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Online ISSN 1827-1707
Ferlemann K. G., Walde T., Frosch K. H.
Department of Trauma Surgery Plastic and Recontsructive Surgery Georg August Universität Göttingen Göttingen, Germany
Meniscal injuries are common and, in most of the cases, require operative treatment. After partial or complete meniscal resection the development of osteoarthritis can be observed in 16-89% of all patients in long-term studies. The goal of the treatment of meniscal lesions should be to preserve as much meniscal tissue as possible. If no degenerative changes of the meniscus are found, refixation of the injured meniscus should, therefore, be performed. If degenerative changes of the meniscus are present, partial meniscus resection is recommended. In up to 12% of all patients with partial meniscal resection clinically relevant reruptures of the menisci are found. Therefore, an excellent surgical technique as well as surgical experience are necessary to achieve excellent clinical results. In this review article basic skills as well as surgical tips and tricks for the partial meniscal resection are described.