MANAGEMENT OF MENISCAL TEARS BY ARTHROSCOPIC PARTIAL MENISCECTOMY IN TRAUMATIC AND DEGENERATIVE CASES
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 3
Abstract
BACKGROUND Once described as “functionless remnants of leg muscle origin” by Bland Sutton, 1897, the menisci are now considered crucial structures of the knee. They are a pair of semilunar fibro cartilaginous structures well recognized to contribute to the maintenance of normal knee function, facilitating joint stability by deepening the tibial articulation for convex femoral surface, protection of articular cartilage by load distribution and shock absorption, improving mobility and joint lubrication with smooth low friction gliding surface and resilient to compression. MATERIALS AND METHODS Prospective analysis of data in patients who underwent surgery for meniscal tear in single centre by a single surgeon. RESULTS This prospective series consisted of 20 (18 male, 2 female) patients. No patient loss occurred during follow-up in this series. The average age at the time of meniscal repair was 36 years (range, 15-60 years). The average follow-up period was 6 months. Seven (35%) meniscal tears were rated acute (injury-to-surgery interval <2 months), and 13 (65%) tears were rated chronic (injury-to surgery interval >2 months). There were 10 (50%) isolated meniscal tears, and 10 (50%) tears were combined with arthroscopic ACL reconstruction. In total 20 patients (36 menisci repaired) most of the tears occurred in white-white zone. CONCLUSION 1. The tears in medial 1/3 of the meniscus heal poorly. 2. The interval between the onset of symptoms and the timing of surgery has no difference in the outcome of surgery. 3. The gender of the patient has no effect on the outcome of the surgery. 4. The bucket handle tear is more symptomatic and has better out come after the surgery than other types of tears. 5. Horizontal tears have very bad prognosis of healing and poor outcome. 6. Radial, parrot beak tears have better out come with partial meniscectomy. 7. Partial meniscectomy is an option in medial 1/3rd or white-white zone, and in late presenting cases, and in low demand patients.
Authors and Affiliations
Avalapati Narendra, Asadi Madhusudhana, Emmadi Venkata Bharath, Devarakonda Ravi Prakash
Keywords
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- EP ID EP609857
- DOI 10.18410/jebmh/2019/34
- Views 72
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