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Meniscal allograft transplantation for symptomatic knee after meniscectomy of torn discoid medial meniscus: Report of three cases

In symptomatic discoid medial meniscus, partial meniscectomy is the principal treatment method and can yield promising short-term results. However, unlike the nondiscoid meniscus, discoid medial meniscus is frequently associated with horizontal cleavage tears, attributable to the presence of myxoid...

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Autor principal: Wang, Sung Il
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Turkish Association of Orthopaedics and Traumatology 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136343/
https://www.ncbi.nlm.nih.gov/pubmed/27751607
http://dx.doi.org/10.1016/j.aott.2016.09.001
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author Wang, Sung Il
author_facet Wang, Sung Il
author_sort Wang, Sung Il
collection PubMed
description In symptomatic discoid medial meniscus, partial meniscectomy is the principal treatment method and can yield promising short-term results. However, unlike the nondiscoid meniscus, discoid medial meniscus is frequently associated with horizontal cleavage tears, attributable to the presence of myxoid degeneration in the intrameniscal substance, in that it may potentially occur deteriorating long-term results because of re-tearing of remaining meniscus or secondary degeneration of cartilage of the medial compartment after meniscectomy. We experienced three rare cases of retear or secondary degeneration of cartilage of the medial compartment after meniscectomy for two patients with torn bilateral meniscus. Both patients were highly active young males. Meniscal allograft transplantation in complicated discoid medial meniscus was performed. At 2 years after meniscal allograft transplantation, clinical outcomes were improved with a normal range of motion. Orthopedic surgeons should recommend activity modification to prevent possible complicated injury of the discoid medial meniscus. Meniscal allograft transplantation may be an alternative option in highly active young patients undergoing complicated discoid medial meniscus to diminish pain, improve knee function, and prevent or delay degeneration.
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spelling pubmed-61363432018-09-25 Meniscal allograft transplantation for symptomatic knee after meniscectomy of torn discoid medial meniscus: Report of three cases Wang, Sung Il Acta Orthop Traumatol Turc Case Report In symptomatic discoid medial meniscus, partial meniscectomy is the principal treatment method and can yield promising short-term results. However, unlike the nondiscoid meniscus, discoid medial meniscus is frequently associated with horizontal cleavage tears, attributable to the presence of myxoid degeneration in the intrameniscal substance, in that it may potentially occur deteriorating long-term results because of re-tearing of remaining meniscus or secondary degeneration of cartilage of the medial compartment after meniscectomy. We experienced three rare cases of retear or secondary degeneration of cartilage of the medial compartment after meniscectomy for two patients with torn bilateral meniscus. Both patients were highly active young males. Meniscal allograft transplantation in complicated discoid medial meniscus was performed. At 2 years after meniscal allograft transplantation, clinical outcomes were improved with a normal range of motion. Orthopedic surgeons should recommend activity modification to prevent possible complicated injury of the discoid medial meniscus. Meniscal allograft transplantation may be an alternative option in highly active young patients undergoing complicated discoid medial meniscus to diminish pain, improve knee function, and prevent or delay degeneration. Turkish Association of Orthopaedics and Traumatology 2018-01 2016-10-14 /pmc/articles/PMC6136343/ /pubmed/27751607 http://dx.doi.org/10.1016/j.aott.2016.09.001 Text en © 2016 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Wang, Sung Il
Meniscal allograft transplantation for symptomatic knee after meniscectomy of torn discoid medial meniscus: Report of three cases
title Meniscal allograft transplantation for symptomatic knee after meniscectomy of torn discoid medial meniscus: Report of three cases
title_full Meniscal allograft transplantation for symptomatic knee after meniscectomy of torn discoid medial meniscus: Report of three cases
title_fullStr Meniscal allograft transplantation for symptomatic knee after meniscectomy of torn discoid medial meniscus: Report of three cases
title_full_unstemmed Meniscal allograft transplantation for symptomatic knee after meniscectomy of torn discoid medial meniscus: Report of three cases
title_short Meniscal allograft transplantation for symptomatic knee after meniscectomy of torn discoid medial meniscus: Report of three cases
title_sort meniscal allograft transplantation for symptomatic knee after meniscectomy of torn discoid medial meniscus: report of three cases
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136343/
https://www.ncbi.nlm.nih.gov/pubmed/27751607
http://dx.doi.org/10.1016/j.aott.2016.09.001
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