Surgical Management of Symptomatic Discoid Meniscus; Treatment modalities and functional outcomes

Yavuz Şahbat; Servet İğrek; Erdem Koç; Omar Bihi; Elif Tufan; Hüseyin Aytek Çeliksöz; Osman Mert Topkar

Article Details

Surgical Management of Symptomatic Discoid Meniscus; Treatment modalities and functional outcomes

Authors:

Yavuz Şahbat | Servet İğrek | Erdem Koç | Omar Bihi | Elif Tufan | Hüseyin Aytek Çeliksöz | Osman Mert Topkar

Publisher:

Eskişehir Osmangazi University

Main Topics:

Sağlık Kurumları Yönetimi

Journal:

Osmangazi Tıp Dergisi Vol.45 Issue 4, pp.590-596

Document Type:

Article

Publication Date:

7/2023

Document Language:

English

Document ID (Org No.):

2001290355

pISSN:

1305-4953

Keywords:

Abstract:

 Purpose: The aim of the study was to evaluate the treatment modalities and the outcomes of patients operated on for discoid meniscus, and to compare the patients results with the existing literature. Materials and Methods: The study included 24 patients with discoid meniscus who underwent surgery between 2012 and 2022. Patients with incidentally discovered asymptomatic discoid meniscus were not included in the study. The diagnosis of the patients was made based on pain or mechanical symptoms accompanied by pain and X-Ray  MRI evaluation. Watanabe classification was used for macroscopic classification, and perioperative operation data of the patients were documented. The Oxford Knee Score was used for pre- and postoperative clinical evaluation. Results: The average age of the 24 patients was 18.1. Eleven patients had right kne discoid meniscus, and five had a bilateral discoid meniscus. The most common symptom was pain 79. Lateral discoid meniscus was detected in 22 patients 91. Watanabe Type 1 was the most commonly observed macroscopic variant 41. Tear were found in 10 patients. All patients underwent arthroscopic saucerization. There was a significant improvement in the Oxford Knee scores in the first postoperative year. Discussion: The long-term outcomes of symptomatic discoid meniscus are quite good. Surgery should be recommended for patients with predominant mechanical symptoms and pain. Reshaping the meniscus and repairing instability are the main goals of surgery.

 Purpose: The aim of the study was to evaluate the treatment modalities and the outcomes of patients operated on for discoid meniscus, and to compare the patients results with the existing literature. Materials and Methods: The study included 24 patients with discoid meniscus who underwent surgery between 2012 and 2022. Patients with incidentally discovered asymptomatic discoid meniscus were not included in the study. The diagnosis of the patients was made based on pain or mechanical symptoms accompanied by pain and X-Ray  MRI evaluation. Watanabe classification was used for macroscopic classification, and perioperative operation data of the patients were documented. The Oxford Knee Score was used for pre- and postoperative clinical evaluation. Results: The average age of the 24 patients was 18.1. Eleven patients had right kne discoid meniscus, and five had a bilateral discoid meniscus. The most common symptom was pain 79. Lateral discoid meniscus was detected in 22 patients 91. Watanabe Type 1 was the most commonly observed macroscopic variant 41. Tear were found in 10 patients. All patients underwent arthroscopic saucerization. There was a significant improvement in the Oxford Knee scores in the first postoperative year. Discussion: The long-term outcomes of symptomatic discoid meniscus are quite good. Surgery should be recommended for patients with predominant mechanical symptoms and pain. Reshaping the meniscus and repairing instability are the main goals of surgery.

 Purpose: The aim of the study was to evaluate the treatment modalities and the outcomes of patients operated on for discoid meniscus, and to compare the patients results with the existing literature. Materials and Methods: The study included 24 patients with discoid meniscus who underwent surgery between 2012 and 2022. Patients with incidentally discovered asymptomatic discoid meniscus were not included in the study. The diagnosis of the patients was made based on pain or mechanical symptoms accompanied by pain and X-Ray  MRI evaluation. Watanabe classification was used for macroscopic classification, and perioperative operation data of the patients were documented. The Oxford Knee Score was used for pre- and postoperative clinical evaluation. Results: The average age of the 24 patients was 18.1. Eleven patients had right kne discoid meniscus, and five had a bilateral discoid meniscus. The most common symptom was pain 79. Lateral discoid meniscus was detected in 22 patients 91. Watanabe Type 1 was the most commonly observed macroscopic variant 41. Tear were found in 10 patients. All patients underwent arthroscopic saucerization. There was a significant improvement in the Oxford Knee scores in the first postoperative year. Discussion: The long-term outcomes of symptomatic discoid meniscus are quite good. Surgery should be recommended for patients with predominant mechanical symptoms and pain. Reshaping the meniscus and repairing instability are the main goals of surgery.

 Amaç: Bu çalışmanın amacı diskoid menisküs nedeniyle opere edilen hastalarda uygulanan tedavi yöntemlerini sunmak, hasta sonuçlarını değerlendirmek ve sonuçları literatür ile karşılaştırmaktır. Araç ve yöntemler: Çalışmaya 2012-2022 yılları arasında opere edilen 24 diskoid menisküs hastası dahil edildi. İnsidental saptanan asemptomatik discoid menisküse sahip hastalar çalışmaya dahil edilmedi. Hastaların tanısı ağrı veya ağrının eşlik ettiği mekanik semptomlar ve X-Ray  Mr değerlendirme ile konuldu. Klinik değerlendirme de preop ve post op Oxford Knee skoru kullanıldı. Sonuçlar: 24 hastanın yaş ortalaması 18.1 idi. On bir hastada sağ diz diskoid menisküsü ve beşinde bilateral diskoid menisküs vardı. En sık semptom ağrıydı 79. 22 hastada 91 lateral diskoid menisküs saptandı. Watanabe Tip 1 en sık gözlenen makroskobik varyanttı 41. 10 hastada yırtık saptandı. Tüm hastalara artroskopik saucerization uygulandı. Ameliyat sonrası 1. yılda Oxford Knee skorlarında anlamlı düzelme oldu. Tartışma: Semptomatik diskoid menisküsün uzun vadeli sonuçları oldukça iyidir. Baskın mekanik semptomları ve ağrısı olan hastalarda cerrahi önerilmelidir. Menisküsün yeniden şekillendirilmesi ve instabilitenin onarılması cerrahinin ana hedefleridir.

Article Details

Surgical Management of Symptomatic Discoid Meniscus; Treatment modalities and functional outcomes

Authors:

Yavuz Şahbat | Servet İğrek | Erdem Koç | Omar Bihi | Elif Tufan | Hüseyin Aytek Çeliksöz | Osman Mert Topkar

Publisher:

Eskişehir Osmangazi University

Main Topics:

Sağlık Kurumları Yönetimi

Journal:

Osmangazi Tıp Dergisi Vol.45 Issue 4, pp.590-596

Document Type:

Article

Publication Date:

7/2023

Document Language:

English

Document ID (Org No.):

2001290355

pISSN:

1305-4953

Discoid meniscus

Saucerization

Treatment modalitiesDiskopid Menisküs

Saucerization

Tedavi yöntemleri

Issues

Article Details

Surgical Management of Symptomatic Discoid Meniscus; Treatment modalities and functional outcomes

Authors: Yavuz Şahbat | Servet İğrek | Erdem Koç | Omar Bihi | Elif Tufan | Hüseyin Aytek Çeliksöz | Osman Mert Topkar

Publisher: Eskişehir Osmangazi University

Main Topics: Sağlık Kurumları Yönetimi

Journal: Osmangazi Tıp Dergisi Vol.45 Issue 4, pp.590-596

Document Type: Article

Publication Date: 7/2023

Document Language: English

Document ID (Org No.): 2001290355

pISSN: 1305-4953

Discoid meniscus

Saucerization

Treatment modalitiesDiskopid Menisküs

Saucerization

Tedavi yöntemleri

Issues

Authors:

Yavuz Şahbat | Servet İğrek | Erdem Koç | Omar Bihi | Elif Tufan | Hüseyin Aytek Çeliksöz | Osman Mert Topkar

Publisher:

Eskişehir Osmangazi University

Main Topics:

Sağlık Kurumları Yönetimi

Journal:

Osmangazi Tıp Dergisi Vol.45 Issue 4, pp.590-596

Document Type:

Article

Publication Date:

7/2023

Document Language:

English

Document ID (Org No.):

2001290355

pISSN:

1305-4953