RESEARCH ARTICLE


Possibility of Meniscal Repair for Degenerative and Horizontal Tears



Takatomo Mine1, *, Takaaki Ueda2, Koichiro Ihara1, Hiroyuki Kawamura1, Ryutaro Kuriyama1, Yasunari Tominaga1
1 Department of Orthopaedic Surgery, National Hospital Organization Kanmon medical Center, Kanmon, Japan
2 Department of Radiology, National Hospital Organization Kanmon medical Center, Yamaguchi, Japan


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Creative Commons License
© 2019 Mine et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Orthopaedic Surgery, National Hospital Organization Kanmon medical Center, 1-1 ChofuUshiroda Shimonoseki, Yamaguchi 752-8510 Japan; Tel: +81-83-2411199; Fax: +81-83-2411301; E-mail: mine.takatomo.ga@mail.hosp.go.jp


Abstract

Background:

Poor long-term clinical results have been reported following partial and total menisectomy. To preserve the meniscus, many surgeons perform meniscal repairs when possible. However, meniscal repair for degenerative tears and white-white tears is challenging.

Methods:

15 patients underwent meniscal repair for degenerative and horizontal tears. Follow-up evaluation included clinical assessment and Magnetic Resonance Imaging examination. The mean follow-up time was 11.9 months (from 8 months to 13 months).

Result:

The healing rate on clinical assessment was 86.6% 12 months after surgery. MRI showed partial healing in 12 patients, complete healing in 1 and no healing in 2 after 12 months.

Conclusion:

The findings suggest that it may be possible to repair degenerative and horizontal meniscal tears.

Keywords: Meniscus, Repair, Degenerative tear, Avascular tear.