Current Concept and Treatment Options for Radial Tears of the Meniscus
10.4055/jkoa.2024.59.3.184
- Author:
Kyu-Tae KANG
1
;
Yong-Beom PARK
;
Seong Hwan KIM
Author Information
1. Department of Orthopedic Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea
- Publication Type:Symposium
- From:The Journal of the Korean Orthopaedic Association
2024;59(3):184-191
- CountryRepublic of Korea
- Language:English
-
Abstract:
Radial tears of the meniscus are caused by axial compressive forces in the anterior-posterior direction and occur frequently in active patients due to trauma. These tears significantly impair the function of the meniscus and accelerate the progression to osteoarthritis, resulting in a poor prognosis. Traditionally, a meniscectomy was primarily performed, but various surgical techniques for meniscal repair have been introduced. Among the surgical methods for radial tears, the all-inside technique, inside-out technique, and rip-stop suture have attracted the most attention. Recently, superior biomechanical results in these techniques have been reported, which might improve the repair outcome, but there is little consensus as to which method is better. Efforts are also being made to use biological treatments as adjunctive therapies to improve the outcomes of radial tear treatment. Methods, such as platelet-rich plasma (PRP), fibrin clot, and collagen matrix wrapping are being studied, and research is underway on the efficacy and safety of these biological treatments. Nevertheless, the level and scope of research are insufficient, necessitating further studies.
