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Meniscal repair: Preferred for young patients or those with tears in the vascular (red-red) zone, which has healing potential. Arthroscopic sutures are used to repair the torn meniscus. Partial meniscectomy : [ 7 ] If the tear is in a non-repairable location (white-white zone) or the meniscal tissue is extensively damaged, the displaced ...
A meniscal repair has a higher success rate given an adequate blood supply to the peripheral rim. [36] [failed verification] The interior of the meniscus is avascular, but the blood supply can penetrate up to about 6 millimetres (0.24 in). Therefore, meniscus tears that occur near the peripheral rim are able to heal after a meniscal repair. [1]
Another procedure requires specially designed devices that employ multiple sutures and knot pusher instruments to allow surgeons to provide excellent meniscal repair with just a single 1 ½” incision. [citation needed] The majority of meniscal tears are not suitable for repair and instead the torn piece is removed, known as a meniscectomy ...
The procedures are more commonly performed to treat meniscus injury and to perform anterior cruciate ligament reconstruction. [3] While knee arthroscopy is commonly used for partial meniscectomy (trimming a torn meniscus) on middle aged to older adults with knee pain, the claimed positive results seem to lack scientific evidence. [4]
In February 2008, Saris et al. published a large-scale study claiming that CCI results in better structural repair for symptomatic cartilage defects of the knee than microfracture surgery. According to the study, one year after treatment, the regenerated tissue associated with CCI is of better quality than that of microfracture surgery.
The researchers did however find that arthroscopic surgery did help a minority of patients with milder symptoms, large tears or other damage to the meniscus — cartilage pads that improve the congruence between femur and tibia bones. [16]
Treatment of meniscal cysts consists of a combination of cyst decompression (intraarticular decompression versus open cystectomy) and arthroscopic repair of any meniscal abnormalities. Success rates are significantly higher when both the cyst and meniscal tear are treated compared to treating only one disease process.
Autologous chondrocyte implantation (ACI, ATC code M09AX02 ) is a biomedical treatment that repairs damages in articular cartilage. ACI provides pain relief while at the same time slowing down the progression or considerably delaying partial or total joint replacement ( knee replacement ) surgery.