<p>Both the loss of meniscal tissue and coronal malalignment are relevant risk factors for the development and progression of degenerative cartilage damage and osteoarthritis. This negative synergistic effect must be considered in the diagnostics and therapy of patients with unicompartimental knee pain after (partial) meniscectomy. There is good scientific evidence for realignment osteotomies for the treatment of cartilage defects and osteoarthritis. However, its benefit for the treatment of isolated loss of meniscal tissue is not well established yet. The present article summarizes the fundamental problem as well as the diagnostic and therapeutic approach in patients with residual pain after (partial) meniscectomy.</p>

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Kniegelenksnahe Osteotomie nach Meniskusverlust

  • Lukas Willinger,
  • L. Lacheta,
  • S. Siebenlist,
  • J. Mehl

摘要

Both the loss of meniscal tissue and coronal malalignment are relevant risk factors for the development and progression of degenerative cartilage damage and osteoarthritis. This negative synergistic effect must be considered in the diagnostics and therapy of patients with unicompartimental knee pain after (partial) meniscectomy. There is good scientific evidence for realignment osteotomies for the treatment of cartilage defects and osteoarthritis. However, its benefit for the treatment of isolated loss of meniscal tissue is not well established yet. The present article summarizes the fundamental problem as well as the diagnostic and therapeutic approach in patients with residual pain after (partial) meniscectomy.