Drukčiji pristup liječenju oštećenog meniska – sačuvajmo menisk

Professional paper - Review paper

• Title (english): Different approach in meniscal lesion management – save the meniscus
• Author: Mislav Jelić
• Author: Josip Vlaić
• Author: Mario Josipović
• Author: Jure Serdar
• Author's institution: University of Zagreb; School of Medicine; (Department of Orthopedics)
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Orthopedics

Abstract (croatian)

Menisci su vezivno-hrskavične strukture koje imaju važnu ulogu u zaštiti zglobne hrskavice i stabilnosti koljena. Puknuće meniska predstavlja najčešću intraartikularnu patologiju koljenskog zgloba te je najčešći razlog izvođenja operacijskih zahvata na koljenu. Razvojem artroskopskih tehnika, artroskopska djelomična meniscektomija postala je metodom izbora u liječenju puknuća meniska. Iako je minimalno invazivan zahvat kojim se odstranjuje samo dio meniska, a nakon kojeg se bolesnici brzo vraćaju svakodnevnim aktivnostima, artroskopska djelomična meniscektomija dugoročno ima nepovoljan utjecaj na hrskavicu koljena, što rezultira ubrzanim razvojem osteoartritisa. Stoga se od devedesetih godina prošlog stoljeća sve više promovira metoda artroskopskog šivanja meniska kojom se nastoji sačuvati anatomska cjelovitost, a time i funkcionalnost meniska. Premda kliničke studije pokazuju zadovoljavajuće dugoročne rezultate nakon takvih zahvata, nažalost, i dalje se šivanje meniska ne izvodi dovoljno često. Cilj ovoga preglednog rada jest naglasiti važnost meniska u očuvanju hrskavice i stabilnosti koljena te na temelju podataka iz literature prikazati suvremene spoznaje o etiologiji, klasifikaciji, dijagnostici i liječenju puknuća meniska.

Abstract (english)

The menisci are fibrocartilaginous structures that play a crucial role in knee stability and cartilage protection. Meniscal lesions represent the most common knee injuries and are the major reason for patients undergoing knee surgery. Along with the development of arthroscopic techniques, arthroscopic partial meniscectomy, as a less invasive procedure that removes only the damaged part of the meniscus, became the gold standard
in the treatment of meniscal lesions. Although arthroscopic partial meniscectomy is a minimally invasive procedure, after which patients quickly return to their daily activities, it has a devastating long-term impact on the knee cartilage, resulting in an accelerated development of the knee osteoarthritis.Therefore, the techniques of meniscal repair are increasingly promoted since the 1990s.Although clinical studies show satisfactory long-term results after such procedures, unfortunately, meniscal repair is still not performed frequently enough. The aim of this review is to emphasize the importance of the meniscus in the preservation of the cartilage of the knee and to present, on the basis of literature data, contemporary insights into the etiology, classification, diagnosis, and treatment of meniscal lesions.

• Keywords (croatian): TIBIJALNI MENISCI – kirurgija, patologija, transplantacija; OZLJEDE TIBIJALNOG MENISKA – kirurgija; ORTOPEDSKI KIRURŠKI ZAHVATI – metode; MENISCEKTOMIJA – metode; ARTROSKOPIJA; TEHNIKE KIRURŠKOG ŠIVANJA; OSTEOARTRITIS KOLJENA – etiologija, prevencija
• Keywords (english): MENISCI, TIBIAL – pathology, surgery, transplantation; TIBIAL MENISCUS INJURIES –surgery; ORTHOPEDIC PROCEDURES – methods; MENISCECTOMY – methods; ARTHROSCOPY; SUTURE TECHNIQUES; OSTEOARTHRITIS, KNEE – etiology, prevention and control
• Language: croatian
• Language: english
• Publication type: Professional paper - Review paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Liječnički vjesnik
• Numbering: vol. 143, no. 1-2, pp. 51-62
• p-ISSN: 0024-3477
• e-ISSN: 1849-2177
• DOI: https://doi.org/10.26800/LV-143-1-2-8
• URN:NBN: urn:nbn:hr:105:637000
• Publication: 2021
• Document URL: https://hrcak.srce.hr/253818
• Type of resource: Text
• Access conditions: Open access
• Created on: 2021-04-21 12:21:51