Meniscus Repair with Fibrin Clot in Complete Radial Tear of Lateral Meniscus

Jeong Ku Ha; Jin Goo Kim; Ho Jong Ra

doi:10.4055/jkoa.2010.45.1.92

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Ha, Kim, and Ra: Meniscus Repair with Fibrin Clot in Complete Radial Tear of Lateral Meniscus

Case Report

Journal of the Korean Orthopaedic Association

Journal of the Korean Orthopaedic Association 2010; 45(1): 92-96.

Published online: 28 February 2010

DOI: https://doi.org/10.4055/jkoa.2010.45.1.92

Meniscus Repair with Fibrin Clot in Complete Radial Tear of Lateral Meniscus

Jeong Ku Ha, M.D., Jin Goo Kim, M.D., Ph.D., Ho Jong Ra, M.D.

Department of Orthopedic Surgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.

Correspondence to: Jin Goo Kim, M.D., Ph.D. Department of Orthopedic Surgery, Inje University College of Medicine, 85, Jeo dong 2-ga, Jung-gu, Seoul 100-032, Korea. TEL: +82-2-2270-0028, FAX: +82-2-2270-0023, boram107@hanmail.net

Received 4 June 2009 Accepted 15 September 2009

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Meniscus tear is one of the most common knee injuries. The increasing recognition of the importance of the meniscal function has led to a range of new treatments for meniscal tears. A complete radial tear disrupts the circumferential hoop tension of the meniscus. Therefore, restoring its natural architecture is of utmost importance. However, it is difficult to achieve meniscal healing of a complete radial tear due to its structural characteristics. We report five cases of a complete radial tear of the lateral meniscus treated successfully using a fibrin clot that showed good meniscal healing and excellent clinical outcomes.

Keywords: lateral meniscus, radial tear, meniscus repair, fibrin clot

Figures and Tables

Figure 1

A Schematic drawing of our method.

Figure 2

Case No 3. (A) Preoperative MRI shows a signal increase at the posterior horn of lateral meniscus (white arrow) (B) Meniscus repair with fibrin clot. (C) MRI checked at the 7 months after surgery shows complete healing of meniscus (black arrow). (D) Second-look arthroscopic examination at 8 months after surgery shows complete healing of meniscus.

Figure 3

Case No 5. (A) Preoperative MRI shows a signal increase at the posterior horn of lateral meniscus(white arrow) (B) Meniscus repair with fibrin clot. (C) MRI checked at 7 months after surgery shows complete meniscal healing (black arrow). (D) Second-look arthroscopic examination at 15 months after surgery shows complete meniscal healing.

Table 1

Demographics and Results

IKDC, International Knee Documentation Committee score; Pre, pre-operation, Post, post-operation; N/A, not available.

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