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Modern treatment of meniscal tears

The complex ultrastructure of the meniscus determines its vital functions for the knee, the lower extremity, and the body. The most recent concise, reliable, and valid classification system for meniscal tears is the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (...

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Autores principales: Doral, Mahmut Nedim, Bilge, Onur, Huri, Gazi, Turhan, Egemen, Verdonk, René
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Editorial Society of Bone and Joint Surgery 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994634/
https://www.ncbi.nlm.nih.gov/pubmed/29951265
http://dx.doi.org/10.1302/2058-5241.3.170067
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author Doral, Mahmut Nedim
Bilge, Onur
Huri, Gazi
Turhan, Egemen
Verdonk, René
author_facet Doral, Mahmut Nedim
Bilge, Onur
Huri, Gazi
Turhan, Egemen
Verdonk, René
author_sort Doral, Mahmut Nedim
collection PubMed
description The complex ultrastructure of the meniscus determines its vital functions for the knee, the lower extremity, and the body. The most recent concise, reliable, and valid classification system for meniscal tears is the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) Classification, which takes into account the subsequent parameters: tear depth, tear pattern, tear length, tear location/rim width, radial location, location according to the popliteal hiatus, and quality of the meniscal tissue. It is the orthopaedic surgeon’s responsibility to combine clinical information, radiological images, and clinical experience in an effort to individualize management of meniscal tears, taking into account factors related to the patient and lesion. Surgeons should strive not to operate in most cases, but to protect, repair or reconstruct, in order to prevent early development of osteoarthritis by restoring the native structure, function, and biomechanics of the meniscus. Currently, there are three main methods of modern surgical management of meniscus tears: arthroscopic partial meniscectomy; meniscal repair with or without augmentation techniques; and meniscal reconstruction. Meniscus surgery has come a long way from the old slogan, “If it is torn, take it out!” to the currently accepted slogan, “Save the meniscus!” which has guided evolving modern treatment methods for meniscal tears. This last slogan will probably constitute the basis for newer alternative biological treatment methods in the future. Cite this article: EFORT Open Rev 2018;3 DOI: 10.1302/2058-5241.3.170067.
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spelling pubmed-59946342018-06-27 Modern treatment of meniscal tears Doral, Mahmut Nedim Bilge, Onur Huri, Gazi Turhan, Egemen Verdonk, René EFORT Open Rev Instructional Lecture: Sports & Arthroscopy The complex ultrastructure of the meniscus determines its vital functions for the knee, the lower extremity, and the body. The most recent concise, reliable, and valid classification system for meniscal tears is the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) Classification, which takes into account the subsequent parameters: tear depth, tear pattern, tear length, tear location/rim width, radial location, location according to the popliteal hiatus, and quality of the meniscal tissue. It is the orthopaedic surgeon’s responsibility to combine clinical information, radiological images, and clinical experience in an effort to individualize management of meniscal tears, taking into account factors related to the patient and lesion. Surgeons should strive not to operate in most cases, but to protect, repair or reconstruct, in order to prevent early development of osteoarthritis by restoring the native structure, function, and biomechanics of the meniscus. Currently, there are three main methods of modern surgical management of meniscus tears: arthroscopic partial meniscectomy; meniscal repair with or without augmentation techniques; and meniscal reconstruction. Meniscus surgery has come a long way from the old slogan, “If it is torn, take it out!” to the currently accepted slogan, “Save the meniscus!” which has guided evolving modern treatment methods for meniscal tears. This last slogan will probably constitute the basis for newer alternative biological treatment methods in the future. Cite this article: EFORT Open Rev 2018;3 DOI: 10.1302/2058-5241.3.170067. British Editorial Society of Bone and Joint Surgery 2018-05-21 /pmc/articles/PMC5994634/ /pubmed/29951265 http://dx.doi.org/10.1302/2058-5241.3.170067 Text en © 2018 The author(s) https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.
spellingShingle Instructional Lecture: Sports & Arthroscopy
Doral, Mahmut Nedim
Bilge, Onur
Huri, Gazi
Turhan, Egemen
Verdonk, René
Modern treatment of meniscal tears
title Modern treatment of meniscal tears
title_full Modern treatment of meniscal tears
title_fullStr Modern treatment of meniscal tears
title_full_unstemmed Modern treatment of meniscal tears
title_short Modern treatment of meniscal tears
title_sort modern treatment of meniscal tears
topic Instructional Lecture: Sports & Arthroscopy
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994634/
https://www.ncbi.nlm.nih.gov/pubmed/29951265
http://dx.doi.org/10.1302/2058-5241.3.170067
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