title: [Management of the meniscal lesion].
abstract: About 1,5 million arthroscopies are each year performed in the world, 50 % for meniscal affections. The menisci participate in the femoro-tibial load transmission and in the joint shock absorption; they contribute to the knee stability and play a role in the joint lubrication. The menisci are therefore important structures, and, in the case of a lesion, surgical abstention or repair should be favoured. When a meniscectomy has to be performed, it should be economical, preserving the meniscal wall. Meniscectomy is contra-indicated in the child and in the case of knee osteoarthrosis. Meniscal healing is compromised if the knee is unstable. If after total meniscectomy a patient presents symptomatic early osteoarthrosis, without marked loss of alignment, meniscal allografting is a therapeutic option, especially at the lateral compartment.
authors.affiliation: Service d'Orthopédie-Traumatologie, Cliniques Universitaires de Bruxelles, hôpital Erasme, Bruxelles. bruno.baillon@erasme.ulb.ac.be
authors.forename: B
authors.initials: B
authors.lastname: Baillon
authors.forename: K
authors.initials: K
authors.lastname: Cermak
authors.forename: M
authors.initials: M
authors.lastname: Vancabeke
mesh_terms: D001182:Arthroscopy; D006801:Humans; D008592:Menisci, Tibial / Q000601:surgery*; D000070600:Tibial Meniscus Injuries