Background: Meniscal root tears cause biomechanical changes comparable to a total meniscectomy. The resultant compromise in hoop stress, leads decreased tibiofemoral contact area and increased pressure. This will lead early arthritis. meniscus tear causes more detrimental people with varus alignment of the lower limb. increases chances progression arthritis, causing joint pain functional limita...

BACKGROUND Arthroscopic partial meniscectomy has been shown to be of no benefit to patients with concomitant knee osteoarthritis, but the optimal treatment of a degenerative meniscus tear in patients with mild or no knee osteoarthritis is unknown. This article describes the rationale and methodology of a randomized sham-controlled trial to assess the benefit of arthroscopic partial meniscectomy...

Purpose: To assess the efficacy of 3-snip posterior punctoplasty in the treatment of acquired external punctual stenosis. Study design: A retrospective noncomparative interventional study. Methods: Fifty two (52) eyes of forty one (41) patients with symptoms of acquired external punctal stenosis underwent conventional 3snip posterior rectangular punctoplasty as an outdoor procedure by a single ...

In cases with root tear of the medial meniscus posterior horn, the meniscus usually can be repaired by a pull out suture technique. However, there is difficulty in manipulating a suture hook via the anteromedial portal and looking through the arthroscopic camera via anterolateral portal in the narrow medial joint space at the same time. This article describes a modified simple pull out suture t...

We have investigated the effectiveness and safety of a newly developed biological adhesive for repair of meniscal tear. The adhesive was composed of disuccinimidyl tartrate (DST) as a crosslinker and human serum albumin (HSA) as a hardener. To determine adequate concentration, bonding strength was measured using a tensiometer 5 min after applying the adhesive on the avascular zone tear of porci...

Dear Editor, The causes of epiphora can be separated into two categories: (1) reflex epiphora, which is caused by surface damage to the eye or infectious ocular disease, and (2) lacrimal pumping failure, which is caused by anatomical and functional failure in the outflow tract due to abnormal position of the lacrimal puncta or closure of the nasolacrimal duct [1,2]. The abnormal position of the...

The meniscus plays an important role in the function of the knee. Preservation of the meniscus is preferred if possible when considering treatment of a meniscus tear. A thorough understanding of the anatomy of the meniscus, the structure, the mechanics, and other factors of meniscal healing are critical when evaluating the torn meniscus for a reparative procedure. Many options for meniscus repa...

Background: Meniscus tissue is highly susceptible to injury and tears. As these are intrasynovial and lack cellularity, their healing potential is less. Any knowledge to the factors affecting the meniscal healing can help surgeons in treating meniscal injuries. Hypothesis: Patient age is a predictor of the healing of meniscus tissue. Study Design: Prospective study. Methods: Gross and histologi...

The anatomy of 1000 symptomatic meniscus lesions is described and related to the age of the patients. All symptomatic lesions found during the study period were treated by arthroscopic surgery. Meniscal lesions were commoner in the right knee (56.5%) and 81% of the patients were men. Of the medial meniscus tears, 75% were vertical and 23% horizontal. Vertical tears of the medial meniscus occurr...

BACKGROUND Tears of the posterior root of the medial meniscus are becoming increasingly recognized. They can cause rapidly progressive arthritis, yet their biomechanical effects are not understood. The goal of this study was to determine the effects of posterior root tears of the medial meniscus and their repairs on tibiofemoral joint contact pressure and kinematics. METHODS Nine fresh-frozen...