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Arthroscopic partial meniscectomy is a commonly performed procedure. In recent years a clearer understanding of the success of meniscectomy in the degenerative knee has reduced its popularity, as non-operative treatment may result in greater patient satisfaction. However there is still strong evidence for its use for acute and/or unstable tears.
Tears in the non-vascular “white-on-white” zone are not amenable to meniscal repair (see separate presentation) and therefore may require conservative debridement back to healthy stable meniscal tissue.
The surgery is performed with the use of a combination of handheld instruments such as punches, shavers and more recently radio-frequency ablation.
Author: Andrew Pearse FRCS (Tr & Orth)
Institution: The Worcestershire Acute NHS Trusts ,Uk.