title: Torn discoid lateral meniscus treated using partial central meniscectomy and suture of the peripheral tear.
abstract: We present the cases of 5 patients with a torn discoid lateral meniscus treated using partial central meniscectomy in conjunction with the suture repair of the tear. The patients were 4 boys and 1 girl with a mean age of 15.4 years (range, 11 to 17). Preoperatively, all patients complained of knee pain during daily or sports activities. At the final follow-up evaluation, more than 2 years later, 4 patients' conditions were graded as excellent and 1 patient's condition was graded as fair according to Ikeuchi's grading scale. The average Lysholm score improved from 83.4 points (range, 70-90) to 95.8 points (range, 89-100) postoperatively. In the 3 patients who underwent second-look arthroscopy, complete healing was seen in 2 patients. One patient had severe degenerative changes in the meniscus; the repaired site was not united and required an additional partial meniscectomy along the tear. We believe that with the current advancement in arthroscopic meniscal repair techniques, a partial central meniscectomy in conjunction with the suture repair of the peripheral tear can be effective treatment for patients with a torn complete or incomplete discoid meniscus.
authors.affiliation: Department of Orthopaedic Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan. nadachi@hiroshima-u.ac.jp
authors.forename: Nobuo
authors.initials: N
authors.lastname: Adachi
authors.forename: Mitsuo
authors.initials: M
authors.lastname: Ochi
authors.forename: Yuji
authors.initials: Y
authors.lastname: Uchio
authors.forename: Masakazu
authors.initials: M
authors.lastname: Kuriwaka
authors.forename: Rikuo
authors.initials: R
authors.lastname: Shinomiya
mesh_terms: D000293:Adolescent; D001182:Arthroscopy; D001484:Baseball / Q000293:injuries; D002648:Child; D000013:Congenital Abnormalities / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005538:Football / Q000293:injuries; D006801:Humans; D008297:Male; D008592:Menisci, Tibial / Q000002:abnormalities / Q000601:surgery*; D024162:Second-Look Surgery; D013536:Suture Techniques; D000070600:Tibial Meniscus Injuries; D016896:Treatment Outcome