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Knee Surgery, Sports Traumatology, Arthroscopy
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 6/2016

16.04.2016 | Knee

The role of meniscal tissue in joint protection in early osteoarthritis

verfasst von: Rene Verdonk, Henning Madry, Nogah Shabshin, Florian Dirisamer, Giuseppe M. Peretti, Nicolas Pujol, Tim Spalding, Peter Verdonk, Romain Seil, Vincenzo Condello, Berardo Di Matteo, Johannes Zellner, Peter Angele

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 6/2016

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Abstract

It is widely accepted that partial meniscectomy leads to early onset of osteoarthritis (OA). A strong correlation exists between the amount and location of the resected meniscus and the development of degenerative changes in the knee. On the other hand, osteoarthritic changes of the joint alter the structural and functional integrity of meniscal tissue. These alterations might additionally compromise the limited healing capacity of the meniscus. In young, active patients without cartilage damage, meniscus therapy including partial meniscectomy, meniscus suture, and meniscus replacement has proven beneficial effects in long-term studies. Even in an early osteoarthritic milieu, there is a relevant regenerative potential of the meniscus and the surrounding cartilage. This potential should be taken into account, and meniscal surgery can be performed with the correct timing and the proper indication even in the presence of early OA.
Level of evidence IV.
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Metadaten
Titel
The role of meniscal tissue in joint protection in early osteoarthritis
verfasst von
Rene Verdonk
Henning Madry
Nogah Shabshin
Florian Dirisamer
Giuseppe M. Peretti
Nicolas Pujol
Tim Spalding
Peter Verdonk
Romain Seil
Vincenzo Condello
Berardo Di Matteo
Johannes Zellner
Peter Angele
Publikationsdatum
16.04.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 6/2016
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-016-4069-2

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