The Meniscus
This clinical guide provides a special focus on the normal meniscal mechanism, body and function. Meniscal pathology and therapy are depicted in detail, followed by the presentation of long-term experience of meniscal transplantation and a look into the f
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Philippe Beaufils René Verdonk (Eds.)
The Meniscus
Philippe Beaufils, MD Department of Orthopaedic Surgery and Traumatology Versailles Hospital 117 rue de Versailles 78150 Le Chesnay France [email protected]
René Verdonk, MD, PhD Department of Orthopaedic Surgery and Traumatology Ghent University Hospital De Pintelaan 185 9000 Ghent Belgium [email protected] [email protected]
ISBN: 978-3-642-02449-8 e-ISBN: 978-3-642-02450-4 DOI: 10.1007/978-3-642-02450-4 Springer Heidelberg Dordrecht London New York Library of Congress Control Number: 2009938033 © Springer-Verlag Berlin Heidelberg 2010 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer. Violations are liable to prosecution under the German Copyright Law. The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover design: eStudio Calamar, Figueres/Berlin Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
Foreword
The Meniscus The management of meniscus lesions is an unbelievable story of so-called scientifically based, controversial treatment, covering a time span of more than 120 years, including: • The time when a locked knee was manipulated in order to reduce a bucket-handle or a flap tear back into place to restore motion. • The time when famous surgeons excised the meniscus in thousands of patients and kept the resected specimens as trophies in large glass jars. • The time of animated discussions on whether either partial meniscectomy, only removing the ruptured parts, should be performed or total meniscectomy, as advocated by Smillie, because some meniscus-shaped semilunar tissue regeneration had been shown by Mandic after complete removal. • The time when the next milestone was reached as Trillat introduced intramural resection, which preserved the circular stabilizing fibrous rim with its meniscoligamento-capsular attachments to the tibia and femur, to maintain more rotational knee stability. Prior to these mainstream meniscal resection treatments, pioneering work had been done by Thomas Annandale in 1883 and Moritz Katzenstein in 1908, who sutured the menisci back into place, with
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