Javier Vaquero1, Francisco Forriol2. 1. Hospital Universitario Gregorio Marañon, Madrid, Spain. 2. Department of Clínica Sciences, University San Pablo - CEU, Boadilla del Monte, Spain.
Abstract
OBJECTIVE: the menisci are easily injured and difficult to repair. The aim of this study was to analyze the current state of meniscal surgery aimed at preserving morphology and conserving the biomechanics of the knee to prevent joint degeneration. METHODOLOGY: a search of the electronic medical literature database Medline was conducted, from http://www.ncbi.nlm.nih.gov/pubmed. The search was not limited by language. Candidate articles were identified by searching for those that included the keywords meniscus, surgery, suture, implant, allograft. The limits were included for clinical research and clinical trials. Basic research was not included. The studies selected were evaluated and classified in three different categories: basic science, reconstruction (suture and meniscectomy) and implants (scaffolds and allograft). RESULTS: the consequences of meniscectomy performed at a young age can lead to a joint cartilage degeneration twenty years later. There are few surgical options for the repair of meniscal injuries in order both to preserve the meniscus and to ensure the long term survival of the knee joint, meniscectomy, repair, suturing the tear, or reconstruction, when a meniscal allograft or synthetic substitute is used to replace the meniscus, but the biomechanical properties of the native meniscus are not reproduced entirely by the scaffolds that exist today. CONCLUSION: therapies that successfully repair or replace the meniscus are therefore likely to prevent or delay osteoarthritis progression.
OBJECTIVE: the menisci are easily injured and difficult to repair. The aim of this study was to analyze the current state of meniscal surgery aimed at preserving morphology and conserving the biomechanics of the knee to prevent joint degeneration. METHODOLOGY: a search of the electronic medical literature database Medline was conducted, from http://www.ncbi.nlm.nih.gov/pubmed. The search was not limited by language. Candidate articles were identified by searching for those that included the keywords meniscus, surgery, suture, implant, allograft. The limits were included for clinical research and clinical trials. Basic research was not included. The studies selected were evaluated and classified in three different categories: basic science, reconstruction (suture and meniscectomy) and implants (scaffolds and allograft). RESULTS: the consequences of meniscectomy performed at a young age can lead to a joint cartilage degeneration twenty years later. There are few surgical options for the repair of meniscal injuries in order both to preserve the meniscus and to ensure the long term survival of the knee joint, meniscectomy, repair, suturing the tear, or reconstruction, when a meniscal allograft or synthetic substitute is used to replace the meniscus, but the biomechanical properties of the native meniscus are not reproduced entirely by the scaffolds that exist today. CONCLUSION: therapies that successfully repair or replace the meniscus are therefore likely to prevent or delay osteoarthritis progression.
Authors: Francisco Forriol; Umile Giuseppe Longo; Daniel Hernández-Vaquero; Juan Carlos Monllau; Ferran Montserrat; Juan Ramon Valentí; Javier Vaquero; Nicola Maffulli; Vincenzo Denaro Journal: Ortop Traumatol Rehabil Date: 2010 Jan-Feb
Authors: Gary B Fetzer; Kurt P Spindler; Annunziato Amendola; Jack T Andrish; John A Bergfeld; Warren R Dunn; David C Flanigan; Morgan Jones; Christopher C Kaeding; Robert G Marx; Matthew J Matava; Eric C McCarty; Richard D Parker; Michelle Wolcott; Armando Vidal; Brian R Wolf; Rick W Wright Journal: J Knee Surg Date: 2009-07 Impact factor: 2.757
Authors: Jihye Baek; Sujata Sovani; Wonchul Choi; Sungho Jin; Shawn P Grogan; Darryl D D'Lima Journal: Tissue Eng Part A Date: 2017-06-13 Impact factor: 3.845