| Abstract [eng] |
The menisci of the knee execute many significant biomechanical functions that are related to their specific morphological, structural and compositional characteristics. These functions include shock absorption, stabilization, proprioception, nutrition and lubrication of the knee joint. Furthermore, the menisci have a big role in decreasing contact stresses, increasing the contact area and improving the knee joint congruency. Meniscal tears of the knee are common and meniscal surgeries are one of the most frequently performed orthopaedic procedures around the world. Many studies have shown that meniscal tears and loss of meniscal tissue can predispose to early onset of osteoarthritis, pain and disability. This highlights the importance of meniscal tissue preservation especially in pediatric population. Limited data have been published regarding the treatment strategies in pediatric group of patients. Although consensus may exist on the operative indications, variability of surgical techniques still persists. The aim of this thesis is to evaluate and compare results of magnetic resonance imaging and functional outcome scores after meniscal repair surgery. Furthermore, an overview is provided of the meniscus anatomy, functions, trauma genesis, injury patterns, diagnostics and operative management of meniscal tears. Additionally, a clinical case regarding a meniscal tear is presented to give an insight to above mentioned topics. Based on the studies reviewed in this thesis, it seems that postoperative magnetic resonance imaging results does not have a strong correlation with functional outcome scores. Moreover, the available data suggest that arthroscopic meniscal repair provides good clinical and functional results at the follow-up with relatively low failure rates and is suitable treatment option in both pediatric and adult population. |
