The role of the meniscus in
cushioning the joint and protecting the articular cartilage makes preserving
them a key part of knee health. For a meniscus tear unfortunately meniscectomy
(removing the torn portion) is the appropriate treatment 90% of the time. This
is because in most situations a repair will not be successful. The reasons
repair is not attempted is due to the lack of blood supply in 1/3-1/2 of the
meniscus that precludes healing of a repair. Additionally, if the configuration
of the tear is not appropriate then repair is not possible. In the 10% of
situations when repair is possible it is typically highly successful in the
short term with > 90% success without reoperation within the first 2 years.
Our ability to predict ahead of time whether or not repair will be possible has
been evaluated. In a study performed in conjunction with my partners and
published in the American Journal of Sports medicine we found we were able to
predict the chance to repair a meniscus 74% of the time. This makes it easier
to tell patients what to expect after surgery regarding recovery and
rehabilitation. Read the Abstract
HERE.
We evaluated the MOON meniscus
repair results at 2 years in a study published in the American Journal of
Sports Medicine and found that in 82 tears of which we were able to obtain
follow up on 77 (94%) there was a success rate of 96% with no further surgery required
for the meniscus within the first 2 years following repair in 74 of the 77
repairs. Read the full study
HERE. In future blogs I will discuss the longer
results we have noted at 5 years or more following meniscus repair.
The role of the meniscus in
cushioning the joint and protecting the articular cartilage makes preserving
them a key part of knee health. For a meniscus tear unfortunately meniscectomy
(removing the torn portion) is the appropriate treatment 90% of the time. This
is because in most situations a repair will not be successful. The reasons
repair is not attempted is due to the lack of blood supply in 1/3-1/2 of the
meniscus that precludes healing of a repair. Additionally, if the configuration
of the tear is not appropriate then repair is not possible. In the 10% of
situations when repair is possible it is typically highly successful in the
short term with > 90% success without reoperation within the first 2 years.
Our ability to predict ahead of time whether or not repair will be possible has
been evaluated. In a study performed in conjunction with my partners and
published in the American Journal of Sports medicine we found we were able to
predict the chance to repair a meniscus 74% of the time. This makes it easier
to tell patients what to expect after surgery regarding recovery and
rehabilitation. Read the Abstract HERE.
We evaluated the MOON meniscus
repair results at 2 years in a study published in the American Journal of
Sports Medicine and found that in 82 tears of which we were able to obtain
follow up on 77 (94%) there was a success rate of 96% with no further surgery required
for the meniscus within the first 2 years following repair in 74 of the 77
repairs. Read the full study HERE. In future blogs I will discuss the longer
results we have noted at 5 years or more following meniscus repair.
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