Meniscus Injuries in the Military Athlete

J Knee Surg DOI: 10.1055/s-0038-1676959Meniscal injuries in the young, active patient are often challenging injuries for the orthopaedic surgeon whose goal is to provide pain-free return to play/military duty and preserve maximal meniscal integrity. In the U.S. military, the incidence rate of meniscal tears is almost 10 times higher than that of the civilian population; although, the rates of reoperation following meniscal repair are fairly similar. The decision to pursue meniscal debridement versus repair is multifactorial depending on tear characteristics, concomitant injury, patient characteristics, and goals. Meniscal allograft transplantation remains reserved as a salvage procedure but with limited goals for potential to return to complete unrestricted military duties. The purpose of this article is to review treatment principles for the military athlete with meniscal pathology. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: Journal of Knee Surgery - Category: Orthopaedics Authors: Tags: Special Focus Section Source Type: research

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ConclusionsPost-meniscectomy pain syndrome and post-meniscectomy knee OA are common findings after meniscus resection. Short-term pain relief is provided by non-surgical management, mid-term pain relief by meniscus scaffolds, and long-term relief by MAT, though each has differing indications. In later stages, osteotomies and joint replacements are indicated.Level of evidenceIV.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
Abstract Articular cartilage defects, caused by trauma, osteoarthritis, or other diseases, always lead to severe joint pain and joint dysfunction. Without access to progenitor cells and the supply of blood and nutrients, the impaired articular cartilage would be short of the capability to self-repair. Although the present clinical treatments, including autogenous and allograft osteochondral transplantation, and microfracture technique, and so forth, have shown some efficacies, their drawbacks, such as donor insufficiency and poor-integrated with adjacent tissue, limit the satisfactory repair of articular cartilage...
Source: Biomacromolecules - Category: Biochemistry Authors: Tags: Biomacromolecules Source Type: research
Publication date: Available online 25 February 2019Source: Arthroscopy TechniquesAuthor(s): James Gwosdz, Alexander Rosinski, Moyukh Chakrabarti, Brittany M. Woodall, Nicholas Elena, Patrick J. McGahan, James L. ChenAbstractOsteochondritis dissecans (OCD) has been recognized for over 100 years yet still poses treatment challenges owing to both the avascular nature of articular cartilage and the inability to generate hyaline cartilage. The knee is most commonly involved, and without repair, patients have chronic knee pain, loose bodies, and early-onset osteoarthritis. There are a number of surgical techniques for repai...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
J Knee Surg DOI: 10.1055/s-0037-1618592The treatment of patellofemoral cartilage defects presents several distinct challenges when compared with cartilage restoration techniques used for other compartments of the knee due to the unique anatomy and distribution of forces. The etiologies of patellofemoral articular cartilage lesions include acute traumatic instability injuries, such as dislocation and subluxation, osteochondritis dissecans, and chronic degenerative changes. Regardless of the etiology, untreated patellofemoral cartilage lesions can contribute to activity-limiting anterior knee pain. The goal of patellofemoral...
Source: Journal of Knee Surgery - Category: Orthopaedics Authors: Tags: Special Focus Section Source Type: research
Two well-established first-line surgical treatment options exist for symptomatic meniscus tears: surgical repair and partial menisectomy. Generally considered a salvage procedure, meniscus allograft transplantation is a surgical treatment option for patients who have experienced the failure of multiple previous surgeries with symptomatic meniscal insufficiency and post-menisectomy syndrome. If primary surgical techniques fail, meniscal allograft transplantation can be performed with the goal of restoring normal knee kinematics and function while minimizing swelling and pain for patients
Source: Research in gerontological nursing - Category: Geriatrics Authors: Source Type: research
Publication date: Available online 28 August 2017 Source:Arthroscopy Techniques Author(s): Kevin C. Wang, Brian R. Waterman, Eric J. Cotter, Rachel M. Frank, Brian J. Cole Isolated, full-thickness articular cartilage lesions of the glenohumeral joint can cause pain, mechanical symptoms, and impaired function. Reports on operative management of these injuries with arthroscopic techniques, such as marrow stimulation, have shown improvement in patient symptoms. In cases where the subchondral bone is involved, osteochondral allograft (OCA) transplantation has shown positive results for contained, focal cartilage defects. The ...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
CONCLUSIONS: We found no evidence from randomised controlled trials on allograft transplantation or drilling. The very low quality evidence from RCTs comparing mosaicplasty with microfracture is insufficient to draw conclusions on the relative effects of these two interventions for treating isolated cartilage defects of the knee in adults. Of note is that treatment failure, with recurrence of symptoms, occurred with both procedures. Further research is needed to define the best surgical option for treating isolated cartilage defects. We suggest the greatest need is for multi-centre RCTs comparing reconstructive procedures ...
Source: Cochrane Database of Systematic Reviews - Category: Journals (General) Authors: Tags: Cochrane Database Syst Rev Source Type: research
Conclusion: The SDOCA implant demonstrated a 72% failure rate within the first 2 years of implantation at these 2 institutions.
Source: The American Journal of Sports Medicine - Category: Sports Medicine Authors: Tags: Biology of cartilage, Knee, articular cartilage, Allografts Source Type: research
Discussion Middle-aged patients with FCNO of the knee also profit from OAT at a short follow-up. Level of evidence IV. Mono-centric, prospective clinical series.
Source: Orthopaedics and Traumatology: Surgery and Research - Category: Orthopaedics Source Type: research
Note: Ever since a college soccer injury almost 40 years ago, I've had serious issues with my knee. This is the first in a three-part series that talks about my own very recent knee surgery--from the process of choosing the best possible surgeon through my recovery and return to a more active life -- Dr. Kevin Stone As an orthopedic surgeon, picking another orthopedic surgeon to operate on your own knee is tricky. It was tough enough when my wife insisted that I operate on her knee. She rightly felt that no one else would care about her as much as I did. And since I had invented the procedures to replace her arthritic kne...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
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