Meniscectomy: indications, procedure, outcomes, and rehabilitation
This paper reviews biomechanical relevance of the menisci in relation to surgical indications, outcomes and rehabilitation. The main function of the meniscus is to enlarge the contact surface. After removal, contact area decreases by as much as 52%, thus increasing the local pressure on the cartilage surface.
Not all meniscal injuries require surgery. Most frequent indications result from the failure of a symptomatic meniscal tear to heal spontaneously, whereas displaced or locked bucket handle tears represent an absolute indication.
Physical therapy consisting of home exercises is effective in improving knee function and ROM in partial meniscectomy. Rehab for meniscal repairs or replacements is much more extensive and based on the biomechanical function of both menisci.
Meniscal repairs have a higher reoperation rate than partial meniscectomies, but are associated with better long-term outcomes. More surgeons should join the “Save the Meniscus” society, since surgeons should always repair first and resect only when repair is not feasible. > From: Anetzberger et al., Orthop Res Rev 6 (2014) 1-9. Published by Dove Medical Press Ltd. and licensed under Creative Commons Attribution.
Click here for the free full text version of this article!