4.2 Article

Outcomes of Meniscus Repair in Children and Adolescents

Journal

CURRENT REVIEWS IN MUSCULOSKELETAL MEDICINE
Volume 12, Issue 2, Pages 233-238

Publisher

SPRINGER
DOI: 10.1007/s12178-019-09554-6

Keywords

Meniscus repair; Children; Adolescent; Outcomes; Anterior cruciate ligament; Failure

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Purpose of ReviewThe purpose of this study was to review the clinical and functional outcomes of meniscus repair in children and adolescents.Recent FindingsThe sequel of meniscal tears and the outcome of meniscus repair have been well studied in adults. However, these topics have received less attention in the pediatric population despite the high prevalence and potentially critical effect on long-term knee function in children.SummaryMeniscus repair has a healing rate ranging from 33 to 100% with less than 40% reoperation rate. Several factors have been suggested to play a role in healing, such as concomitant ACL reconstruction and complexity of the tear. There is a lack of standardization among the utilization of functional outcome and activity level questionnaires across studies; however, most report improved function postoperatively. Other important considerations include bucket handle tears, the discoid meniscus, rehabilitation and return to sports, and alternatives after failed meniscus repair. Based on the favorable outcomes reported, meniscus repair should be attempted in most meniscus tears in children.

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