Weber Johannes, Koch Matthias, Angele Peter, Zellner Johannes
Department of Trauma Surgery, University Hospital of Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany.
sporthopaedicum Regensburg/Straubing, Hildegard von Bingen Strasse 1, 93053, Regensburg, Germany.
J Exp Orthop. 2018 Apr 2;5(1):10. doi: 10.1186/s40634-018-0122-z.
The meniscus plays an important role in the integrity of the knee joint. Therefore, meniscus tissue preserving techniques for the therapy of meniscus injuries seem to be reasonable. One of the important questions is whether meniscal repair can prevent the knee joint from early onset of osteoarthritis.
According to the review of the current literature, the principles of a successful meniscal repair are explained and the functional outcome and its impact on the prevention of osteoarthritis are analyzed in this article.
Current data show a positive impact of a successful meniscus repair on the functional outcome in long-term. By this a protective effect on the development of osteoarthritis via the repair of meniscus lesions to restore the meniscus integrity can be confirmed. However, higher rates of re-operations in context to meniscus suturing have to be considered.
Due to the improved functional outcomes as well as preventive effect on the development of osteoarthritis within the knee joint in long-term, it is of importance to preserve as much meniscus tissue as possible in meniscus therapy. Patients previously have to be informed about the higher revision rate in context to meniscus suturing.
半月板在膝关节完整性方面发挥着重要作用。因此，用于治疗半月板损伤的半月板组织保留技术似乎是合理的。一个重要问题是半月板修复能否预防膝关节早期骨关节炎的发生。
通过对当前文献的综述，本文阐述了成功进行半月板修复的原则，并分析了其功能结果及其对预防骨关节炎的影响。
目前的数据表明，成功的半月板修复在长期对功能结果有积极影响。由此可以确认，通过修复半月板损伤以恢复半月板完整性，对骨关节炎的发展具有保护作用。然而，必须考虑与半月板缝合相关的再次手术率较高的情况。
由于功能结果得到改善，以及对膝关节长期骨关节炎发展具有预防作用，在半月板治疗中尽可能保留更多的半月板组织非常重要。此前必须告知患者与半月板缝合相关的翻修率较高的情况。
