Grundlagen der Meniskuschirurgie

Zusammenfassung

Ob bei einem Meniskusriss konservative Maßnahmen, eine Naht oder eine Teilresektion indiziert sind, hängt von verschiedenen Faktoren ab. Dieser Artikel beleuchtet die unterschiedlichen Therapieansätze, ihre Indikationen und Langzeitergebnisse, um ein besseres interdisziplinäres Verständnis für die Entscheidungsfindung zu ermöglichen.

Publication History

Article published online:
17 April 2025

• Literatur

• 1 Allaire R, Muriuki M, Gilbertson L. et al. Biomechanical consequences of a tear of the posterior root of the medial meniscus. Similar to total meniscectomy. J Bone Joint Surg Am 2008; 90: 1922-1931
• 2 Arnoczky SP, Warren RF. Microvasculature of the human meniscus. Am J Sports Med 1982; 10: 90-95
• 3 Beaufils P, Becker R, Kopf S. et al. Surgical management of degenerative meniscus lesions: The 2016 ESSKA meniscus consensus. KSSTA 2017; 25: 335-346
• 4 Beaufils P, Pujol N. Management of traumatic meniscal tear and degenerative meniscal lesions. Save the meniscus. Orthop Traumatol Surg Res 2017; 103: S237-s244
• 5 Bracey L, Parsons D, Zhao AY. et al. The cumulative incidence and risk factors associated with 5-year conversion to knee arthroplasty following primary meniscus repair or primary meniscectomy. J Orthop 2024; 52: 17-20
• 6 Chatain F, Adeleine P, Chambat P. et al. A comparative study of medial versus lateral arthroscopic partial meniscectomy on stable knees: 10-year minimum follow-up. Arthroscopy 2003; 19: 842-849
• 7 Chung KS, Ha JK, Yeom CH. et al. Comparison of clinical and radiologic results between partial meniscectomy and refixation of medial meniscus posterior root tears: A minimum 5-year follow-up. Arthroscopy 2015; 31: 1941-1950
• 8 Cooper DE, Arnoczky SP, Warren RF. Arthroscopic meniscal repair. Clin Sports Med 1990; 9: 589-607
• 9 Doig T, Fagan P, Frush T. et al. The all-inside all-suture technique demonstrated better biomechanical behaviors in meniscus radial tear repair. KSSTA 2020; 28: 3606-3612
• 10 Englund M, Guermazi A, Gale D. et al. Incidental meniscal findings on knee MRI in middle-aged and elderly persons. N Engl J Med 2008; 359: 1108-1115
• 11 Gadeyne S, Besse JL, Galand-Desme S. et al. Analysis of meniscal lesions accompanying anterior cruciate ligament tears: A retrospective analysis of 156 patients. Rev Chir Orthop Reparatrice Appar Mot 2006; 92: 448-454
• 12 Grant JA, Wilde J, Miller BS. et al. Comparison of inside-out and all-inside techniques for the repair of isolated meniscal tears: A systematic review. Am J Sports Med 2012; 40: 459-468
• 13 Greis PE, Bardana DD, Holmstrom MC. et al. Meniscal injury: I. Basic science and evaluation. J Am Acad Orthop Surg 2002; 10: 168-176
• 14 Guilak F, Hung C. Physical regulation of cartilage metabolism. Mow VC, Huiskes R. Basic Orthopaedic Biomechanics and Mechanobiology. (3 rd ed.) Philadelphia: Lipincott Williams & Wilkins 2005: 179-207
• 15 Kennedy MI, Strauss M, LaPrade RF. Injury of the meniscus root. Clin Sports Med 2020; 39: 57-68
• 16 Kopf S, Beaufils P, Hirschmann MT. et al. Management of traumatic meniscus tears: The 2019 ESSKA meniscus consensus. KSSTA 2020; 28: 1177-1194
• 17 Lee SJ, Aadalen KJ, Malaviya P. et al. Tibiofemoral contact mechanics after serial medial meniscectomies in the human cadaveric knee. Am J Sports Med 2006; 34: 1334-1344
• 18 Noyes FR, Barber-Westin SD. Arthroscopic repair of meniscus tears extending into the avascular zone with or without anterior cruciate ligament reconstruction in patients 40 years of age and older. Arthroscopy 2000; 16: 822-829
• 19 Pache S, Aman ZS, Kennedy M. et al. Meniscal root tears: Current concepts review. Arch Bone Jt Surg 2018; 6: 250-259
• 20 Pauli C, Grogan SP, Patil S. et al. Macroscopic and histopathologic analysis of human knee menisci in aging and osteoarthritis. Osteoarthritis Cartilage 2011; 19: 1132-1141
• 21 Petersen W, Tillmann B. Structure and vascularization of the knee joint menisci. Z Orthop Ihre Grenzgeb 1999; 137: 31-37
• 22 Poehling GG, Ruch DS, Chabon SJ. The landscape of meniscal injuries. Clin Sports Med 1990; 9: 539-549
• 23 Pujol N, Tardy N, Boisrenoult P. et al. Long-term outcomes of all-inside meniscal repair. KSSTA 2015; 23: 219-224
• 24 Rodriguez AN, LaPrade RF, Geeslin AG. Combined meniscus repair and anterior cruciate ligament reconstruction. Arthroscopy 2022; 38: 670-672
• 25 Shelbourne KD, Nitz PA. The O’Donoghue triad revisited. Combined knee injuries involving anterior cruciate and medial collateral ligament tears. Am J Sports Med 1991; 19: 474-477
• 26 Sochacki KR, Varshneya K, Calcei JG. et al. Comparing meniscectomy and meniscal repair: A matched cohort analysis utilizing a national insurance database. Am J Sports Med 2020; 48: 2353-2359
• 27 Sonnery-Cottet B, Archbold P, Thaunat M. et al. Rapid chondrolysis of the knee after partial lateral meniscectomy in professional athletes. Knee 2014; 21: 504-508
• 28 Stärke C, Kopf S, Lippisch R. et al. Tensile forces on repaired medial meniscal root tears. Arthroscopy 2013; 29: 205-212
• 29 Stein T, Mehling AP, Welsch F. et al. Long-term outcome after arthroscopic meniscal repair versus arthroscopic partial meniscectomy for traumatic meniscal tears. Am J Sports Med 2010; 38: 1542-1548
• 30 The ESSKA Meniscus Consensus Group. The formal EU-US Meniscus Rehabilitation Consensus. Gastroenterology 2024
• 31 Tsujii A, Nakamura N, Horibe S. Age-related changes in the knee meniscus. Knee 2017; 24: 1262-1270
• 32 Walker PS, Arno S, Bell C. et al. Function of the medial meniscus in force transmission and stability. J Biomech 2015; 48: 1383-1388
• 33 Westermann RW, Wright RW, Spindler KP. et al. Meniscal repair with concurrent anterior cruciate ligament reconstruction: Operative success and patient outcomes at 6-year follow-up. Am J Sports Med 2014; 42: 2184-2192