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Surgery of the Meniscus pp 371–377Cite as

Traumatic Lesions in a Stable Knee: Masterly Neglect - Meniscectomy - Repair

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Abstract

Traumatic meniscal tears are common injuries of the knee joint. In order to choose the treatment modality that best suits the needs of the individual patient, a well-structured assessment and thorough clinical examination are mandatory. An MRI is helpful for planning the procedure and defining the exact tear location. Small asymptomatic tears can often be treated conservatively (“masterly neglect”). If surgical treatment is necessary, as much viable meniscus tissue as possible should be preserved. Tears of the vascular zone usually can be treated by refixation, whereas tears of the avascular zone are treated by partial resection.

Due to its biomechanical properties and chondroprotective function, preserving the meniscus is of high importance to avoid early degenerative changes of the knee joint.

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Author information

Authors and Affiliations

  1. Sportsclinic Cologne, Cologne Merheim Medical Center, University of Witten/Herdecke, Building 24, Ostmerheimer Strasse 200, Cologne, D 51109, Germany

    Maurice Balke & Jürgen Hoeher MD, PhD

  2. Department of Orthopedics, Ghent University Hospital, De Pintelaan 185, Ghent, B 9000, Belgium

    K. Fredrik Almqvist & Rene Verdonk

  3. Department of Orthopaedic Surgery and Traumatology, AZ Maria Middelares Gent, Kortrijksesteenweg 1026, Ghent, B 9000, Belgium

    Pieter Vansintjan

  4. Department of Orthopaedic Surgery and Traumatology, Monica Hospitals, Harmonie Straat 68, Antwerpen, B 2018, Belgium

    Peter Verdonk

Authors
  1. Maurice Balke
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  2. K. Fredrik Almqvist
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  3. Pieter Vansintjan
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  4. Rene Verdonk
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  5. Peter Verdonk
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  6. Jürgen Hoeher MD, PhD
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Corresponding author

Correspondence to Jürgen Hoeher MD, PhD .

Editor information

Editors and Affiliations

  1. Orthopaedics & Traumatology, Unit INSERM, Normandy University, Caen university Hos, Caen, France

    Christophe Hulet

  2. Orthopedic Department, Centro Hospitalar Póvoa de Varzim –Vila, Póvoa de Varzim, Porto, Portugal

    Helder Pereira

  3. University of Milan, Dpt. of Biomedical Sciences for Health, Milano, Italy

    Giuseppe Peretti

  4. Istituto Clinico Humanitas, Monza, Italy

    Matteo Denti

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Balke, M., Almqvist, K.F., Vansintjan, P., Verdonk, R., Verdonk, P., Hoeher, J. (2016). Traumatic Lesions in a Stable Knee: Masterly Neglect - Meniscectomy - Repair. In: Hulet, C., Pereira, H., Peretti, G., Denti, M. (eds) Surgery of the Meniscus. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49188-1_39

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  • DOI: https://doi.org/10.1007/978-3-662-49188-1_39

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-49186-7

  • Online ISBN: 978-3-662-49188-1

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