Meniscal repair following meniscectomy: mechanism and protective effect. Experimental study in the dog.
Meniscal repair was studied to evaluate the mechanism and its potential protective effects on the articular cartilage in an experimental model consisting of 68 knees of adult dogs on which five different types of medial meniscectomy were performed. The results were assessed by macroscopic, microangiographic, and histological methods, after a sequential follow-up period of 10-450 days. Two different mechanisms of meniscal repair were observed, depending on whether meniscal section had been performed in vascular (total meniscectomy) or avascular (subtotal or partial meniscectomy) zones. It was also observed that the repaired meniscal tissue does not prevent articular cartilage degeneration. This is more closely related to the size of the meniscal fragment preserved at meniscectomy. Due to the biomechanical importance of the meniscus and the lack of functional relevance of the repaired meniscal tissue, the most conservative approach possible to meniscectomy is recommended.
Berjon
J J
JJ
Department of Traumatology and Orthopedic Surgery, Ramon y Cajal Hospital, Madrid, Spain.
Munuera
L
L
Calvo
M
M
D000818:Animals; D004285:Dogs; D006614:Hindlimb; D008592:Menisci, Tibial / Q000098:blood supply / Q000502:physiology* / Q000601:surgery; D009389:Neovascularization, Pathologic / Q000503:physiopathology; D014945:Wound Healing / Q000502:physiology*