Russian Journal of Pediatric SurgeryRussian Journal of Pediatric SurgeryДетская хирургия1560-95102412-0677Eco-Vector60010.55308/1560-9510-2022-26-6-327-333ReviewsОБЗОРЫKnee meniscus injury in children: meniscectomy or meniscus suturing (literature review)Повреждение менисков коленного сустава у детей: менискэктомия или шов мениска (обзор литературы)https://orcid.org/0000-0003-3686-3708KeshishyanR. A.КешишянР. А.
Russian Federation

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

117198, Moscow127473, Moscow115409, Moscow

Кешишян Размик Арамович, доктор мед. наук, профессор кафедры медицины катастроф; кафедра госпитальной хирургии с курсом детской хирургии

117198, Москва127473, Москва115409, Москва

razmik_k@mail.ruhttps://orcid.org/0000-0002-2743-9019SkavyshA. V.СкавышА. В.
Russian Federation

119991, Moscow

119991, Москва

https://orcid.org/0000-0003-1179-921XManzhosP. I.МанжосП. И.
Russian Federation

119049, Moscow

119049, Москва

Peoples’ Friendship University of RussiaФГАОУ ВО «Российский университет дружбы народов»Russian Medical Academy of Continuous Professional EducationФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Министерства здравоохранения Российской ФедерацииFederal Scientific and Clinical Center for Children and Adolescents, FMBAФГБУ «Федеральный научно-клинический центр детей и подростков Федерального медико-биологического агенства»Sechenov First Moscow State Medical UniversityКлинический институт детского здоровья им. Н.Ф. Филатова Федерального государственного автономного образовательного учреждения высшего образования «Первый московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский университет)»Morozovskaya Children's City Clinical Hospital of the Department of Health of the City of MoscowГБУЗ города Москвы «Морозовская детская городская клиническая больница Департамента здравоохранения города Москвы»2912202226632733308022023080220232022https://jps-nmp.ru/jour/article/view/600

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.

Введение. Популяризация спорта, а также улучшение диагностических возможностей способствуют актуализации проблемы травм менисков коленного сустава у детей. Современные тенденции лечения травм менисков в России заключаются в выборе между менискэктомией и швом мениска. В мире наблюдается тенденция к уменьшению количества выполняемых менискэктомий, потому что доказана связь между этим вмешательством и развитием остеоартрита.Материал и методы. В данном обзоре представлен анализ хирургического лечения травм менисков коленного сустава у детей, которые до сих пор являются предметом дискуссии. В подбор источников включены статьи из баз данных PubMed, EMBASE, CyberLeninka, РИНЦ до 15 сентября 2022 г. (большинство статей за период 2017–2022 гг.). Для поиска использовались ключевые слова: шов мениска, менискэктомия, дети, остеоартрит.Заключение. Шов мениска является более сложной процедурой как для хирурга, так и для пациента, но приводит к более хорошим отдаленным клиническим и рентгенологическим результатам.

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