Surgery of the Meniscus by Christophe Hulet, Helder Pereira, Giuseppe Peretti, Matteo

By Christophe Hulet, Helder Pereira, Giuseppe Peretti, Matteo Denti

​This publication, released in cooperation with ESSKA, offers an exhaustive assessment of the meniscus and its pathology, protecting all points from the fundamental technology of the conventional meniscus to scientific and imaging analysis, meniscus fix and meniscectomy, results and problems, postoperative administration, and rising applied sciences. The booklet opens via interpreting intensive elements resembling anatomy, histology, body structure, biomechanics, and physiopathology. transparent assistance is available on arthroscopy and the category of meniscal lesions, with attention of the total diversity of meniscal pathology, together with nerve-racking lesions, degenerative lesions, root tears, meniscal cysts, and congenital lesions. selection of therapy in numerous settings is defined, and some of the surgical concepts – meniscectomy, meniscal fix, and reconstruction with allografts – are defined intimately by using accompanying video clips and with presentation of long term effects. The concluding bankruptcy takes a glance into the way forward for meniscus reconstruction, for instance via regeneration utilizing mesenchymal stem cells.

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Extra resources for Surgery of the Meniscus

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1) which can play a decisive role in the homeostasis and function of the knee joint [31]. Despite the former, in the past they were described irrelevant structures with some possible minor function on joint nutrition and stabilization [43]. So, one must acknowledge that a lot has changed in recent years concerning the need to save “the meniscus” [49]. M. E. Gelber Department of Orthopaedic Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain ICATME– Hospital Universitari Quirón Dexeus, Barcelona, Spain J.

In the human fetus, the vascular supply is much more Vascularity and Innervation The medial and lateral inferior and middle geniculate arteries are responsible for the vascularization of the human menisci. In the human adult, vessels supplying the body of the meniscus are limited to the periphery, with a variable penetration of 10–30 % for the medial meniscus and 10–25 % for the lateral meniscus. The anterior and posterior insertional horns are more richly irrigated by radial branches from a perimeniscal plexus which enter the meniscus at intervals [7].

Different cellular populations have been described [48], while segmental variations have also been recognized concerning type of cells and density [12], ultrastructure, extracellular matrix, and biomechanical properties [38]. The basic science research around the meniscus is of paramount relevance once this will surely represent the fundamentals for the development of upcoming therapies. Anatomy, biology, and biomechanics are definitely not static disciplines. On the opposite, they represent the basis for the building the future and will assist in the development of surgery, tissue engineering, and regenerative medicine [40].

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