Torn Discoid Lateral Meniscus: The Outcome of Meniscus Preserving Surgery | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 109, Volume 98, Issue 1, January 2025, Page 759-763 PDF (488.69 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2025.411580 | ||||
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| Abstract | ||||
| Background: Meniscus abnormalities associated with discoid lateral meniscus are frequently observed. Objective: The study's goal was to assess the clinical and functional outcomes of 14 patients with discoid lateral meniscus treated between July 2020 and May 2023 after arthroscopic meniscoplasty with correction of the concomitant meniscal tears. Patients and methods: There are 14 knees in this series. These patients had a mean of 19 years. Eight men and six females were present. Repetitive locking, excruciating clicking, and loss of complete extension were the primary presenting symptoms. Prior to surgery, MRI confirmation of the pathology was available for every patient. Twelve knees had peripheral menisco-capsular separation. Following the meniscus disc's central saucerization, all patients had an intact meniscus body cleavage tear. The related tears were repaired using either an inside-out approach or completely inside sutures. The IKDC score, symptoms, and complications were taken into consideration when evaluating the clinical outcome. Results: Reviewing the cases took an average of 43 months. The IKDC mean score ranged from 65.5 to 102.5. The outcome was satisfactory for twelve patients. There were two cases with complications: One case had a meniscal repair that had not healed, and the other case had only regained flexion up to 125 degrees without full range of motion. Conclusion: It was helpful to stabilize the unstable tear of the symptomatic discoid lateral meniscus by saucerization and repair, which preserve knee function and improve the clinical result during the midterm follow-up period. | ||||
| Keywords | ||||
| Torn discoid; Lateral meniscus; Meniscus preserving surgery; Knee | ||||
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