Torn discoid lateral meniscus treated using partial central meniscectomy and suture of the peripheral tear |
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| Institution: | 1. Department of Orthopaedic Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan;2. Department of Orthopaedics, Shimane Medical University, Izumo, Japan;1. Institut Gustave-Roussy, Comité de pathologie mammaire, 114, rue Édouard-Vaillant, 94800 Villejuif, France;2. Centre Paul-Strauss, Département de médecine, 3 rue de la Porte-de-l’hôpital, 67000 Strasbourg, France;3. Chirurgie du sein, 17, rue Pétrarque 75116 Paris, France;4. Institut Curie, Département de bio-pathologie, 35, rue Dailly, 92210 Saint-Cloud, France;5. Département de médecine oncologique, Institut Curie, 26, rue d’Ulm 75005 Paris, France. Université Paris Descartes, Paris, France;6. Centre azuréen de Cancérologie, 1, place du Docteur Jean-Luc-Broquerie, 06250 Mougins, France;7. Université Paris VI-Sorbonne, Hôpital Tenon, 4 rue de la Chine, 75020 Paris, France;1. Department of Orthopedic Surgery, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki, 569-8686, Japan;2. Department of Orthopedic Surgery, Katsuragi Hospital, 2-33-1 Habu-cho, Kishiwada, 569-0825, Japan;1. Université de Poitiers, faculté de médecine et de pharmacie, 86000 Poitiers, France;2. CHU de Poitiers, service de gynécologie obstétrique et médecine de la reproduction, 86000 Poitiers, France;3. CHU de Poitiers, centre d’investigation clinique plurithématique, Inserm CIC-P 1402, 86000 Poitiers, France;4. CESP UMR, Inserm U1018, équipe 7 : genre, santé sexuelle et reproductive, 94270 Le Kremlin-Bicêtre, France;1. Department of Orthopaedic Surgery, Nekoyama Miyao Hospital, Niigata, Niigata, Japan;2. Epidemiology and Preventive Services, Graduate School of Medicine, Kyoto University, Kyoto, Kyoto, Japan;3. Japan Society for the Promotion of Science, Kojimachi Business Center Building, Chiyoda, Tokyo, Japan |
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| Abstract: | We present the cases of 5 patients with a torn discoid lateral meniscus treated using partial central meniscectomy in conjunction with the suture repair of the tear. The patients were 4 boys and 1 girl with a mean age of 15.4 years (range, 11 to 17). Preoperatively, all patients complained of knee pain during daily or sports activities. At the final follow-up evaluation, more than 2 years later, 4 patients’ conditions were graded as excellent and 1 patient’s condition was graded as fair according to Ikeuchi’s grading scale. The average Lysholm score improved from 83.4 points (range, 70–90) to 95.8 points (range, 89–100) postoperatively. In the 3 patients who underwent second-look arthroscopy, complete healing was seen in 2 patients. One patient had severe degenerative changes in the meniscus; the repaired site was not united and required an additional partial meniscectomy along the tear. We believe that with the current advancement in arthroscopic meniscal repair techniques, a partial central meniscectomy in conjunction with the suture repair of the peripheral tear can be effective treatment for patients with a torn complete or incomplete discoid meniscus. |
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