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Management of Long-Term Complications in the Setting of Lateral Meniscal Deficiency After Saucerization of a Discoid Lateral Meniscus in an Adolescent Patient

A Case Report and Review of the Literature

Smith, Ryan A., BS1; Vandenberg, Curtis D., MD2,3; Pace, J. Lee, MD4

doi: 10.2106/JBJS.CC.18.00054
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Case: A 14-year-old adolescent with bilateral discoid menisci who had previously undergone discoid meniscal saucerization presented with pain and mechanical knee symptoms bilaterally. She had a torn left discoid lateral meniscus, a right lateral meniscal deficiency with an associated osteochondral defect, and valgus collapse of the right femur. She underwent successful repair of the left discoid meniscus as well as a femoral osteotomy, a meniscal transplant, and an osteochondral allograft transplantation in the right knee.

Conclusion: New treatment paradigms following initial interventions for discoid menisci are discussed. Patients may benefit from longer follow-up after discoid meniscal surgery, and providers should consider joint-preserving techniques early in the setting of meniscal deficiency.

1David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, California

2Children’s Orthopaedic Center, Children’s Hospital Los Angeles, Los Angeles, California

3Keck School of Medicine of the University of Southern California, Los Angeles, California

4Elite Sports Medicine, Division of Orthopedic Surgery, Connecticut Children’s Medical Center, University of Connecticut School of Medicine, Farmington, Connecticut

E-mail address for J.L. Pace: leepace@gmail.com

Copyright © 2018 by The Journal of Bone and Joint Surgery, Incorporated
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