Meniscus Repair Enhancement Options

Autor: Andreas H. Gomoll, Jack Farr, Ryan A. Mlynarek
Rok vydání: 2018
Předmět:
Zdroj: Operative Techniques in Sports Medicine. 26:279-287
ISSN: 1060-1872
DOI: 10.1053/j.otsm.2018.10.010
Popis: Meniscal tears are one of the most common pathologies of the knee. They can be managed with observation, partial meniscectomy, or repair. The limited vascularity of the meniscus central to the periphery limits the healing potential of meniscal tissue; however, recent development of biologic augments and surgical techniques have expanded the capability for meniscus repair; potentially avoiding partial meniscectomy in selected cases. The procedures and adjuncts include mechanical stimulation of the healing response, fibrin augmentation, bone marrow aspirate concentrate, mesenchymal stem cells, platelet-rich plasma, scaffolds, and others in development used either in isolation or combination. It is important for surgeons to become familiar with evolving biologic augmentation options to improve meniscal repair healing in an attempt to optimize the long-term health of the knee joint.
Databáze: OpenAIRE