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. 2024 Mar 8;6(2):100915.
doi: 10.1016/j.asmr.2024.100915. eCollection 2024 Apr.

Arthroscopic Saucerization of Discoid Lateral Meniscus, With Meniscus Repair as Indicated, Results in Excellent Outcomes in Pediatric Patients Younger Than 12 Years of Age

George A Rublev  1   2 , Levan Natchkebia  1 , Vazha Gaprindashvili  1 , Mohamed Ahmed Mohamed  2 , Tamaz Tamazishvili  1 , Irakli Kartozia  1 , Mikheil Zimlitski  1
Affiliations

Arthroscopic Saucerization of Discoid Lateral Meniscus, With Meniscus Repair as Indicated, Results in Excellent Outcomes in Pediatric Patients Younger Than 12 Years of Age

George A Rublev et al. Arthrosc Sports Med Rehabil. .

Abstract

Purpose: To evaluate the experiences and outcomes of arthroscopic partial meniscectomy in symptomatic non-Wrisberg discoid lateral meniscus in children younger than 12 years old at a single center.

Methods: We retrospectively reviewed the medical records of all pediatric patients who were treated for non-Wrisberg discoid meniscus at our institute between 2013 and 2021. Patients were separated into 2 groups: Patients who underwent partial resection with saucerization (group A) or patients who underwent saucerization, tear repair, and fixation (group B). Clinical outcomes were compared between the 2 groups.

Results: A total of 20 patients (22 knees) were treated for non-Wrisberg discoid meniscus and included in this study. Nine patients underwent partial resection with saucerization (group A) whereas 11 patients underwent saucerization, tear repair, and fixation (group B). The average follow-up was 3 years (range 2-10 years). The results showed that 17 of the 20 patients had excellent outcomes whereas the other 3 had good outcomes after a minimum follow-up of 2 years. The average Knee Injury and Osteoarthritis Outcome Score for Children score was 93.

Conclusions: Arthroscopic saucerization of symptomatic non-Wrisberg discoid lateral meniscus, with additional repair as indicated results in excellent or good outcomes in children younger than 12 years of age.

Level of evidence: Level III, case-control study.

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Conflict of interest statement

All authors (G.A.R., L.N., V.G., M.A.M., T.T., I.K., M.Z.) report no conflicts of interest in the authorship and publication of this article. Full ICMJE author disclosure forms are available for this article online, as supplementary material.

Figures

Fig 1
Fig 1
View of the right knee joint form the anterolateral portal revealing a complete discoid meniscus with radial damage in the posterior horn, which was subsequently repaired and saucerized. Saucerization included using shaving and cutting techniques in which we aimed to keep 8 mm of the peripheral rim while recreating the normal semilunar shape of the meniscus. (LFC, lateral femoral condyle; TIB, tibial plateau.)
Fig 2
Fig 2
View from the anterolateral portal revealing a complete discoid lateral meniscus. (LFC, lateral femoral condyle.)
Fig 3
Fig 3
View from the anterolateral portal. The upper and lower layers of the meniscus were debrided to expose bleeding. A longitudinal paracapsular tear of the posterior horn of meniscus was then revealed and repaired with 2 to 3 Smith & Nephew “FAST-FIX” meniscal sutures. (LFC, lateral femoral condyle; TIB, tibial plateau.)
Fig 4
Fig 4
Cases distributed by sex.
Fig 5
Fig 5
Cases distributed by surgery type.
Fig 6
Fig 6
Postoperative anteroposterior radiograph of the left knee showing no significant osteoarthritic changes.
See this image and copyright information in PMC

References

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