The basic science of meniscus repair.

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Abstract

[Indexed for MEDLINE] 10. Arthrosc Tech. 2016 Jul 25;5(4):e793-e797. doi: 10.1016/j.eats.2016.03.007. eCollection 2016 Aug. Inside-Out Repair for Radial Meniscus Tears. Pareek A(1), O'Malley MP(1), Levy BA(1), Stuart MJ(1), Krych AJ(1). Author information: (1)Department of Orthopedic Surgery and the Sports Medicine Center, Mayo Clinic, Rochester, Minnesota, U.S.A. Understanding of meniscal function through basic science, natural history, and biomechanics has highlighted the importance of preserving the meniscus to maintain normal knee biomechanics. Tears that may alter these biomechanics can contribute to the progressive nature of degenerative joint disease in the knee. Radial tears result in the disruption of the circumferential fibers causing inability of the native meniscus to resist normal hoop stresses, thereby leading to increased focal areas of pressure that cause complications such as early onset arthrosis. In this technical note, we describe our preferred operative technique to repair radial meniscal tears using an arthroscopic inside-out approach with satisfactory clinical outcomes and healing response. DOI: 10.1016/j.eats.2016.03.007 PMCID: PMC5040169