Review
Orthopedics
Wang Wei, Yi Zhang, Ruiying Li, Jianlong Ni, Dongjian Wang, Sanpeng Zhang, Zhibin Shi
Summary: This study aims to evaluate the efficacy of absorbable and non-absorbable sutures in meniscus repair surgery. Through a systematic review and meta-analysis, it was found that in the early and limited studies, there is insufficient evidence to support the idea that non-absorbable sutures can improve the success rate of meniscal repair surgery compared to absorbable sutures. On the contrary, the available data suggest that absorbable sutures have an advantage in meniscal healing.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Review
Orthopedics
L. M. Gerritsen, T. J. N. van der Lelij, P. van Schie, M. Fiocco, E. R. A. van Arkel, R. G. Zuurmond, S. Keereweer, P. B. A. A. van Driel
Summary: The study findings indicate that meniscal tears located in vascular zone 1 are more likely to heal than those in zone 2.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2022)
Review
Medicine, General & Internal
Rawan Jaibaji, Faisal Khaleel, Monketh Jaibaji, Andrea Volpin
Summary: This study aimed to evaluate the outcomes of meniscal repair in patients over the age of 40. Thirteen studies were included, and it was found that there was no difference in failure rates and functional outcomes between patients over 40 and those under 40. Age should not be considered a contraindication for meniscal repair.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Orthopedics
Pedro Debieux, Andrew E. Jimenez, Joao Victor Novaretti, Camila Cohen Kaleka, Danielle E. Kriscenski, Diego Costa Astur, Elifho Obopilwe, Lisa M. Tamburini, Lukas N. Muench, Mark P. Cote, Moises Cohen, Katherine J. Coyner
Summary: This study evaluated the effects of meniscal extrusion on medial compartment contact area and pressures in the knee. It found that extrusion greater than 4 mm reduced contact area, but did not significantly increase pressure. Centralization of the meniscus effectively restored contact area to intact levels.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)
Article
Orthopedics
S. Clifton Willimon, Michael T. Busch, Asahi Murata, Crystal A. Perkins
Summary: Meniscus root tears, especially avulsions of the posterior root of the lateral meniscus, are common injuries in pediatric patients. These tears are often associated with anterior cruciate ligament tears. Transosseous meniscus root repair has shown successful outcomes in the majority of patients.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2022)
Article
Orthopedics
Lukas N. Muench, Andrea Achtnich, Lukas Krivec, Theresa Diermeier, Klaus Woertler, Sepp Braun, Andreas B. Imhoff, Lukas Willinger
Summary: The study showed that patients who underwent repair for acute traumatic BHMTs had good clinical outcomes, high meniscal healing rate, and most patients reached or exceeded the patient acceptable symptomatic state criteria for the IKDC score in a minimum follow-up of two years.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Review
Radiology, Nuclear Medicine & Medical Imaging
Atul K. Taneja, Frederico C. Miranda, Laercio A. Rosemberg, Durval C. B. Santos
Summary: This review aims to describe the anatomy and lesions affecting the peripheral portion of the posterior horn of the medial meniscus, known as ramp lesions, with illustrations and MRI cases. It also discusses the correlation between imaging features and arthroscopic classification of ramp lesions, as well as postoperative and chronic changes related to meniscocapsular tears, biomechanical consequences, and treatment approach.
INSIGHTS INTO IMAGING
(2021)
Article
Orthopedics
Julien Erard, Nicolas Cance, Jobe Shatrov, Gaspard Fournier, Stanislas Gunst, Gianluca Ciolli, Pasquale Porcelli, Sebastien Lustig, Elvire Servien
Summary: The study aimed to evaluate the relationship between the time from injury to ACL reconstruction and the rate as well as repairability of meniscal tears. It also explored the association between meniscal injury and factors such as Tegner Activity Scale, age, BMI, and gender. The findings showed that delaying ACL reconstruction for more than 12 months increased the rate of medial meniscal injury. There was no correlation between a 3- or 6-month time frame and medial meniscal tear. Performing ACL reconstruction 3, 6, or 12 months after injury did not significantly increase the rate of lateral meniscal injury. Age, gender, and Tegner activity score were found to have associations with meniscal injury.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Marcello Zappia, Luca Maria Sconfienza, Salvatore Guarino, Michele Tumminello, Germano Iannella, Pier Paolo Mariani
Summary: The study evaluated the diagnostic performance of MR in detecting meniscal ramp area lesions, showing that MR has high diagnostic accuracy in identifying ramp lesions with substantial inter-reader agreement among radiologists.
Review
Orthopedics
Filippo Migliorini, Francesco Cuozzo, Lucio Cipollaro, Francesco Oliva, Frank Hildebrand, Nicola Maffulli
Summary: This meta-analysis compared the efficacy and safety of arthroscopic meniscal repair performed in isolation or augmented with platelet-rich plasma (PRP). The results showed that there were no significant differences in the evaluated outcomes between the two methods, including pain scores, knee function scores, failure rate, and revision rate. Therefore, the current scientific evidence does not support the use of PRP augmentation for arthroscopic meniscal repair.
JOURNAL OF ORTHOPAEDICS AND TRAUMATOLOGY
(2022)
Article
Orthopedics
Takuya Kinoshita, Yusuke Hashimoto, Kazuya Nishino, Yohei Nishida, Shinji Takahashi, Hiroaki Nakamura
Summary: The study compared the rate of cyst formation after meniscal tear repair using a new all-inside suture device versus an older one. The MRI-confirmed cyst formation rate was significantly lower in the group using the new device, suggesting that using a low-profile device may decrease the risk of cyst formation.
INTERNATIONAL ORTHOPAEDICS
(2022)
Review
Orthopedics
Loic Geffroy
Summary: Menisci are crucial for knee biomechanics and cartilage protection, especially in children and adolescents. Traumatic lesions are common in normal menisci, while atraumatic lesions, especially in discoid menisci, are more specific to children. MRI is essential for diagnosis and guiding surgery in discoid meniscal pathology.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2021)
Article
Sport Sciences
Stine Haugaard Clausen, Soren T. Skou, Mikael Ploug Boesen, Dimitar Ivanon Radev, Engin Yeter Kurt, Camma Damsted, Per Holmich, Martin Lind, Sofus Torring, Christin Isaksen, Claus Varnum, Martin Englund, Jonas Bloch Thorlund
Summary: This study aimed to compare the differences in structural knee joint damage and patient-reported outcomes in young adults with a meniscal tear treated with early surgery or exercise and education with optional delayed surgery. The study found that the worsening of structural damage assessed by MRI was similar between the two treatment groups, and both groups had similar improvements in patient-reported outcomes.
BRITISH JOURNAL OF SPORTS MEDICINE
(2023)
Article
Biotechnology & Applied Microbiology
Salomi Desai, Mark Dooner, Jake Newberry, John Twomey-Kozak, Janine Molino, Jay Trivedi, Jay M. Patel, Brett D. Owens, Chathuraka T. Jayasuriya
Summary: In a rodent model, treatment with stable cartilage-derived progenitor cell lines has been shown to stimulate meniscus tear healing and provide chondroprotection.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2022)
Article
Orthopedics
Alberto Grassi, Luca Macchiarola, Gian Andrea Lucidi, Giacomo Dal Fabbro, Ilaria Cucurnia, Nicola Lopomo, Giuseppe Filardo, Stefano Zaffagnini
Summary: The study assessed the clinical outcomes of all-inside meniscal repairs in ACL reconstruction, showing good short-term results with 86% cases achieving full or partial healing at MRI. However, one-third of patients developed peri-meniscal cysts.
INTERNATIONAL ORTHOPAEDICS
(2022)