Torn discoid lateral meniscus treated using partial central meniscectomy and suture of the peripheral tear
Autor: | Mitsuo Ochi, Masakazu Kuriwaka, Rikuo Shinomiya, Yuji Uchio, Nobuo Adachi |
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Rok vydání: | 2004 |
Předmět: |
Male
medicine.medical_specialty Adolescent Football Meniscus (anatomy) Baseball Menisci Tibial Congenital Abnormalities Arthroscopy Suture (anatomy) Discoid meniscus Internal medicine medicine Humans Orthopedics and Sports Medicine Child medicine.diagnostic_test business.industry Suture Techniques medicine.disease Rheumatology Surgery Peripheral Tibial Meniscus Injuries medicine.anatomical_structure Knee pain Treatment Outcome Second-Look Surgery Female medicine.symptom business Follow-Up Studies |
Zdroj: | Arthroscopy : the journal of arthroscopicrelated surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 20(5) |
ISSN: | 1526-3231 |
Popis: | We present the cases of 5 patients with a torn discoid lateral meniscus treated using partial central meniscectomy in conjunction with the suture repair of the tear. The patients were 4 boys and 1 girl with a mean age of 15.4 years (range, 11 to 17). Preoperatively, all patients complained of knee pain during daily or sports activities. At the final follow-up evaluation, more than 2 years later, 4 patients' conditions were graded as excellent and 1 patient's condition was graded as fair according to Ikeuchi's grading scale. The average Lysholm score improved from 83.4 points (range, 70-90) to 95.8 points (range, 89-100) postoperatively. In the 3 patients who underwent second-look arthroscopy, complete healing was seen in 2 patients. One patient had severe degenerative changes in the meniscus; the repaired site was not united and required an additional partial meniscectomy along the tear. We believe that with the current advancement in arthroscopic meniscal repair techniques, a partial central meniscectomy in conjunction with the suture repair of the peripheral tear can be effective treatment for patients with a torn complete or incomplete discoid meniscus. |
Databáze: | OpenAIRE |
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