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Books > Medicine > Surgery > Orthopaedics & fractures
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The Meniscus (Hardcover, Edition.)
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The Meniscus (Hardcover, Edition.)
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The Meniscus The management of meniscus lesions is an unbelievable
story of so-called scient- cally based, controversial treatment,
covering a time span of more than 120 years, including: * The time
when a locked knee was manipulated in order to reduce a
bucket-handle or a fap tear back into place to restore motion. *
The time when famous surgeons excised the meniscus in thousands of
patients and kept the resected specimens as trophies in large glass
jars. * The time of animated discussions on whether either partial
meniscectomy, only removing the ruptured parts, should be performed
or total meniscectomy, as ad- cated by Smillie, because some
meniscus-shaped semilunar tissue regeneration had been shown by
Mandic after complete removal. * The time when the next milestone
was reached as Trillat introduced intramural resection, which
preserved the circular stabilizing fbrous rim with its menis-
ligamento-capsular attachments to the tibia and femur, to maintain
more rotational knee stability. Prior to these mainstream meniscal
resection treatments, pioneering work had been done by Thomas
Annandale in 1883 and Moritz Katzenstein in 1908, who sutured the
menisci back into place, with the latter achieving a series of good
results. In 1921, Eugen Bircher was the frst to perform a
diagnostic knee arthroscopy for internal knee derangement, just
using a standard Jacobaeus laparoscope! Nowadays, the fundamental
importance of the menisci to normal knee function, e.g., motion,
load distribution, and rotational stabilization, is scientifcally
acknowledged.
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