Our Summary

This research paper is about a study comparing two types of surgeries for people with a condition called discoid lateral meniscus (DLM), where a person’s knee cartilage is abnormally shaped. The two surgeries being compared are partial and total meniscectomy, where part or all of the knee cartilage is removed.

The researchers looked at eight other studies for their analysis. They found that patients who had only part of their knee cartilage removed (partial meniscectomy) had better results on x-rays afterward compared to those who had all their cartilage removed (total meniscectomy). They also found that patients who had partial meniscectomy had less severe arthritis changes after surgery.

However, in terms of how the patients felt (clinical outcomes), there was no significant difference between the two surgeries.

In conclusion, the research suggests that preserving as much of the knee cartilage as possible during surgery is a better option for patients with DLM.

FAQs

  1. What is discoid lateral meniscus (DLM)?
  2. What is the difference between a partial and total meniscectomy?
  3. According to the research, which surgical option is better for patients with DLM?

Doctor’s Tip

A doctor might tell a patient undergoing a meniscectomy to follow their post-operative care instructions carefully, including engaging in physical therapy to strengthen the knee and improve range of motion. They may also advise the patient to avoid activities that put excessive strain on the knee to prevent further damage. Finally, the doctor may recommend maintaining a healthy weight to reduce stress on the knee joint.

Suitable For

Patients who are typically recommended for meniscectomy are those who have discoid lateral meniscus (DLM) and are experiencing symptoms such as knee pain, swelling, locking, or instability. These patients may have tried conservative treatments such as physical therapy or medication without success, and their symptoms are affecting their daily activities and quality of life. Additionally, patients who have significant damage to their knee cartilage that is not responsive to other treatments may also be candidates for meniscectomy. It is important for patients to discuss their specific condition and treatment options with their healthcare provider to determine if meniscectomy is the right choice for them.

Timeline

Before meniscectomy:

  1. Diagnosis of discoid lateral meniscus (DLM) through physical examination and imaging tests.
  2. Discussion with orthopedic surgeon about treatment options, including partial or total meniscectomy.
  3. Pre-operative evaluations such as blood tests, imaging studies, and physical therapy to prepare for surgery.

During meniscectomy:

  1. Anesthesia is administered to the patient.
  2. Surgeon makes small incisions in the knee to access the meniscus.
  3. Depending on the type of surgery (partial or total), the surgeon removes part or all of the abnormal cartilage.
  4. The incisions are closed and the knee is bandaged.

After meniscectomy:

  1. Patient is monitored in the recovery room before being discharged home.
  2. Physical therapy and rehabilitation are started to help regain strength and range of motion in the knee.
  3. Follow-up appointments with the surgeon to monitor healing and address any concerns.
  4. X-rays and imaging studies may be done to assess the success of the surgery.
  5. Long-term follow-up to monitor for any signs of arthritis or other complications from the surgery.

What to Ask Your Doctor

Some questions a patient should ask their doctor about meniscectomy include:

  1. What are the risks and benefits of partial meniscectomy compared to total meniscectomy for my specific condition?
  2. How will each type of surgery affect my long-term knee health and function?
  3. What is the recovery process like for each type of surgery?
  4. Are there any alternative treatments or procedures that could be considered for my condition?
  5. What can I expect in terms of pain management and rehabilitation after the surgery?
  6. How likely is it that I will develop arthritis in my knee after the surgery, and how can I minimize this risk?
  7. Are there any specific factors about my health or lifestyle that could impact the success of either type of surgery?
  8. What is the success rate of each type of surgery in terms of reducing symptoms and improving knee function?
  9. How long will the effects of the surgery last, and will I need additional treatments or surgeries in the future?
  10. Can you provide me with any resources or additional information to help me make an informed decision about which type of surgery is best for me?

Reference

Authors: Lee DH, D’Lima DD, Lee SH. Journal: Orthop Traumatol Surg Res. 2019 Jun;105(4):669-675. doi: 10.1016/j.otsr.2019.02.023. Epub 2019 Apr 23. PMID: 31027980