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Current trends in meniscal repair

Svoboda, Steven J.

doi: 10.1097/BCO.0b013e3181c6c42c
SPECIAL FOCUS: Sports Medicine
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Meniscal repair is a critical tool for orthopaedic surgeons treating active patients with meniscal injuries. Meniscectomy leads to early joint injury osteoarthritis; however, long-term, well-designed prospective clinical trials do not exist to confirm that meniscal repair will necessarily moderate the onset of osteoarthritis. Recent literature has focused on an improved understanding of the molecular environment surrounding meniscal tears and the body's repair efforts. Further, biomechanical studies have compared commercially-available and novel techniques to further optimize meniscal repair. A growing body of clinical outcomes studies continues to refine our indications for meniscal repair and clinical repair techniques. While clinical studies continue to be dominated by level of evidence IV reports, level of evidence I and II trials have recently been published that are significant. Tears of the meniscal root are increasingly diagnosed, and strategies to direct their management continue to be elucidated. Current work has the potential to significantly improve our understanding of meniscal tears and their treatment.

Keller Army Community Hospital, West Point, New York

Correspondence to LTC Steven J. Svoboda, MD, Orthopaedic Surgery Service, Keller Army Community Hospital, 900 Washington Road, West Point, NY 10996

Tel: +845 938 6620; fax: +845 938 6806;

e-mail: steven.svoboda@amedd.army.mil

The views expressed in this paper are those of the author and do not reflect the official policy or position of the Department of the Army, the Department of Defense, or the United States Government.

© 2010 Lippincott Williams & Wilkins, Inc.