Published online Feb 28, 2010.
https://doi.org/10.4055/jkoa.2010.45.1.92
Meniscus Repair with Fibrin Clot in Complete Radial Tear of Lateral Meniscus
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.
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.
Table 1
Demographics and Results
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