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Meniscal repaire

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https://www.readbyqxmd.com/read/29791926/meniscus-repair-in-children-and-adolescents-a-systematic-review-of-treatment-approaches-meniscal-healing-and-outcomes
#1
Márcio Balbinotti Ferrari, Colin P Murphy, João Luiz Ellera Gomes
Although the consequences of traumatic meniscus tears and the importance of meniscal repair are well-established in adults, the same cannot be said for the young population. Better evidence regarding the outcomes following traumatic meniscal tears in children would improve our understanding of this increasing pathology and help define important factors in deciding the best treatment option. A systematic review was performed according to the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines using the Cochrane Database of Systematic Review, Cochrane Central Register of Controlled Trials, MEDLINE Ovid, and MEDLINE PubMed databases...
May 23, 2018: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29772990/the-effects-of-meniscal-geometry-on-susceptibility-for-meniscal-and-acl-injury-in-non-arthritic-knees-a-retrospective-case-control-study
#2
Alexander Tejani, Qais Naziri, Preston W Grieco, Robert Pivec, Damon Greene, Bhaveen V Kapadia, Dipal Chatterjee, William P Urban
Prior studies have not found significant differences in meniscal parameters between patients with meniscal and ligamentous injury and those without. The purpose of this study was to determine whether such relationships exist. Clinical records and magnetic resonance images of three subject groups were reviewed. Group 1 solely had meniscal tears (medial/lateral), Group 2 had meniscal tears with concurrent ACL tears, and Group 3 had healthy knees. The mean age of subjects included was 35.9 years (range 8.2-72...
2018: Journal of Long-term Effects of Medical Implants
https://www.readbyqxmd.com/read/29769537/a-co-culture-system-of-rat-synovial-stem-cells-and-meniscus-cells-promotes-cell-proliferation-and-differentiation-as-compared-to-mono-culture
#3
Xing Xie, Jingxian Zhu, Xiaoqing Hu, Linghui Dai, Xin Fu, Jiying Zhang, Xiaoning Duan, Yingfang Ao
A meniscus tear often happens during active sports. It needs to be repaired or replaced surgically to avoid further damage to the articular cartilage. To address the shortage of autologous meniscal cells, we designed a co-culture system of synovial stem cells (SMSCs) and meniscal cells (MCs) to produce a large cell number and to maintain characteristics of MCs. Different ratios of SMSCs and MCs at 3:1, 1:1, and 1:3 were tested. Mono-culture of SMSCs or MCs served as control groups. Proliferation and differentiation abilities were compared...
May 16, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29762116/incidence-and-risk-factors-for-reoperation-following-meniscal-repair-in-a-military-population
#4
Alaina M Brelin, Michael A Donohue, George C Balazs, Lance E LeClere, John-Paul H Rue, Jonathan F Dickens
The purpose of this study is to determine the reoperation rate following meniscal repair and the associated risk factors. The Military Health System Data Repository was queried for active duty patients between January 2009 and December 2012 undergoing meniscal repair by Current Procedural Terminology code (29882, 29883, and 27403). This cohort was then screened for subsequent procedures following the index procedure. Risk factors for reoperation were calculated using a Cox proportional hazard analysis. A total of 3259 primary meniscal repairs were identified over the study period, of which 1423 (43...
2018: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/29752501/it-is-safe-and-effective-to-use-all-inside-meniscal-repair-devices-for-posteromedial-meniscal-ramp-lesions
#5
Giles Heilpern, Jo Stephen, Simon Ball, Andrew Amis, Andy Williams
PURPOSE: Recently, it has been recognized that meniscocapsular ('ramp') lesions of the posterior one-third of the medial meniscus frequently occur during injuries causing ACL rupture, and that these lesions are easily missed at arthroscopy. Furthermore, it is clear that these lesions are biomechanically significant, adding to the deficits caused by ACL rupture, and that their repair can reverse this. The efficacy of an all inside repair technique has been questioned by some authors and by those who advocate a suture shuttle technique via an accessory posteromedial portal...
May 12, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29741400/anterolateral-ligament-reconstruction-protects-the-repaired-medial-meniscus-a-comparative-study-of-383-anterior-cruciate-ligament-reconstructions-from-the-santi-study-group-with-a-minimum-follow-up-of-2-years
#6
Bertrand Sonnery-Cottet, Adnan Saithna, William G Blakeney, Herve Ouanezar, Amrut Borade, Matt Daggett, Mathieu Thaunat, Jean-Marie Fayard, Jean Romain Delaloye
BACKGROUND: The prevalence of osteoarthritis after successful meniscal repair is significantly less than that after failed meniscal repair. PURPOSE: To determine whether the addition of anterolateral ligament reconstruction (ALLR) confers a protective effect on medial meniscal repair performed at the time of anterior cruciate ligament reconstruction (ACLR). STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Retrospective analysis of prospectively collected data was performed to include all patients who had undergone primary ACLR with concomitant posterior horn medial meniscal repair through a posteromedial portal between January 2013 and August 2015...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29729766/editorial-commentary-medial-meniscal-ramp-lesions-lessons-learned-from-the-past-in-the-pursuit-of-evidence
#7
EDITORIAL
Romain Seil
Thirty-five years after their initial description, ramp lesions of the medial meniscus in anterior cruciate ligament (ACL)-deficient knees are slowly being rediscovered. Routinely repaired in open ACL and peripheral reconstructions before the era of arthroscopic ACL reconstruction, ramp lesions have been largely ignored in the last 2 decades. Following the growing number of studies analyzing the causes of residual laxity after ACL reconstructions over the last decade, ramp lesions are increasingly being implicated, and thus investigated, but remain poorly understood...
May 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29713647/a-prospective-randomized-double-blind-parallel-group-placebo-controlled-study-evaluating-meniscal-healing-clinical-outcomes-and-safety-in-patients-undergoing-meniscal-repair-of-unstable-complete-vertical-meniscal-tears-bucket-handle-augmented-with-platelet
#8
Rafal Kaminski, Krzysztof Kulinski, Katarzyna Kozar-Kaminska, Monika Wielgus, Maciej Langner, Marcin K Wasko, Jacek Kowalczewski, Stanislaw Pomianowski
Objective: The present study aimed to investigate the effectiveness and safety of platelet-rich plasma (PRP) application in arthroscopic repair of complete vertical tear of meniscus located in the red-white zone. Methods: This single center, prospective, randomized, double-blind, placebo-controlled, parallel-arm study included 37 patients with complete vertical meniscus tears. Patients received an intrarepair site injection of either PRP or sterile 0.9% saline during an index arthroscopy...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29704113/repair-of-the-lateral-posterior-meniscal-root-improves-stability-in-an-acl-deficient-knee
#9
Philipp Forkel, Constantin von Deimling, Lucca Lacheta, Florian B Imhoff, Peter Foehr, Lukas Willinger, Felix Dyrna, Wolf Petersen, Andreas B Imhoff, Rainer Burgkart
PURPOSE: To investigate the stabilizing effect of a lateral meniscus posterior root repair in an ACL and root deficient knee. METHODS: The hypothesis of the current study was that a sequential transection of the posterior root and the meniscofemoral ligaments in an ACL-deficient knee increases rotational instability, and conversely, a repair of the meniscus root reduces the internal tibial rotation. Therefore, eight human knee joints were tested in a robotic setup (5 N m internal torque, 50 N m anterior translation load)...
April 27, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29682310/rehabilitation-following-meniscal-repair-a-systematic-review
#10
Robert C Spang Iii, Michael C Nasr, Amin Mohamadi, Joseph P DeAngelis, Ara Nazarian, Arun J Ramappa
Objective: To review existing biomechanical and clinical evidence regarding postoperative weight-bearing and range of motion restrictions for patients following meniscal repair surgery. Methods and data sources: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline, we searched MEDLINE using following search strategy: (((("Weight-Bearing/physiology"[Mesh]) OR "Range of Motion, Articular"[Mesh]) OR "Rehabilitation"[Mesh])) AND ("Menisci, Tibial"[Mesh])...
2018: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/29663192/human-knee-meniscus-regeneration-strategies-a-review-on-recent-advances
#11
REVIEW
Mamatha M Pillai, J Gopinathan, R Selvakumar, Amitava Bhattacharyya
PURPOSE OF REVIEW: Lack of vascularity in the human knee meniscus often leads to surgical removal (total or partial meniscectomy) in the case of severe meniscal damage. However, complete recovery is in question after such removal as the meniscus plays an important role in knee stability. Thus, meniscus tissue regeneration strategies are of intense research interest in recent years. RECENT FINDINGS: The structural complexity and inhomogeneity of the meniscus have been addressed with processing technologies for precisely controlled three dimensional (3D) complex porous scaffold architectures, the use of biomolecules and nanomaterials...
April 16, 2018: Current Osteoporosis Reports
https://www.readbyqxmd.com/read/29657472/early-determinants-of-long-term-clinical-outcome-after-cartilage-repair-surgery-in-the-knee
#12
Eirik Solheim, Janne Hegna, Eivind Inderhaug
Purpose: To identify early determinants of clinical outcome after knee cartilage repair. Methods: 205 patients were evaluated before surgery and at median 14-years follow-up. Results: Baseline factors predicting a good outcome were: single lesion; normal appearing cartilage surrounding the lesion; high baseline Lysholm score; short duration of symptoms; non-involvement of the patella-femoral joint; young age; and small defect. Factors predicting a poor outcome were: multiple lesions; low baseline Lysholm score; degenerative cartilage surrounding the lesion; long symptom duration; meniscal lesion; and large defect...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29648924/operative-treatment-of-isolated-meniscus-injuries-in-adolescent-patients-a-meta-analysis-and-review
#13
Gina M Mosich, Virginia Lieu, Edward Ebramzadeh, Jennifer J Beck
CONTEXT: With the rise in sports participation and increased athleticism in the adolescent population, there is an ever-growing need to better understand adolescent meniscus pathology and treatment. OBJECTIVE: To better understand the operative management of meniscus tears in the adolescent population. DATA SOURCES: A systematic review of PubMed (MEDLINE) and Google Scholar was performed for all archived years. STUDY SELECTION: Studies that reported on isolated meniscus tears in adolescent patients (age, 10-19 years) were included...
April 1, 2018: Sports Health
https://www.readbyqxmd.com/read/29622245/editorial-commentary-we-know-we-need-to-fix-knee-meniscal-radial-root-tears-but-how-best-to-perform-the-repairs
#14
EDITORIAL
Robert F LaPrade
The present work further contributes to building the base of the research pyramid by noting the importance of repairing knee meniscal radial root tears. Because of the extensive biomechanical studies that have now been published on the restoration of joint mechanics and with what I believe results in a higher likelihood of an improved healing environment with securing the meniscus root tear down to bone, I would strongly recommend that when one does see a meniscus root tear that the transtibial pullout root repair technique be considered over a side-to-side repair...
April 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29613868/biomechanical-consequences-of-meniscal-tear-partial-meniscectomy-and-meniscal-repair-in-the-knee
#15
Brian C Lau, Devin Conway, Jeffrey Mulvihill, Alan Z Zhang, Brian T Feeley
No abstract text is available yet for this article.
April 3, 2018: JBJS Reviews
https://www.readbyqxmd.com/read/29607459/the-role-of-meniscal-repair-for-prevention-of-early-onset-of-osteoarthritis
#16
REVIEW
Johannes Weber, Matthias Koch, Peter Angele, Johannes Zellner
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...
April 2, 2018: Journal of Experimental Orthopaedics
https://www.readbyqxmd.com/read/29600217/double-posterior-cruciate-ligament-sign-on-magnetic-resonance-imaging-imaging-variants-mimics-and-clinical-implications
#17
Raju Vaishya, Vipul Vijay, Abhishek Vaish, Amit K Agarwal, Nitin P Ghonge
Introduction: Double posterior cruciate ligament (PCL) sign is a sign on magnetic resonance imaging (MRI) which is suggestive of a bucket- handle tear (BHT) of the meniscus. We undertook this study to assess the presence of a double PCL sign and its correlation with arthroscopic findings. We also discussed the various mimics and variants of the double PCL sign. Case Report: All the patients with a double PCL sign on the MRI and who underwent knee arthroscopy between January 2012 and December 2016 (total of 5 cases, 4 males and one female) were included in the study...
November 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29589491/risk-factors-for-progression-of-articular-cartilage-damage-after-anatomical-anterior-cruciate-ligament-reconstruction
#18
A Nakamae, N Adachi, M Deie, M Ishikawa, T Nakasa, Y Ikuta, M Ochi
Aims To investigate the risk factors for progression of articular cartilage damage after anatomical anterior cruciate ligament (ACL) reconstruction. Patients and Methods A total of 174 patients who underwent second-look arthroscopic evaluation after anatomical ACL reconstruction were enrolled in this study. The graded condition of the articular cartilage at the time of ACL reconstruction was compared with that at second-look arthroscopy. Age, gender, body mass index (BMI), ACL reconstruction technique, meniscal conditions, and other variables were assessed by regression analysis as risk factors for progression of damage to the articular cartilage...
March 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29570766/arthroscopic-repair-of-chronic-tears-of-the-anterior-horn-of-the-lateral-meniscus-that-includes-covering-the-lesion-with-an-infrapatellar-pedicle-fat-flap
#19
Zhu Dai, Zhiwei Chen, Ying Liao, Zhengwu Tang, Juncheng Cui, Zhibin Tang
This study analyzed the efficacy and safety of arthroscopic outside-in repair of the anterior horn of the lateral meniscus that includes covering the lesion with an infrapatellar pedicle fat flap in patients with chronic tears. This retrospective study reviewed 87 patients with chronic tears of the anterior horn of the lateral meniscus who underwent arthroscopic outside-in repair, which included covering the lesion with an infrapatellar pedicle fat flap (group A, n=45) or not (group B, n=42). The 2 groups were similar in terms of age, sex, body mass index, and disease duration...
March 23, 2018: Orthopedics
https://www.readbyqxmd.com/read/29564055/medial-meniscal-root-repair-using-curved-guide-and-soft-suture-anchor
#20
Su-Keon Lee, Bong-Seok Yang, Byeong-Mun Park, Ji-Ung Yeom, Ji-Hyeon Kim, Jeong-Seok Yu
Medial meniscal root tears have been repaired using various methods. Arthroscopic all-inside repair using a suture anchor is one of the popular methods. However, insertion of the suture anchor into the proper position at the posterior root of the medial meniscus is technically difficult. Some methods have been reported to facilitate suture anchor insertion through a high posteromedial portal, a posterior trans-septal portal, or a medial quadriceptal portal. Nevertheless, many surgeons still have difficulty during anchor insertion...
March 2018: Clinics in Orthopedic Surgery
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