J Korean Orthop Assoc.  2010 Feb;45(1):92-96. 10.4055/jkoa.2010.45.1.92.

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

• Ha JK
• Kim JG
• Ra HJ

• KMID: 2185601
• DOI: http://doi.org/10.4055/jkoa.2010.45.1.92

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.

Keyword

lateral meniscus; radial tear; meniscus repair; fibrin clot

MeSH Terms

Fibrin
Knee Injuries
Menisci, Tibial
Fibrin

Figure

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  Figure 1 A Schematic drawing of our method.

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  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.

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  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.

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