MANAGING MENISCAL INJURIES - RELEASE, RESECT, OR REJECT

摘要

Normal menisci are critical to function of the stifle joint. Meniscal release or resection induces osteoarthritis. Any surgical intervention on menisci should be carefully considered.Meniscal injuries are associated with pain necessitating surgical intervention. Release or resection may be performed arthroscopically in medium-large breed dogs. The size and type of meniscal injury may dictate the surgical approach. Resection of meniscal tears improves short-medium term outcome but carries a poorer long-term outcome.Occasionally meniscal replacement (allograft) may be considered but tissue banking processes need to be quality assured and carefully coordinated.A meniscus is a C-shaped disc of fibrocartilage interposed between the condyles of the femur and tibia. The two menisci are integral components in the complex biomechanics of the knee joint and loss of integrity of either will lead to knee osteoarthritis (OA). This lecture will use case-based data to illustrate the principles of treatment of meniscal injury.