The role of meniscal repair for prevention of early onset of osteoarthritis

BACKGROUND: The meniscus plays an important role in the integrity of the knee joint. Therefore, meniscus tissue preserving techniques for the therapy of meniscus injuries seem to be reasonable. One of the important questions is whether meniscal repair can prevent the knee joint from early onset of o...

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Autores principales: Weber, Johannes, Koch, Matthias, Angele, Peter, Zellner, Johannes
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5879034/
https://www.ncbi.nlm.nih.gov/pubmed/29607459
http://dx.doi.org/10.1186/s40634-018-0122-z
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author Weber, Johannes
Koch, Matthias
Angele, Peter
Zellner, Johannes
author_facet Weber, Johannes
Koch, Matthias
Angele, Peter
Zellner, Johannes
author_sort Weber, Johannes
collection PubMed
description BACKGROUND: The meniscus plays an important role in the integrity of the knee joint. Therefore, meniscus tissue preserving techniques for the therapy of meniscus injuries seem to be reasonable. One of the important questions is whether meniscal repair can prevent the knee joint from early onset of osteoarthritis. METHODS: According to the review of the current literature, the principles of a successful meniscal repair are explained and the functional outcome and its impact on the prevention of osteoarthritis are analyzed in this article. RESULTS: Current data show a positive impact of a successful meniscus repair on the functional outcome in long-term. By this a protective effect on the development of osteoarthritis via the repair of meniscus lesions to restore the meniscus integrity can be confirmed. However, higher rates of re-operations in context to meniscus suturing have to be considered. CONCLUSION: Due to the improved functional outcomes as well as preventive effect on the development of osteoarthritis within the knee joint in long-term, it is of importance to preserve as much meniscus tissue as possible in meniscus therapy. Patients previously have to be informed about the higher revision rate in context to meniscus suturing.
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spelling pubmed-58790342018-04-06 The role of meniscal repair for prevention of early onset of osteoarthritis Weber, Johannes Koch, Matthias Angele, Peter Zellner, Johannes J Exp Orthop Review BACKGROUND: The meniscus plays an important role in the integrity of the knee joint. Therefore, meniscus tissue preserving techniques for the therapy of meniscus injuries seem to be reasonable. One of the important questions is whether meniscal repair can prevent the knee joint from early onset of osteoarthritis. METHODS: According to the review of the current literature, the principles of a successful meniscal repair are explained and the functional outcome and its impact on the prevention of osteoarthritis are analyzed in this article. RESULTS: Current data show a positive impact of a successful meniscus repair on the functional outcome in long-term. By this a protective effect on the development of osteoarthritis via the repair of meniscus lesions to restore the meniscus integrity can be confirmed. However, higher rates of re-operations in context to meniscus suturing have to be considered. CONCLUSION: Due to the improved functional outcomes as well as preventive effect on the development of osteoarthritis within the knee joint in long-term, it is of importance to preserve as much meniscus tissue as possible in meniscus therapy. Patients previously have to be informed about the higher revision rate in context to meniscus suturing. Springer Berlin Heidelberg 2018-04-02 /pmc/articles/PMC5879034/ /pubmed/29607459 http://dx.doi.org/10.1186/s40634-018-0122-z Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Review
Weber, Johannes
Koch, Matthias
Angele, Peter
Zellner, Johannes
The role of meniscal repair for prevention of early onset of osteoarthritis
title The role of meniscal repair for prevention of early onset of osteoarthritis
title_full The role of meniscal repair for prevention of early onset of osteoarthritis
title_fullStr The role of meniscal repair for prevention of early onset of osteoarthritis
title_full_unstemmed The role of meniscal repair for prevention of early onset of osteoarthritis
title_short The role of meniscal repair for prevention of early onset of osteoarthritis
title_sort role of meniscal repair for prevention of early onset of osteoarthritis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5879034/
https://www.ncbi.nlm.nih.gov/pubmed/29607459
http://dx.doi.org/10.1186/s40634-018-0122-z
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