Meniscorrhapht in Discoid Meniscal Tear
10.4055/jkoa.1995.30.3.644
- Author:
Jin Hwan AHN
;
Seong Soo KIM
;
Dong Hee LEE
- Publication Type:Original Article
- Keywords:
Knee;
Discoid meniscus;
Repair
- MeSH:
Arthroscopy;
Follow-Up Studies;
Humans;
Knee;
Methods;
Physical Examination;
Sutures;
Tears
- From:The Journal of the Korean Orthopaedic Association
1995;30(3):644-650
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We reviewed 24 patients who had performed arthroscopic meniscal repair for the treatment off discoid lateral meniscal tear between january 1989 and December 1992. The follow up ranged from 1 year 6 month to 4 year 6 month(average 32month). The mean age was 17.9(range,8-50)years, the patients under 20 years old were 17(cases,71%).Common preoperative clinical symptom was pain on the knee joint(21 cases,87.5%) and click(19 cases,79%).Positive McMurry test was the most common physical examination finding(19 cases, 79%). All the lateral discoid meniscal tears were confirmed by arthroscopy. The mean interval between symptom onset and operation was 18.7 months(range 1 month to 10 year). The types of tear were peripheral (14cases, 58%), complex tear(4cases), longitudinal tear(2cases), transverse tear(2cases), horizontal tear(2cases)and the most common location of tear was posterior horn(1 1cases, 45%). The mean number of suture was four. In operative method, Scases(33%) were performed only meniscorrhaphy and meniscorrhaphy combined with partial meniscectomy was done in 16 cases(67%). According to Ikeuchi's grading system, the result was satisfactory in 21cases, fair in three cases. Second look arthroscopy was done in eleven cases(46%) between post operative 4 months to 2 years(mean, 8.3 months). The arthroscopic examination revealed complete healing of repaired meniscus in eight cases(73%). The remained three cases which were not completely healed was fair result.
