Successful treatment of degenerative medial meniscal tears in well-aligned knees with fibrin clot implantation
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Successful treatment of degenerative medial meniscal tears in well‑alignedss knees with fibrin clot implantation Hiroshi Nakayama1 · Ryo Kanto1 · Shunichiro Kambara1 · Tomoya Iseki1 · Shintaro Onishi1 · Shinichi Yoshiya1 Received: 1 February 2019 / Accepted: 10 October 2019 © European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2019
Abstract Purpose The purpose of this study was to examine the results of meniscal repair performed for symptomatic degenerative medial meniscal tears. Methods Twenty-four knees in 24 patients with symptomatic degenerative medial meniscal tears (mostly complex horizontal tears) who underwent isolated arthroscopic repair combined with autologous fibrin clot implantation were included in this study. The patients were followed up for a minimum of 2 years. The overall clinical outcome was evaluated using the Lysholm score, while the activity level was graded on the Tegner Activity Scale. The assessment of healing status at the repair site was based on clinical signs/symptoms and follow-up MRI examination results. In addition, the effects of the patient’s clinical and radiological factors on healing of the repaired menisci were analyzed. Results The mean age of the study subjects was 47.0 ± 8.1 years with a mean follow-up period of 39.3 ± 11.6 months. The Lysholm score significantly improved after surgery (P
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