairs and 85% less APM than 5 years ago. In ACL‐associated meniscus injuries, a majority of surgeons (60%) indicated to perform a meniscal resection in less than 25% of cases. 25% declared to perform meniscus repair in ACL‐associated meniscus injuries in less than 25% of cases and 37% in more than 50% of cases. Half of the respondents repair medial or lateral root tears in less than 25% of cases. Less than 20% of respondents were not familiar with the ESSKA consensus. (2) National trends: In France, between 2005 and 2017, the APM rate decreased by 21.4%, while the repair rate increased by 320%. In Belgium, between 2007 and 2017, the APM rate decreased by 28.6%. In Germany, between 2010 and 2017 the number of APM decreased by 30%, while the number of repair procedures increased by 55%. Finally, in Japan, between 2011 and 2016, the APM ratio (APM/meniscus procedures) decreased by 16% from 91 to 75% while the repair ratio increased from 9 to 25%. Conclusion The 2021 ESSKA members' survey as well as statistics from 4 specifically examined countries (Belgium, France, Germany and Japan) suggest there has been a significant shift over the last years in the surgical management of meniscal lesions towards less APM and more conservative treatments. |
| first_indexed | 2024-03-08T04:55:55Z |
| format | Article |
| id | doaj.art-d30902105ff84a76a9687671ad2e2345 |
| institution | Directory Open Access Journal |
| issn | 2197-1153 |
| language | English |
| last_indexed | 2024-03-08T04:55:55Z |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Experimental Orthopaedics |
| spelling | doaj.art-d30902105ff84a76a9687671ad2e23452024-02-07T15:16:41ZengWileyJournal of Experimental Orthopaedics2197-11532021-01-0181n/an/a10.1186/s40634-021-00365-8Does practice of meniscus surgery change over time? A report of the 2021 ‘THE MENISCUS’ WebinarChristophe Jacquet0Caroline Mouton1Roland Becker2Hideyuki Koga3Matthieu Ollivier4Peter Verdonk5Philippe Beaufils6Romain Seil7Department of Orthopedic Surgery and Traumatology St. Marguerite HospitalInstitute for Movement and Locomotion (IML)MarseilleFranceSports ClinicCentre Hospitalier de Luxembourg‐Clinique d’EichLuxembourgLuxembourgDepartment of Orthopaedics and TraumatologyBrandenburg University Theodor FontaneHochstrasse 2614776BrandenburgGermanyDepartment of Joint Surgery and Sports MedicineGraduate School of Medical and Dental SciencesTokyo Medical and Dental UniversityTokyoJapanDepartment of Orthopedic Surgery and Traumatology St. Marguerite HospitalInstitute for Movement and Locomotion (IML)MarseilleFranceORTHOCAAntwerpBelgiumDepartment of Orthopaedic SurgeryCentre Hospitalier de Versailles André Mignot177 rue de Versailles78150Le ChesnayFranceSports ClinicCentre Hospitalier de Luxembourg‐Clinique d’EichLuxembourgLuxembourgAbstract Purpose The aim of this paper was to report the results presented in the session “Does practice of meniscus surgery change over time?” of the 2021 MENISCUS webinar held online on January 30th 2021. Method During the 2021 MENISCUS webinar, an evaluation of meniscus surgery practices was performed by analyzing: (1) The presentation of the results of a survey conducted among ESSKA members and assessing their current practices in the field of meniscus surgery, (2) Four reports by national experts analyzing the trends in Arthroscopic Partial Meniscectomy (APM) and meniscus repair procedures in their respective countries (France, Belgium, Germany and Japan). Results (1) ESSKA Survey: Among the 461 respondents, 75% of surgeons claimed to perform more meniscus repairs and 85% less APM than 5 years ago. In ACL‐associated meniscus injuries, a majority of surgeons (60%) indicated to perform a meniscal resection in less than 25% of cases. 25% declared to perform meniscus repair in ACL‐associated meniscus injuries in less than 25% of cases and 37% in more than 50% of cases. Half of the respondents repair medial or lateral root tears in less than 25% of cases. Less than 20% of respondents were not familiar with the ESSKA consensus. (2) National trends: In France, between 2005 and 2017, the APM rate decreased by 21.4%, while the repair rate increased by 320%. In Belgium, between 2007 and 2017, the APM rate decreased by 28.6%. In Germany, between 2010 and 2017 the number of APM decreased by 30%, while the number of repair procedures increased by 55%. Finally, in Japan, between 2011 and 2016, the APM ratio (APM/meniscus procedures) decreased by 16% from 91 to 75% while the repair ratio increased from 9 to 25%. Conclusion The 2021 ESSKA members' survey as well as statistics from 4 specifically examined countries (Belgium, France, Germany and Japan) suggest there has been a significant shift over the last years in the surgical management of meniscal lesions towards less APM and more conservative treatments.https://doi.org/10.1186/s40634-021-00365-8MENISCUS WebinarMeniscus RepairMeniscectomyESSKA consensus |
| spellingShingle | Christophe Jacquet Caroline Mouton Roland Becker Hideyuki Koga Matthieu Ollivier Peter Verdonk Philippe Beaufils Romain Seil Does practice of meniscus surgery change over time? A report of the 2021 ‘THE MENISCUS’ Webinar Journal of Experimental Orthopaedics MENISCUS Webinar Meniscus Repair Meniscectomy ESSKA consensus |
| title | Does practice of meniscus surgery change over time? A report of the 2021 ‘THE MENISCUS’ Webinar |
| title_full | Does practice of meniscus surgery change over time? A report of the 2021 ‘THE MENISCUS’ Webinar |
| title_fullStr | Does practice of meniscus surgery change over time? A report of the 2021 ‘THE MENISCUS’ Webinar |
| title_full_unstemmed | Does practice of meniscus surgery change over time? A report of the 2021 ‘THE MENISCUS’ Webinar |
| title_short | Does practice of meniscus surgery change over time? A report of the 2021 ‘THE MENISCUS’ Webinar |
| title_sort | does practice of meniscus surgery change over time a report of the 2021 the meniscus webinar |
| topic | MENISCUS Webinar Meniscus Repair Meniscectomy ESSKA consensus |
| url | https://doi.org/10.1186/s40634-021-00365-8 |
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