Cautious surgery for discoid menisci

Chadwick F. Smith M.D.; Eda Van Dyk; John Jurgutis; C. Thomas Vangsness M.D.

doi:10.1117/12.209063

12 May 1995 Cautious surgery for discoid menisci

Chadwick F. Smith M.D., Eda Van Dyk, John Jurgutis, C. Thomas Vangsness M.D.

Proceedings Volume 2395, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems V; (1995) https://doi.org/10.1117/12.209063
Event: Photonics West '95, 1995, San Jose, CA, United States

Abstract

Thirty patients were surgically treated for discoid menisci at our institution from 1972 to 1987. All developed Fairbank's changes if followed more than 5 years. Between 1980 and 1987 we saw 25 patients with menisci over 50% of the size of the femoral condyle by magnetic resonance imaging or arthrographic examination. Surgical criteria have been anteroposterior hypermobility and arthroscopic evidence of rupture in patients with disabling symptoms. Of the 21 patients undergoing surgery since 1980, 99 (43%) have developed Fairbank's changes, all having been treated by partial meniscectomy or meniscectomy plus posterior repair. Follow-up arthroscopy in five patients revealed distinctly abnormal but relatively stable menisci. Partial meniscectomy for discoid menisci by the Watanabe classification is recommended if symptoms are disabling and the menisci is significantly torn. Repair must be added if the posterior horn is unstable.

Citation Download Citation

Chadwick F. Smith M.D., Eda Van Dyk, John Jurgutis, and C. Thomas Vangsness M.D. "Cautious surgery for discoid menisci", Proc. SPIE 2395, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems V, (12 May 1995); https://doi.org/10.1117/12.209063

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