Degenerative Meniscus Without Osteoarthritis : Arthroscopic Partial Menisectomy Versus Platelet Rich Plasma (APM-PRP)

Launched by INSTITUT DE CHIRURGIE REPARATRICE LOCOMOTEUR ET SPORTS · Jul 15, 2021

Keywords

ClinConnect Summary

Degenerative meniscal tear is a chronic, slowly evolving condition that typically involves horizontal cleavage of the meniscus and affects middle-aged men and women. The prevalence is high, with a medial meniscal tear found on imaging in 13-28% of persons older than 50 years of age. In the absence of evidence of knee osteoarthritis, only 22% of patients with meniscal tears have knee symptoms. Symptomatology is internal knee pain, often related to activities or positions such as squatting or kneeling, and usually improves with rest. The optimal treatment for nontraumatic degenerative menisca...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Eligible for APM
• • Acceptance of infiltration procedure or APM
• • Patient age above 30 years and under 65 years
• • Acceptance of outpatient procedure
• • Non-locked painful knee ≥ 1 month
• • No osteoarthritis Kellgren-Lawrence ≤ 2 or Alhback ≤ 1 (Monopodal weh-ight-bearing AP and profile X-Ray with the knee in extension and bipedal schuss X-Ray with the knee at 45° of flexion
• • No malignment \> 5° (Full leg standing X-Ray)
• • Pain when squatting
• • Medial pain
• • MRI confirmed unique horizontal degenerative medial lesion
• Exclusion Criteria:
• • Traumatic meniscal injury
• • Neurological or rheumatic inflammatory diseases
• • MRI : Loose bodies or ligament injuries or osteochondral defects or tumors
• • Previous ipsilateral knee surgery