The Meniscus-Deficient Knee: Biomechanics, Evaluation, and Treatment Options

Orthopaedic Journal of Sports Medicine
Allison J RaoBrian J Cole

Abstract

Meniscal tears are the most common knee injury, and partial meniscectomies are the most common orthopaedic surgical procedure. The injured meniscus has an impaired ability to distribute load and resist tibial translation. Partial or complete loss of the meniscus promotes early development of chondromalacia and osteoarthritis. The primary goal of treatment for meniscus-deficient knees is to provide symptomatic relief, ideally to delay advanced joint space narrowing, and ultimately, joint replacement. Surgical treatments, including meniscal allograft transplantation (MAT), high tibial osteotomy (HTO), and distal femoral osteotomy (DFO), are options that attempt to decrease the loads on the articular cartilage of the meniscus-deficient compartment by replacing meniscal tissue or altering joint alignment. Clinical and biomechanical studies have reported promising outcomes for MAT, HTO, and DFO in the postmeniscectomized knee. These procedures can be performed alone or in conjunction with ligament reconstruction or chondral procedures (reparative, restorative, or reconstructive) to optimize stability and longevity of the knee. Complications can include fracture, nonunion, patella baja, compartment syndrome, infection, and deep venou...Continue Reading

References

Jan 1, 1992·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·D J Covall, S A Wasilewski
Jan 1, 1987·The Journal of Bone and Joint Surgery. British Volume·U JørgensenA Rosenklint
Nov 1, 1984·The Journal of Bone and Joint Surgery. British Volume·P R AllenA V Swan
Mar 1, 1982·The American Journal of Sports Medicine·S P Arnoczky, R F Warren
Aug 1, 1995·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·D L JohnsonC D Harner
Mar 1, 1995·The American Journal of Sports Medicine·R E Fitzgibbons, K D Shelbourne
Mar 1, 1995·The American Journal of Sports Medicine·K D ShelbourneC D VanMeter
Jun 1, 1994·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·W R Shelton, A D Dukes
May 1, 1993·The American Journal of Sports Medicine·L E Bolano, W A Grana
Sep 1, 1996·The Journal of Bone and Joint Surgery. American Volume·J A FinkelsteinA Davis
Apr 1, 1997·Clinical Orthopaedics and Related Research·J C Cameron, S Saha
Aug 1, 1997·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·J F CumminsD G Allan
Jan 27, 1998·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·R T BurksR W Metcalf
May 4, 1999·The Journal of Bone and Joint Surgery. American Volume·A KirkleyP Fowler
Feb 1, 2000·The Journal of Bone and Joint Surgery. American Volume·Z L SzomorG A Murrell
Oct 1, 1994·The Journal of the American Academy of Orthopaedic Surgeons·E P France, L E Paulos
Aug 2, 2000·The American Journal of Sports Medicine·B ShafferL Yao
Aug 23, 2000·The Journal of Bone and Joint Surgery. American Volume·S A RodeoR F Warren
Oct 13, 2000·The Journal of the American Academy of Orthopaedic Surgeons·J R Watterson, J M Esdaile
Apr 9, 2001·The American Journal of Sports Medicine·C D PapageorgiouF H Fu
Jul 31, 2001·The American Journal of Sports Medicine·E RathF Gundogan
Jun 4, 2002·The Journal of the American Academy of Orthopaedic Surgeons·Patrick E GreisRobert T Burks
Jun 4, 2002·The Journal of the American Academy of Orthopaedic Surgeons·Patrick E GreisRobert T Burks
Jul 12, 2002·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Michael P Recht, Josef Kramer
Jul 10, 2003·The Journal of Bone and Joint Surgery. American Volume·Joseph J Gugenheim, Mark R Brinker
Nov 1, 1961·The Journal of Bone and Joint Surgery. British Volume·R E OUTERBRIDGE
Nov 19, 2003·The American Journal of Sports Medicine·Jon K SekiyaChristopher D Harner
Dec 16, 2003·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Annunziato Amendola
Feb 3, 2004·The American Journal of Sports Medicine·Douglas D R NaudiePeter J Fowler
Mar 5, 2004·The Journal of Bone and Joint Surgery. American Volume·Javad ParviziMark J Spangehl
Apr 5, 2005·The Journal of Bone and Joint Surgery. American Volume·Peter C M VerdonkRené Verdonk
Aug 23, 2005·The Journal of the American Academy of Orthopaedic Surgeons·John M WrightRussell E Windsor
Jan 6, 2006·The Journal of the American Academy of Orthopaedic Surgeons·Fabian E Pollo, Robert W Jackson
Feb 8, 2006·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Peter C M VerdonkRené Verdonk
Mar 8, 2006·The Journal of the American Academy of Orthopaedic Surgeons·Jon K Sekiya, Christopher I Ellingson
May 11, 2006·The American Journal of Sports Medicine·Ioannis P TerzidisMiltiadis Koimtzis
Dec 1, 2006·Sports Medicine and Arthroscopy Review·Phinit PhisitkulAnnunziato Amendola
Dec 13, 2006·The Journal of Bone and Joint Surgery. British Volume·I D McDermott, A A Amis
Feb 16, 2007·Sports Medicine and Arthroscopy Review·Giancarlo PudduEnrico Giannì
Feb 16, 2007·Sports Medicine and Arthroscopy Review·Annunziato Amendola
Mar 3, 2007·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·James H LubowitzRené Verdonk
Aug 31, 2007·Journal of Biomedical Materials Research. Part a·Peter AngeleJung Yoo
Sep 1, 2007·The Journal of the American Academy of Orthopaedic Surgeons·K Donald Shelbourne, Jonathan F Dickens
Nov 9, 2007·The Journal of the American Academy of Orthopaedic Surgeons·Peter D Fabricant, Peter Jokl

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Citations

Feb 9, 2017·Tissue Engineering. Part B, Reviews·Farrah A Monibi, James L Cook
Jun 29, 2018·The American Journal of Sports Medicine·Jay M PatelMichael G Dunn
Feb 6, 2018·Orthopaedic Journal of Sports Medicine·Brendan R SouthamBrian Grawe
Nov 9, 2019·Journal of Biomechanical Engineering·Jay M PatelMichael G Dunn
Jan 9, 2020·Current Medical Research and Opinion·Elliott B HershmanJonathan J Elsner
Jun 7, 2019·Journal of Pediatric Orthopedics·Henry G Chambers, Reid C Chambers
Mar 22, 2020·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Anna J SchreinerJames L Cook
Feb 24, 2019·British Journal of Sports Medicine·Simon G F AbramAndrew J Price
Mar 13, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Matej DrobničPeter Verdonk
Sep 27, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Robert J P van der WalRob G H H Nelissen
Dec 24, 2018·BMC Musculoskeletal Disorders·Andreas FuchsMatthias J Feucht
Jul 28, 2019·Annals of Biomedical Engineering·Daniel C WhittingslowOmer T Inan
Mar 12, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Ximing ZhangToshifumi Ozaki
Nov 6, 2021·Arthritis Research & Therapy·Sophia Y Kim-WangAmy L McNulty

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