Knee meniscus injury in children: meniscectomy or meniscus suturing (literature review)



Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Introduction. Sports popularization as well as better diagnostic options contribute to the relevance of the problem of knee meniscus injuries in children. Current trends in the management of meniscus injuries in Russia are between the choice – meniscectomy or meniscus suturing. There is a global tendency to reduce the number of performed meniscectomies because there has been proven correlation between this surgical intervention and osteoarthritis development.
Material and methods. In the present review, the authors analyze outcomes after surgical treatment of knee meniscus injuries, which is still a controversial issue. They have selected sources published in PubMed, EMBASE, CyberLeninka, RSCI databases till September 15, 2022 (most of the articles published in 2017–2022). Keywords for the search were: meniscus suture, meniscectomy, children, osteoarthritis.
Conclusion. Meniscus suturing is a more complicated procedure for both surgeons and patients, but it leads to better long-term clinical and radiological outcomes.

About the authors

R. A. Keshishyan

Peoples’ Friendship University of Russia; Russian Medical Academy of Continuous Professional Education; Federal Scientific and Clinical Center for Children and Adolescents, FMBA

Author for correspondence.
Email: razmik_k@mail.ru
ORCID iD: 0000-0003-3686-3708

Razmik А. Keshishyan, MD, PhD, DSc, professor, department of disaster medicine

117198, Moscow
127473, Moscow
115409, Moscow

Россия

A. V. Skavysh

Sechenov First Moscow State Medical University

Email: fake@neicon.ru
ORCID iD: 0000-0002-2743-9019

119991, Moscow

Россия

P. I. Manzhos

Morozovskaya Children's City Clinical Hospital of the Department of Health of the City of Moscow

Email: fake@neicon.ru
ORCID iD: 0000-0003-1179-921X

119049, Moscow

Россия

References

  1. Corry I.I., Webb J. Injuries of the sporting knee. Br J Sports Med. 2000 Oct; 34(5): 395. https://doi.org/10.1136/bjsm.34.5.395.
  2. Пучко А.А., Ясюкевич А.С., Гулевич Н.П., Маслов О.В. Анализ уровня и структуры травм коленного сустава в различных видах спорта. Прикладная спортивная наука. 2019; 1(9): 65–75.
  3. Bednarski P., Piekarska K. Traumatic Knee Injuries: Analysis of Reporting Data from the Period 2016–2018 Using API Interface of Polish National Health Fund Statistics. Ortop Traumatol Rehabil. 2020 Aug 31; 22(4): 251–65. https://doi.org/10.5604/01.3001.0014.3462
  4. Maniar N., Verhagen E., Bryant A.L., Opar D.A. Trends in Australian knee injury rates: An epidemiological analysis of 228,344 knee injuries over 20 years. Lancet Reg Health West Pac. 2022 Mar 22; 21: 100409. https://doi.org/10.1016/j.lanwpc.2022.100409
  5. Başar B., Başar G., Aybar A., Kurtan A., Başar H. The effects of partial meniscectomy and meniscal repair on the knee proprioception and function. J Orthop Surg (Hong Kong). 2020 Jan-Apr; 28(1): 2309499019894915. https://doi.org/10.1177/2309499019894915
  6. McDermott I.D., Amis A.A. The consequences of meniscectomy. J Bone Joint Surg Br. 2006 Dec; 88(12): 1549–56. https://doi.org/10.1302/0301-620X.88B12.18140
  7. Feehan J., Macfarlane C., Vaughan B. Conservative management of a traumatic meniscal injury utilising osteopathy and exercise rehabilitation: A case report. Complement Ther Med. 2017 Aug; 33: 27–31. https://doi.org/10.1016/j.ctim.2017.05.007
  8. Pettrone F.A. Meniscectomy: arthrotomy versus arthroscopy. Am J Sports Med. 1982 Nov-Dec; 10(6): 355–9. https://doi.org/10.1177/036354658201000607
  9. Abram S.G.F., Judge A., Beard D.J., Wilson H.A., Price A.J. Temporal trends and regional variation in the rate of arthroscopic knee surgery in England: analysis of over 1.7 million procedures between 1997 and 2017. Has practice changed in response to new evidence? Br J Sports Med. 2019 Dec; 53(24): 1533–8. https://doi.org/10.1136/bjsports-2018-099414
  10. Parker B.R., Hurwitz S., Spang J., Creighton R., Kamath G. Surgical trends in the treatment of meniscal tears: analysis of data from the american board of orthopaedic surgery certifcation examination database. The American Journal of Sports Medicine. 2016; 44(7): 1717–23. https://doi.org/10.1177/0363546516638082
  11. Chung K.S., Ha J.K., Kim Y.S., Kim J.H., Ra H.J., Kong D.H., Wang P.W., Choi C.H., Kim J.G. National Trends of Meniscectomy and Meniscus Repair in Korea. J Korean Med Sci. 2019 Aug 19; 34(32): e206. https://doi.org/10.3346/jkms.2019.34.e206
  12. Орлецкий А.К., Буткова Л.Л., Соломянник И.А., Горбатюк Д.С., Желнов П.В. Клинические рекомендации: Повреждение мениска коленного сустава (взрослые). 2021–2022–2023 (26.08.2021). 2021; 39. Доступно: https://storage.yandexcloud.net/ator/uploads/public/61e/e5a/6d7/61ee5a6d71763692195082.pdf
  13. Hsu H., Siwiec R.M. Knee Osteoarthritis. [Updated 2022 Sep 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507884/
  14. Cui A., Li H., Wang D., Zhong J., Chen Y., Lu H. Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population-based studies. EClinicalMedicine. 2020 Nov 26; 29–30: 100587. https://doi.org/10.1016/j.eclinm.2020.100587
  15. Whittaker J.L., Toomey C.M., Woodhouse L.J., Jaremko J.L., Nettel-Aguirre A., Emery C.A. Association between MRI-defined osteoarthritis, pain, function and strength 3–10 years following knee joint injury in youth sport. Br J Sports Med. 2018 Jul; 52(14): 934–9. https://doi.org/10.1136/bjsports-2017-097576
  16. Thomas A.C., Hubbard-Turner T., Wikstrom E.A., Palmieri-Smith R.M. Epidemiology of Posttraumatic Osteoarthritis. J Athl Train. 2017 Jun 2; 52(6): 491–6. https://doi.org/10.4085/1062-6050-51.5.08
  17. Snoeker B., Turkiewicz A., Magnusson K., Frobell R., Yu D., Peat G., Englund M. Risk of knee osteoarthritis after different types of knee injuries in young adults: a population-based cohort study. Br J Sports Med. 2020 Jun; 54(12): 725–30. https://doi.org/10.1136/bjsports-2019-100959
  18. Ezzat A.M., Whittaker J.L., Toomey C., Doyle-Baker P.K., Brussoni M., Emery C.A. Knee confidence in youth and young adults at risk of post-traumatic osteoarthritis 3–10 years following intraarticular knee injury. J Sci Med Sport . 2018 Jul; 21(7): 671–5. https://doi.org/10.1016/j.jsams.2017.11.012
  19. Pache S., Aman Z.S., Kennedy M., Nakama G.Y., Moatshe G., Ziegler C., LaPrade R.F. Meniscal Root Tears: Current Concepts Review. Arch. Bone Jt. Surg. 2018; 6(4): 250–9.
  20. Shimomura K., Hamamoto S., Hart D.A., Yoshikawa H., Nakamura N. Meniscal repair and regeneration: Current strategies and future perspectives. J. Clin. Orthop. Trauma. 2018; 9(3): 247–53. https://doi.org/10.1016/j.jcot.2018.07.008
  21. Koh J.L., Zimmerman T.A., Patel S., Ren Y., Xu D., Zhang L.Q. Tibiofemoral Contact Mechanics With Horizontal Cleavage Tears and Treatment of the Lateral Meniscus in the Human Knee: An In Vitro Cadaver Study. Clin Orthop Relat Res. 2018 Nov; 476(11): 2262–70. https://doi.org/10.1097/CORR.0000000000000464
  22. LaPrade C.M., Jansson K.S., Dornan G., Smith S.D., Wijdicks C.A., LaPrade R.F. Altered tibiofemoral contact mechanics due to lateral meniscus posterior horn root avulsions and radial tears can be restored with in situ pull-out suture repairs. J Bone Joint Surg Am. 2014 Mar 19; 96(6): 471–9. https://doi.org/10.2106/JBJS.L.01252
  23. Peña E., Calvo B., Martinez M.A., Palanca D., Doblaré M. Why lateral meniscectomy is more dangerous than medial meniscectomy. A finite element study. J Orthop Res. 2006 May; 24(5): 1001–10. https://doi.org/10.1002/jor.20037
  24. Jørgensen U., Sonne-Holm S., Lauridsen F., Rosenklint A. Long-term follow-up of meniscectomy in athletes. A prospective longitudinal study. J Bone Joint Surg Br. 1987 Jan; 69(1): 80–3. https://doi.org/10.1302/0301-620X.69B1.3818740
  25. McNicholas M.J., Rowley D.I., McGurty D., Adalberth T., Abdon P., Lindstrand A., Lohmander L.S. Total meniscectomy in adolescence. A thirty-year follow-up. J Bone Joint Surg Br. 2000 Mar; 82(2): 217–21. PMID: 10755429.
  26. Faucett S.C., Geisler B.P., Chahla J., Krych A.J., Kurzweil P.R., Garner A.M., Liu S., LaPrade R.F., Pietzsch J.B. Meniscus Root Repair vs Meniscectomy or Nonoperative Management to Prevent Knee Osteoarthritis After Medial Meniscus Root Tears: Clinical and Economic Effectiveness. Am J Sports Med. 2019 Mar; 47(3): 762–9. https://doi.org/10.1177/0363546518755754
  27. Rodriguez-Merchan E.C., Garcia-Ramos J.A., Padilla-Eguiluz N.G., Gomez–Barrena E. Arthroscopic Partial Meniscectomy for Painful Degenerative Meniscal Tears in the Presence of Knee Osteoarthritis in Patients Older than 50 Years of Age: Predictors of an Early (1 to 5 Years) Total Knee Replacement. Arch Bone Jt Surg. 2018 May; 6(3): 203–11. PMID: 29911137; PMCID: PMC5990712.
  28. Богатов В.Б., Бахтеева Н.Х., Митрофанов В.А. Отдалённые результаты артроскопических вмешательств при травмах коленного сустава у детей. Травматология и ортопедия России. 2010; 3(57): 55–60.
  29. Price A.J., Alvand A., Troelsen A., Katz J.N., Hooper G., Gray A., Carr A., Beard D. Knee replacement. Lancet. 2018 Nov 3; 392(10158): 1672–82. https://doi.org/10.1016/S0140-6736(18)32344-4
  30. Liang H., Bae J.K., Park C.H., Kim K.I., Bae D.K., Song S.J. Comparison of mode of failure between primary and revision total knee arthroplasties. Orthop Traumatol Surg Res. 2018 Apr; 104(2): 171–6. https://doi.org/10.1016/j.otsr.2017.10.003
  31. Postler A., Lützner C., Beyer F., Tille E., Lützner J. Analysis of Total Knee Arthroplasty revision causes. BMC Musculoskelet Disord. 2018 Feb 14; 19(1): 55. https://doi.org/10.1186/s12891-018-1977-y
  32. Lei P.F., Hu R.Y., Hu Y.H. Bone Defects in Revision Total Knee Arthroplasty and Management. Orthop Surg. 2019 Feb; 11(1): 15–24. https://doi.org/10.1111/os.12425
  33. Passias B.J., Adams J.B., Lombardi A.V. Jr., Berend K.R., Crawford D.A. Long-Term Outcomes of a Modular System in Revision Total Knee Arthroplasty. Surg Technol Int. 2020 Nov 28; 37: 259–64. PMID: 32557522.
  34. Old A.B., Long W.J., Scott W.N. Revision of Total Knee Arthroplasties Performed in Young, Active Patients with Posttraumatic Arthritis and Osteoarthritis. J Knee Surg. 2017 Nov; 30(9): 905–8. https://doi.org/10.1055/s-0037-1598074
  35. Lee S.H., Kim D.H., Lee Y.S. Is there an optimal age for total knee arthroplasty?: A systematic review. Knee Surg Relat Res. 2020 Nov 16; 32(1): 60. https://doi.org/10.1186/s43019-020-00080-1
  36. Drobnič M., Ercin E., Gamelas J., Papacostas E.T., Slynarski K., Zdanowicz U., Spalding T., Verdonk P. Treatment options for the symptomatic post-meniscectomy knee. Knee Surg Sports Traumatol Arthrosc. 2019 Jun; 27(6): 1817–24. https://doi.org/10.1007/s00167-019-05424-3
  37. Shimomura K., Hamamoto S., Hart D.A., Yoshikawa H., Nakamura N. Meniscal repair and regeneration: Current strategies and future perspectives. J Clin Orthop Trauma. 2018 Jul-Sep; 9(3): 247–53. https://doi.org/10.1016/j.jcot.2018.07.008
  38. Kimura Y., Yamamoto Y., Sasaki S., Sasaki E., Sasaki T., Tsuda E., Ishibashi Y. Meniscus Allograft Transplantation Obtained From Adult Patients Undergoing Total Knee Arthroplasty May be Used for Younger Patients After Lateral Discoid Meniscus Meniscectomy. Arthrosc Sports Med Rehabil. 2021 Sep 10; 3(6): e1679–85. https://doi.org/10.1016/j.asmr.2021.07.024
  39. Kopf S., Beaufils P., Hirschmann M.T., Rotigliano N., Ollivier M., Pereira H., Verdonk R., Darabos N., Ntagiopoulos P., Dejour D., Seil R., Becker R. Management of traumatic meniscus tears: the 2019 ESSKA meniscus consensus. Knee Surg Sports Traumatol Arthrosc. 2020 Apr; 28(4): 1177–94. https://doi.org/10.1007/s00167-020-05847-3
  40. Jacquet C., Mouton C., Becker R., Koga H., Ollivier M., Verdonk P., Beaufils P., Seil R. Does practice of meniscus surgery change over time? A report of the 2021 ‘THE MENISCUS’ Webinar. J Exp Orthop.2021 Jun 26; 8(1): 46. https://doi.org/10.1186/s40634-021-00365-8
  41. Садыков Р.Ш., Богатов В.Б., Шорманов А.М., Раджабов А.М. Особенности гистоморфологического строения менисков коленного сустава у детей. Политравма. 2013; 2: 67–72.
  42. Ghazi Zadeh L., Chevrier A., Farr J., Rodeo S.A., Buschmann M.D. Augmentation Techniques for Meniscus Repair. J Knee Surg. 2018 Jan; 31(1): 99–116. https://doi.org/10.1055/s-0037-1602247
  43. Geffroy L., Meniscal pathology in children and adolescents. Orthopaedics and Traumatology: Surgery and Research (2020). https://doi.org/10.1016/j.otsr.2020.102775
  44. Vinagre G., Cruz F., Alkhelaifi K., D’Hooghe P. Isolated meniscus injuries in skeletally immature children and adolescents: state of the art. J ISAKOS. 2022 Feb; 7(1): 19–26. https://doi.org/10.1136/jisakos-2020-000496
  45. Song X., Chen D., Qi X., Jiang Q., Xia C. Which factors are associated with the prevalence of meniscal repair? BMC Musculoskelet Disord. 2021 Mar 22; 22(1): 295. https://doi.org/10.1186/s12891-021-04107-w
  46. Ezzat A.M., Brussoni M., Whittaker J.L., Emery C.A. A qualitative investigation of the attitudes and beliefs about physical activity and post-traumatic osteoarthritis in young adults 3–10 years after an intra-articular knee injury. Phys Ther Sport. 2018 Jul; 32: 98–108. https://doi.org/10.1016/j.ptsp.2018.05.00
  47. Song X., Chen D., Qi X., Jiang Q., Xia C. The predictive factors that are associated with the number of sutures used during meniscal repair. BMC Musculoskelet Disord 22, 66 (2021). https://doi.org/10.1186/s12891-020-03911-0
  48. Miller M.D. Editorial Commentary: Caveat Medicus-Beware of Meniscal Repair. Arthroscopy. 2020 Feb; 36(2): 499–500. https://doi.org/10.1016/j.arthro.2019.11.100
  49. LaPrade R.F., Arendt E.A., Getgood A., Faucett S. The menisci: A comprehensive review of their anatomy, biomechanical function and surgical treatment. Springer Berlin Heidelberg, 2017. https://doi.org/10.1007/978-3-662-53792-3
  50. Hendrix S.T., Kwapisz A., Wyland D.J. All-inside Arthroscopic Meniscal Repair Technique Using a Midbody Accessory Portal. Arthrosc Tech. 2017 Oct 16; 6(5): e1885–90. https://doi/org/10.1016/j.eats.2017.07.005
  51. Massey P., McClary K., Parker D., Barton R.S., Solitro G. The rebar repair for radial meniscus tears: a biomechanical comparison of a reinforced suture repair versus parallel and cross-stitch techniques. J Exp Orthop. 2019 Aug 22; 6(1): 38. https://doi.org/10.1186/s40634-019-0206-4
  52. Shanmugaraj A., Tejpal T., Ekhtiari S., Gohal C., Horner N., Hanson B., Khan M., Bhandari M. The repair of horizontal cleavage tears yields higher complication rates compared to meniscectomy: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2020 Mar; 28(3): 915–25. https://doi.org/10.1007/s00167-019-05557-5
  53. Kotsovolos E.S., Hantes M.E., Mastrokalos D.S., Lorbach O., Paessler H.H. Results of all-inside meniscal repair with the FasT-Fix meniscal repair system. Arthroscopy. 2006 Jan; 22(1): 3–9. https://doi.org/10.1016/j.arthro.2005.10.017
  54. Черняк Е.Е., Каюмов А.Ю., Герасимов С.А., Зыкин А.А. Клинические рекомендации: Повреждения менисков коленного сустава. Нижний Новгород: 2013; 20.
  55. Gowd A.K., Liu J.N., Bohl D.D., Agarwalla A., Cabarcas B.C., Manderle B.J., Garcia G.H., Forsythe B., Verma N.N. Operative Time as an Independent and Modifiable Risk Factor for Short-Term Complications After Knee Arthroscopy. Arthroscopy. 2019 Jul; 35(7): 2089–98. https://doi.org/10.1016/j.arthro.2019.01.059
  56. Laprell H., Stein V., Petersen W. Arthroscopic all-inside meniscus repair using a new refixation device: a prospective study. Arthroscopy. 2002 Apr; 18(4): 387-93. https://doi.org/10.1053/jars.2002.30639
  57. Koch M., Memmel C., Zeman F., Pfeifer C.G., Zellner J., Angele P., Weber-Spickschen S., Alt V., Krutsch W. Early Functional Rehabilitation after Meniscus Surgery: Are Currently Used Orthopedic Rehabilitation Standards Up to Date? Rehabil Res Pract. 2020 Mar 29; 2020: 3989535. https://doi.org/10.1155/2020/3989535

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2022

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies