Författare: Roos Harald, Forssblad Magnus, Karlsson Jon
Titel: Menisk- och korsbandsskador [summary] (serie: Tema ortopediska operationer) 2007 nr 19 sid 1509-13
Ämnesord:
Främre korsband
Menisker, tibiala
Rekonstruktivkirurgiska tekniker
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Summary:
The treatment of meniscus tears and anterior cruciate ligament (ACL) injuries are mainly considered as symptomatic. Meniscus tears can be divided into traumatic and degenerative tears, with different outcomes. A displaced meniscus with a locked knee constitutes an acute indication for arthroscopic surgery. A degenerative tear with mechanical symptoms also represents an indication for surgery. The main principle for treating an acute ACL injury is non-surgical treatment with a well-controlled muscular rehabilitation program for 3-4 months. If symptomatic instability remains, ACL reconstruction is considered. In highly active patients and also if there is a repairable associated meniscus tear, a subacute ACL reconstruction is recommended. Both meniscus tears and ACL injuries increase the risk of developing early osteoarthritis. Surgical procedures such as meniscus fixation or ACL reconstruction have not been shown to reduce the risk of osteoarthritis. Thus, prevention of osteoarthritis does not constitute an indication for surgical treatment of these injuries.
Harald Roos, Magnus Forssblad, Jon Karlsson
Correspondence: Jon Karlsson, Ortopedkliniken, Sahlgrenska Universitetssjukhuset,
SE-413 45 Göteborg, Sweden
jon.karlsson@vgregion.se
