The CMI provides physicians with a new option when faced with an irreparable meniscus tear or a failed meniscectomy
that results in segmental loss of meniscal tissue," said Dr.
However, a meniscectomy
significantly increases the risk of arthritis or total knee replacement later in life.
Katz performed a secondary analysis of the randomized, controlled MeTeOR (Meniscal Tear in Osteoarthritis Research) trial, which compared PT with arthroscopic partial meniscectomy
among 351 patients.
The patients were randomized to partial meniscectomy
and/or debridement, which is the medical removal of damaged tissue to improve the healing of healthy tissue.
causes irreversible damage in the joint cartilage in the long term .
The procedure - called partial meniscectomy
- aims to relieve symptoms o knr that are due to a tear in a meniscus, one of two pairs of cartilages that cushion the knee joints, by removing the torn fragments and then trimming up the edges.
5,7,9,12,14) Partial meniscectomy
for torn meniscus may be considered, if conservative measures fail, but it is possible to live with a torn meniscus if activity is judicious.
The surgery is an arthroscopic procedure called a partial meniscectomy
, and doctors perform it to relieve pain and other symptoms associated with a tear in the knee's meniscus.
In such cases, the surgical options include partial or total meniscectomy
, and in cases of previous total or subtotal meniscectomy
, meniscus transplantation is considered (Maffulli et al.
At the moment surgeons often perform a meniscectomy
to trim or remove the torn cartilage, which reduces pain, but increases the long term risk of osteoarthritis.
Twenty-seven patients underwent simple medial meniscectomy
, one patient in the intravenous group underwent medial meniscectomy
with synovial biopsy and two patients in the oral group underwent synovial biopsy and removal of loose body.
35) Cartilage loss following menisecectomy may be accelerated (Figure 11); therefore, meniscal debridement has largely replaced total meniscectomy
in the surgical management of meniscal tears to preserve stability and function and to delay the onset of osteoarthritis.