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https://doi.org/10.14300/mnnc.2020.15071

Actual aspects of treatment of meniscus inju

[Reviews]
Eduard Bezuglov; Vladimir Yurievich Khaitin; Alisa Viktorovna Tokareva; Evgeny Nikolaevich Goncharov; Anastasia Vladimirovna Lyubushkina; Artemy Mikhailovich Lazarev;

The survey shows current ideas about the treatment of meniscus injuries among patients of different age groups. Various asymptomatic changes in the knee joint in populations with different level of physical activity with a pain syndrome can cause excessive indications for surgical treatment. A comparative analysis of the effectiveness of conservative and surgical treatment of the meniscus has been carried out. Short-term and long-term results of various types of surgical interventions were described. It was shown that the choice of treatment should be strictly differentiated and considers age, body mass index, the presence and stage of accompanying osteoarthritis, as well as the required level of postoperative physical activity. If there is presence of degenerative meniscal tears the method of choice should be conservative treatment, which is based a set of exercises. Only if the symptoms persist for several months, surgical methods can be considered as a treatment.

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Keywords: meniscectomy, degenerative meniscal tears, osteoarthritis, meniscus suture, conservative treatment of knee injuries