J Korean Orthop Assoc. 2010 Feb;45(1):92-96. Korean.
Published online Feb 28, 2010.
Copyright © 2010 by The Korean Orthopaedic Association
Case Report

Meniscus Repair with Fibrin Clot in Complete Radial Tear of Lateral Meniscus

Jeong Ku Ha, M.D., Jin Goo Kim, M.D., Ph.D., and Ho Jong Ra, M.D.
    • Department of Orthopedic Surgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.
Received June 04, 2009; Accepted September 15, 2009.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Meniscus tear is one of the most common knee injuries. The increasing recognition of the importance of the meniscal function has led to a range of new treatments for meniscal tears. A complete radial tear disrupts the circumferential hoop tension of the meniscus. Therefore, restoring its natural architecture is of utmost importance. However, it is difficult to achieve meniscal healing of a complete radial tear due to its structural characteristics. We report five cases of a complete radial tear of the lateral meniscus treated successfully using a fibrin clot that showed good meniscal healing and excellent clinical outcomes.

Keywords
lateral meniscus; radial tear; meniscus repair; fibrin clot

Figures

Figure 1
A Schematic drawing of our method.

Figure 2
Case No 3. (A) Preoperative MRI shows a signal increase at the posterior horn of lateral meniscus (white arrow) (B) Meniscus repair with fibrin clot. (C) MRI checked at the 7 months after surgery shows complete healing of meniscus (black arrow). (D) Second-look arthroscopic examination at 8 months after surgery shows complete healing of meniscus.

Figure 3
Case No 5. (A) Preoperative MRI shows a signal increase at the posterior horn of lateral meniscus(white arrow) (B) Meniscus repair with fibrin clot. (C) MRI checked at 7 months after surgery shows complete meniscal healing (black arrow). (D) Second-look arthroscopic examination at 15 months after surgery shows complete meniscal healing.

Tables

Table 1
Demographics and Results

References

    1. Rodeo SA. Arthroscopic meniscal repair with use of the outside-in technique. Instr Course Lect 2000;49:195–206.
    1. van Trommel MF, Simonian PT, Potter HG, Wickiewicz TL. Arthroscopic meniscal repair with fibrin clot of complete radial tears of the lateral meniscus in the avascular zone. Arthroscopy 1998;14:360–365.
    1. van Trommel MF, Potter HG, Ernberg LA, Simonian PT, Wickiewicz TL. The use of noncontrast magnetic resonance imaging in evaluating meniscal repair: comparison with conventional arthrography. Arthroscopy 1998;14:2–8.
    1. Voloshin AS, Wosk J. Shock absorption of meniscectomized and painful knees: a comparative in vivo study. J Biomed Eng 1983;5:157–161.
    1. Kurosawa H, Fukubayashi T, Nakajima H. Load-bearing mode of the knee joint: physical behavior of the knee joint with or without menisci. Clin Orthop Relat Res 1980;149:283–290.
    1. Hede A, Larsen E, Sandberg H. The long term outcome of open total and partial meniscectomy related to the quantity and site of the meniscus removed. Int Orthop 1992;16:122–125.
    1. Turman KA, Diduch DR. Meniscal repair: indications and techniques. J Knee Surg 2008;21:154–162.
    1. Tetik O, Kocabey Y, Johnson DL. Synovial abrasion for isolated, partial thickness, undersurface, medial meniscus tears. Orthopedics 2002;25:675–678.
    1. Freedman KB, Nho SJ, Cole BJ. Marrow stimulating technique to augment meniscus repair. Arthroscopy 2003;19:794–798.
    1. Arnoczky SP, Warren RF, Spivak JM. Meniscal repair using an exogenous fibrin clot. An experimental study in dogs. J Bone Joint Surg Am 1988;70:1209–1217.

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