Summary: Arthroscopic partial central meniscectomy is considered a classic method of treatment of discoid meniscus type III (Watanabe). Meniscus extrusion is a frequent complication of this operation. The use of additional stabilization sutures of the meniscus to the joint capsule prevents the extrusion of the meniscus, which improves the functional state of the knee joint in the postoperative period.

Objective.
Arthroscopic partial central meniscectomy is considered to be the classic method for the treatment of discoid meniscus type IIІ (Watanabe classification, 1969), during which the width and volume of the meniscus are restored to normal values. A frequent problem of treatment with this technique is extrusion of the meniscus, which causes discomfort to patients in the postoperative period. The use of additional stabilizing sutures of the meniscus to the joint capsule after partial meniscectomy prevents extrusion of the meniscus, which improves the functional status of patients in the postoperative period.

Material and Methods.
18 patients (men and women aged 18-45) with discoid lateral meniscus type III (classification of Watanabe, 1969) were included. The diagnosis was conﬁrmed by an MRI. Patients were divided into 2 groups. The main group included patients with using additional stabilization sutures after partial central meniscectomy under arthroscopic control (n=9). The comparison group – partial central meniscectomy (n=9). Patients of both study groups were assessed for the functional state of the knee joint according to the Lysholm scale and meniscal extrusion before surgery and 12 months after surgery.

Result.
In the main group of the patients with discoid lateral meniscus type IIІ, the score on the Lysholm scale was 63,5±4,4 points before the operation, in the comparison group of the patients - 63,8±4,2 points (p<0,05). The average value of extrusion distance before surgery was obtained 3.3 ± 0.6 mm (p < 0,05) for main and comparison groups. Patients in the main group underwent a partial central meniscectomy, suturing of the meniscus using the inside-out suture technique for fixation meniscus to capsule under arthroscopic control. Patients in the comparison group underwent a partial central meniscectomy under arthroscopic control without the use of additional sutures. 12 months after surgery, the extrusion distance of the main group was 2.2 ± 0.4 mm (p < 0.05) and 3.5 ± 0.4 mm (p < 0.05) of the comparison group. The score on the Lyscholm scale in the patients of the main group was 86,8±4,1 points (p < 0.05), in the comparison group - 80,5±3,5 points (p <0.05).

Conclusions.
Additional methods of stabilization of the lateral meniscus in discoid lateral meniscus improved the functional status of the knee joint and the results of the treatment of extrusion of the lateral meniscus in patients. This method will improve the functional state of the patient's joint in the postoperative period and reduce the load on the lateral meniscus in the form of extrusion.

Keywords: discoid lateral meniscus, partial central meniscectomy, Lysholm scale, lateral meniscus extrusion, additional stabilization sutures.

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Change Of Equivalent Stress On Medial Meniscus Posterior Root After High Tibial Osteotomy: Analysis Using Finite Element Method Using Mri Images ePoster Presentation Yukiko Sakamoto, MD, PhD, JAPAN Eiji Sasaki, MD, PhD, JAPAN Yuka Kimura, MD, PhD, JAPAN Takahiro Tsushima, MD, PhD, JAPAN Hiroto Murayama, Graduate student, JAPAN Kazuhiro Fujisaki, PhD, JAPAN Kotaro Miura, Asst. Prof., JAPAN Kazuhiko Sasagawa, Prof., JAPAN Eiichi Tsuda, Prof., JAPAN Yasuyuki Ishibashi, MD, JAPAN
Clinical Outcomes with meniscal repair, through the KOOS questionnaire with 2 and 4 year follow-up ePoster Presentation Sergio Patricio González Rouse, MD, MSc, MBA, CHILE Horacio Alejandro Carvajal Araya, MD, CHILE
Pediatric Meniscus Repair Outcomes: The Role Of Weight, BMI, And BMI Percentile ePoster Presentation Kristen N. Reikersdorfer, BA, UNITED STATES Serafina Faith Zotter, BS, UNITED STATES Connor Thomas Wright, BA, UNITED STATES Nikolaos K. Paschos, MD, PhD, UNITED STATES
Arthroscopic All-Inside Repair Using Absorbable Sutures Provides Satisfactory Results For Radial Tear Of Lateral Meniscus Midbody In A Stable Knee: A Minimum Follow-Up Of 2 Years ePoster Presentation Sang Hak Lee, MD, PhD, KOREA, REPUBLIC OF Jun-Ho Kim, MD, KOREA, REPUBLIC OF Sunin Yoo, MD, KOREA, REPUBLIC OF
Virtual Computer Vision Based Rehabilitation And In Person Physical Therapy Have Equivalent Outcomes After Knee Arthroscopy ePoster Presentation Katherine L. Esser, BS, UNITED STATES Zachary I Li, BA, UNITED STATES Michael Moore, BA, UNITED STATES Larry Chen, BS, UNITED STATES Isabel Wolfe, BA, UNITED STATES Nathaniel P. Mercer, MD, UNITED STATES Bradley Austin Lezak, MD, MPH, UNITED STATES Heath Patrick Gould, MD, UNITED STATES Laith M. Jazrawi, MD, UNITED STATES Eric Strauss, UNITED STATES Guillem Gonzalez-Lomas, MD, UNITED STATES
Long-Term Structural and Functional Outcomes Following Meniscal Allograft Transplantation ePoster Presentation Deidre López Guardiola, MD, MEXICO Francisco Cruz López, MD, MEXICO
Mid-Term Outcomes Following Repair Of Discoid Meniscus Tears In Pediatric Patients: A Single-Institution Retrospective Review ePoster Presentation Katherine L. Esser, BS, UNITED STATES Larry Chen, BS, UNITED STATES Neehar Desai, BS, UNITED STATES Luilly Vargas, MD, UNITED STATES Caroline Vonck, MD, UNITED STATES Cordelia Carter, MD, UNITED STATES Guillem Gonzalez-Lomas, MD, UNITED STATES Laith M. Jazrawi, MD, UNITED STATES

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Partial Central Meniscectomy With Using Of An Additional Stabilization Sutures Of The Lateral Discoid Meniscus As A Method Of Preventing Meniscus Extrusion In The Postoperative Period

Partial Central Meniscectomy With Using Of An Additional Stabilization Sutures Of The Lateral Discoid Meniscus As A Method Of Preventing Meniscus Extrusion In The Postoperative Period

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Partial Central Meniscectomy With Using Of An Additional Stabilization Sutures Of The Lateral Discoid Meniscus As A Method Of Preventing Meniscus Extrusion In The Postoperative Period

Partial Central Meniscectomy With Using Of An Additional Stabilization Sutures Of The Lateral Discoid Meniscus As A Method Of Preventing Meniscus Extrusion In The Postoperative Period