The Menisci : A Comprehensive Review of Their Anatomy, Biomechanical Function and Surgical Treatment

This book is a comprehensive journey through the pathogenesis and treatment of meniscal pathology. It details the elements that are necessary to properly understand, diagnose, and treat meniscal tears, ranging from vertical tears to radial tears and root avulsions. Treatment techniques are thoroughly described and illustrated, with presentation of the latest evidence on outcomes. The algorithmic treatment of meniscal tears has undergone a rapid transformation. We have progressed from the initial treatments involving removal of the meniscus using an open technique, to the performance of partial meniscectomies and complex meniscal repairs by means of an arthroscopic technique. The current treatment goal is to maintain the biology and mechanical integrity of this vital knee structure, an aim too often disregarded by past generations of surgeons. An explosion of new knowledge, coupled with advances in arthroscopic and surgical technology, has paved the way for wider application of approaches that help to preserve the meniscus, in the hope of preventing or delaying the development of knee arthritis. This book will have utility for all clinicians who treat meniscal lesions and will serve as a valuable resource for years to come. Front Matter....Pages i-viii Meniscus Anatomy....Pages 1-8 The Biomechanical Function of the Menisci....Pages 9-20 Classification of Meniscal Tears....Pages 21-29 Meniscectomy: Updates on Techniques and Outcomes....Pages 31-47 Meniscal Root Tears: A Missed Epidemic? How Should They Be Treated?....Pages 49-61 Meniscal Ramp Lesions: Diagnosis and Treatment Strategies....Pages 63-75 Peripheral Meniscal Tears: How to Diagnose and Repair....Pages 77-91 Radial Meniscal Tears: Updates on Repair Techniques and Outcomes....Pages 93-102 All-Inside Meniscal Repair: Updates on Technique....Pages 103-108 Step-By-Step Surgical Approaches for Inside-Out Meniscus Repair....Pages 109-116 The Role of Alignment in Meniscal Tears and the Role of Osteotomy....Pages 117-127 Outside-in Meniscal Repair: Technique and Outcomes....Pages 129-135 Biological Augmentation of Meniscal Repairs....Pages 137-146 Meniscal Repair Outcomes: Isolated Versus Combined with Other Procedures....Pages 147-154 Treatment of Meniscus Degeneration and Meniscus Cysts....Pages 155-164 Discoid Menisci and Their Treatment....Pages 165-173 Meniscal Allograft Transplantation: Updates and Outcomes....Pages 175-194 Back Matter....Pages 195-198 Robert F. Laprade, Elizabeth A. Arendt, Alan Getgood, Scott C. Faucett, Editors. Includes Bibliographical References And Index.