{"title":"Older Age is Not a Contraindication to Meniscus Repair.","authors":"Seth L Sherman, Melissa Albersheim","doi":"10.1016/j.arthro.2024.11.058","DOIUrl":null,"url":null,"abstract":"<p><p>Meniscus tears effect patients of all ages, with varying presentations, influence on function, and treatment requirements. Classic dogma suggests older patients should be treated non-operatively or offered meniscectomy when conservative treatment fails. However, recent data suggests improved subjective outcomes and reduced rate of degenerative change following meniscus repair, even in patients >40 years. Controversy exists regarding the comparative reoperation rates of meniscectomy and meniscus repair in the older cohort. While higher levels of evidence are lacking, it is unlikely that chronological age should be the major driver of surgical decision making for meniscus repair. Patient, joint, limb, and meniscus specific factors, including physiologic age, better guide the surgeon towards successful treatment.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4000,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.arthro.2024.11.058","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
Meniscus tears effect patients of all ages, with varying presentations, influence on function, and treatment requirements. Classic dogma suggests older patients should be treated non-operatively or offered meniscectomy when conservative treatment fails. However, recent data suggests improved subjective outcomes and reduced rate of degenerative change following meniscus repair, even in patients >40 years. Controversy exists regarding the comparative reoperation rates of meniscectomy and meniscus repair in the older cohort. While higher levels of evidence are lacking, it is unlikely that chronological age should be the major driver of surgical decision making for meniscus repair. Patient, joint, limb, and meniscus specific factors, including physiologic age, better guide the surgeon towards successful treatment.
期刊介绍：
Nowhere is minimally invasive surgery explained better than in Arthroscopy, the leading peer-reviewed journal in the field. Every issue enables you to put into perspective the usefulness of the various emerging arthroscopic techniques. The advantages and disadvantages of these methods -- along with their applications in various situations -- are discussed in relation to their efficiency, efficacy and cost benefit. As a special incentive, paid subscribers also receive access to the journal expanded website.
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