Saucerization Combined With Meniscal Repair Is an Effective Surgical Technique for the Treatment of Symptomatic Bilateral Medial Discoid Meniscus With Good Short- to Medium-Term Results: A Case Report.
Juan José Martínez-Arboleda, Juanita Villalba-Reyes, Alejandro Delgado-Cortez, Giusseppe Aguado-Gómez, Juan David Parra-Hernandez
Abstract
Open AccessBackground: The discoid meniscus is an anomaly caused by a congenital morphological variant of the meniscus, in which the meniscus has an abnormally wide and flat cartilage shape. An arthroscopic partial meniscectomy (saucerization) is the preferred treatment strategy to maintain peripheral stability and functionality of the meniscus. Meniscal repair is indicated as an additional surgical strategy when residual instability occurs after saucerization and in some rupture patterns, such as horizontal tears. Case Report: We present the first case reported in Colombia (Latin America) of a 19-year-old patient with a diagnosis of a bilateral medial discoid meniscus with instability and a horizontal tear in the body, anterior and posterior horns who was managed with meniscal saucerization and repair (each knee at different times) satisfactorily with good 1-year follow-up clinical and functional results. Conclusions: Saucerization combined with meniscal repair is an effective surgical technique for treating a symptomatic bilateral medial discoid meniscus with a horizontal tear and instability with good short- to medium-term results.