[History of meniscus surgery. From excision of joint loose bodies to meniscus suture].
In comparison with other operative procedures, the history of meniscal-surgery offers some particular differences. Over a long period of time injuries of the semilunar-cartilages of the knee-joint were not generally recognised. In the 18th century only was the clinical picture roughly outlined. There is evidence, that parts of the meniscus were removed much earlier than we have historic proof of. These meniscal fragments were generally mistaken for "loose bodies" in the joints, not knowing the exact etiology. Operative interference with joints was afflicted with a very high incidence of infections and thus complications. Due to this reliable standards of sterility were imperative to obtain reproductive and satisfactory results in surgery of the knee-joint and this is why the discovery and implementation of antiseptic and aseptic principles play such an important role in joint- and, in particular, in meniscal-surgery. The development of meniscal-surgery is dominated by a lengthy discussion about the way in which the injuries of the semilunar cartilages should be dealt with operatively. Fundamental techniques such as fixation of the cartilage by sutures, limited or total removal of the meniscus were established as early as 1895. Over a long period they existed concurrently and their adequate application remained cause for a highly controversial discussion until the end of the 20th century. Not before more detailed knowledge was gained about the exact morphology of the meniscus and the rising of arthroscopic surgery offered new surgical perspectives, it was possible to establish a widely accepted standard of meniscal surgery.
Rauschmann
M A
MA
Universitätsklinik Frankfurt am Main-Stiftung Friedrichsheim. DGOT-Frankfurt@t-online.de
Deb
R
R
Thomann
K D
KD
Zichner
L
L
D049671:History, 18th Century; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D007594:Joint Loose Bodies / Q000266:history / Q000601:surgery; D008592:Menisci, Tibial / Q000601:surgery*; D019637:Orthopedic Procedures / Q000266:history*; D013536:Suture Techniques / Q000266:history
Die Geschichte der Meniskuschirurgie. Von der Exzision des freien Gelenkkörpers bis zur Meniskusnaht.