Save the Meniscus, A Good Strategy to Preserve the Knee

Document Type : EDITORIAL


1 Department of Orthopedic Surgery, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran

2 Tehran University of Medical Sciences Joint Reconstruction Research Center


With increasing life expectancy, the demand for preservation of native articular cartilage is increasing to delay joint arthroplasties. In the knee, there are many different strategies to preserve the articular cartilage including but not limited to corrective osteotomies, chondral injury restoration, intraarticular injection of cells or growth factors(PRP). However, One of the most important strategies in knee preservation is meniscal preservation. It was highlighted again in the 4th international meeting The Meniscus held in Bologna late in January 2016. As the loss of the meniscus can be regarded as a pre-arthritic condition, a knee surgeon must save the meniscuses much as he or she can.


Main Subjects

1. Logan M, Watts M, Owen J, Myers P. Meniscal repair
in the elite athlete: results of 45 repairs with a
minimum 5-year follow-up. Am J Sports Med. 2009;
2. Paxton ES, Stock MV, Brophy RH. Meniscal repair
versus partial meniscectomy: a systematic review
comparing reoperation rates and clinical outcomes.
Arthroscopy. 2011; 27(9):1275-88.
3. Ahn JH, Lee YS, Yoo JC, Chang MJ, Koh KH, Kim MH.
Clinical and second-look arthroscopic evaluation
of repaired medial meniscus in anterior cruciate
ligament-reconstructed knees. Am J Sports Med.
2010; 38(3):472-7.
4. Haas AL, Schepsis AA, Hornstein J, Edgar CM. Meniscal
repair using the FasT-Fix all-inside meniscal repair
device. Arthroscopy. 2005; 21(2):167-75.
5. Ishida K, Kuroda R, Sakai H, Doita M, Kurosaka M,
Yoshiya S. Rapid chondrolysis after arthroscopic
partial lateral meniscectomy in athletes: a case
report. Knee Surg Sports Traumatol Arthrosc. 2006;
6. Mariani PP, Garofalo R, Margheritini F. Chondrolysis
after partial lateral meniscectomy in athletes. Knee
Surg Sports Traumatol Arthrosc. 2008; 16(6):574-80.
7. Sonnery-Cottet B, Archbold P, Thaunat M, Carnesecchi
O, Tostes M, Chambat P. Rapid chondrolysis of
the knee after partial lateral meniscectomy in
professional athletes. Knee. 2014; 21(2):504-8.
8. Thaunat M, Archbold P, Conteduca J, Chatellard R,
Sonnery-Cottet B. Rapid chondrolysis following
an unoperated lateral meniscus tear in a young
professional rugby player. Orthop Traumatol Surg
Res. 2014; 100(4):445-8.
9. Ahmed AM, Burke DL. In-vitro measurement of
static pressure distribution in synovial joints--Part
I: Tibial surface of the knee. J Biomech Eng. 1983;
10. Eberbach H, Zwingmann J, Hohloch L, Bode G, Maier
D, Niemeyer P, et al. Sport-specific outcomes after
isolated meniscal repair: a systematic review. Knee
Surg Sports Traumatol Arthrosc. 2018; 26(3):762-71.
11. Pujol N, Beaufils P. Healing results of meniscal
tears left in situ during anterior cruciate ligament
reconstruction: a review of clinical studies. Knee
Surg Sports Traumatol Arthrosc. 2009; 17(4):396-
12. Barrett GR. Clinical results of meniscus repair in
patients 40 years and older. Arthroscopy. 1998;
13. Fuchs A, Kloos F, Bode G, Izadpanah K, Sudkamp NP,
Feucht MJ. Isolated revision meniscal repair - failure
rates, clinical outcome, and patient satisfaction. BMC
Musculoskelet Disord. 2018; 19(1):446.
14. Imade S, Kumahashi N, Kuwata S, Kadowaki M, Ito
S, Uchio Y. Clinical outcomes of revision meniscal 
repair: a case series. Am J Sports Med. 2014;
15. Sonnery-Cottet B, Conteduca J, Thaunat M, Gunepin
FX, Seil R. Hidden lesions of the posterior horn of
the medial meniscus: a systematic arthroscopic
exploration of the concealed portion of the knee. Am
J Sports Med. 2014; 42(4):921-6.
16. Kim SH, Lee SH, Kim KI, Yang JW. Diagnostic
accuracy of sequential arthroscopic approach for
ramp lesions of the posterior horn of the medial
meniscus in anterior cruciate ligament-deficient
knee. Arthroscopy. 2018; 34(5):1582-9.
17. Sonnery-Cottet B, Saithna A, Blakeney WG, Ouanezar
H, Borade A, Daggett M, et al. 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.
Am J Sports Med. 2018; 46(8):1819-26.
18. Liu X, Feng H, Zhang H, Hong L, Wang XS, Zhang J.
Arthroscopic prevalence of ramp lesion in 868
patients with anterior cruciate ligament injury. Am
J Sports Med. 2011; 39(4):832-7.
19. DePhillipo NN, Cinque ME, Chahla J, Geeslin AG,
Engebretsen L, LaPrade RF. Incidence and detection
of meniscal ramp lesions on magnetic resonance
imaging in patients with anterior cruciate
ligament reconstruction. Am J Sports Med. 2017;
20. Seil R, Mouton C, Coquay J, Hoffmann A, Nuhrenborger
C, Pape D, et al. Ramp lesions associated with ACL
injuries are more likely to be present in contact
injuries and complete ACL tears. Knee Surg Sports
Traumatol Arthrosc. 2018; 26(4):1080-5.
21. Kumar D, Su F, Wu D, Pedoia V, Heitkamp L, Ma CB, et
al. Frontal plane knee mechanics and early cartilage
degeneration in people with anterior cruciate
ligament reconstruction: a longitudinal study. Am J
Sports Med. 2018; 46(2):378-87.
22. Duchman KR, Westermann RW, Spindler KP,
Reinke EK, Huston LJ, Amendola A, et al. The fate
of meniscus tears left in situ at the time of anterior
cruciate ligament reconstruction: a 6-year followup
study from the MOON cohort. Am J Sports Med.
2015; 43(11):2688-95.
23. Ahn JH, Wang JH, Yoo JC. Arthroscopic all-inside
suture repair of medial meniscus lesion in anterior
cruciate ligament--deficient knees: results of secondlook
arthroscopies in 39 cases. Arthroscopy. 2004;
24. Melton JT, Murray JR, Karim A, Pandit H, Wandless
F, Thomas NP. Meniscal repair in anterior cruciate
ligament reconstruction: a long-term outcome
study. Knee Surg Sports Traumatol Arthrosc. 2011;