Postmeniscectomy syndrome, development risks and consequences (literature review)

Abstract

Background. Studying structural changes in bone tissue after arthroscopic meniscectomy is an urgent problem in traumatology and orthopedics. This is due to the fact that despite the large number of surgical interventions performed, a number of patients after surgical treatment have such a complication as postmeniscatomic syndrome. The purpose of the study is to improve the results of treatment of patients with meniscus injury and systematization of data from literary sources. Materials and methods. A literature review was performed in the PubMed, eLibrary, Spriger Link system and in the Russian-language literature with the keywords “Postmeniscectomy Syndrome”, “bone marrow edema”, “Postmeniscectomy osteonecrosis”, “Subchondral fracture following arthroscopic knee surgery”, “Complications of arthroscopy and arthroscopic surgery”, “Postarthroscopic osteonecrosis of the femoral condyles and the tibia”. According to these keywords, 45 publications devoted to postmeniscectomy syndrome were selected. Results and conclusions. A review of the literature has demonstrated that the topic is relevant in arthroscopic surgery, however, the number of studies conducted does not currently allow us to draw unambiguous conclusions, which requires further research to clarify the etiological causes of postmeniscectomy syndrome and ways to prevent it.

Keywords

• postmeniscectomy syndrome
• osteonecrosis
• bone marrow edema
• meniscectomy
• subchondral bone
• arthroscopy