SURGERY OF THE MENISCUS

1. Knee Meniscal Phylogeny and Ontogeny
2. Anatomy and Vascularisation
3. Histology-Ultrastructure-Biology
4. Physiology: Biomechanics
5. Physiopathology of the Meniscal Lesions
6. Meniscus Basic Science: Synthesis
7. Traumatic Meniscal Lesions
8. Degenerative Meniscus Lesions, Cartilage Degeneration, and Osteoarthritis of the Knee
9. Hidden Lesions and Root Tears
10. Meniscal Lesions in Children: Classification, Discoid Meniscus, Traumatic Lesions
11. Discoid Meniscus: Histology
12. Classification of Meniscal Lesions: Synthesis
13. Clinical Examination, Standard X-Rays
14. Preoperative MR Imaging of the Meniscus
15. Meniscus Ultrasound
16. SPECT/CT Imaging of the Meniscus and Cartilage: What Does It Offer?
17. Synthesis: Differences Between Traumatic and Degenerative Meniscal Lesions
18. Synthesis
19. Arthroscopy of the Normal Meniscus
20. Meniscectomy Medial: Lateral
21. Biomechanics of Meniscal Repair
22. Meniscus Repair: Updated Techniques (Open and Arthroscopic)
23. Meniscal Repair: Enhancement of Healing Process
24. Meniscal Cysts
25. Discoid Meniscus and Meniscoplasty in Children
26. Repair in Children
27. Rehabilitation and Return to Sport
28. Partial Meniscectomy and Meniscal Suture: Graft Rehabilitation Guidelines
29. Synthesis
30. Functional and Objective Scores: Quality of Life
31. Postoperative Imaging of the Meniscus
32. Synthesis
33. Posterior Horn Plus Pars Intermedia Bucket-Handle Tear Resection: Long-Term Outcome and Complications
34. Results of Lateral Meniscectomy
35. Meniscal Repair: Intra- and Postoperative Complications
36. Meniscal Repair: Results
37. Discoid Meniscus. Meniscus Lesions in Children: Indications and Results
38. Synthesis
39. Traumatic Lesions in a Stable Knee: Masterly Neglect - Meniscectomy - Repair
40. Meniscal Traumatic Lesions in ACL-Deficient Knee: Masterly Neglect, Repair, or Meniscectomy
41. Degenerative Meniscal Lesions: Indications
42. Arthroscopic and Supplementation Therapy in Osteoarthritis of the Knee
43. Indications in Meniscus Surgery: Synthesis
44. Postoperative Osteonecrosis of the Knee: Incidence, Diagnosis, Management and Results
45. Concepts in Managing the Patient with Post-meniscectomy Knee Pain
46. Basic Science on the Meniscus
47. Organization: Type of Grafts, Conservation, Regulation
48. Meniscus Allograft: Organization and Regulation in Europe and USA
49. Surgical Technique for Open Meniscal Allograft Transplantation
50. Meniscus Allograft Transplantation with Bony Fixation
51. Arthroscopic Meniscal Allograft Transplantation with Soft Tissue Fixation Through Bone Tunnels
52. Arthroscopic Technique with One Bone Plug: Meniscal Transplantion – How I Do It
53. Meniscal Allograft Transplantation: Results and Indications
54. Synthesis
55. Collagen Meniscus Implant: Basic Science, Technique and Results
56. Actifit Polyurethane Meniscus Scaffold: Basic Science, Techniques, and Results
57. Meniscal Substitutes Synthesis
58. Gene Therapy, Growth Factors, Mesenchymal Cells, New Trends and Future Perspectives

This book, published in cooperation with ESSKA, provides an exhaustive review of the meniscus and its pathology, covering all aspects from the basic science of the normal meniscus to clinical and imaging diagnosis, meniscus repair and meniscectomy, outcomes and complications, postoperative management, and emerging technologies. The book opens by examining in depth aspects such as anatomy, histology, physiology, biomechanics, and physiopathology. Clear guidance is offered on arthroscopy and the classification of meniscal lesions, with consideration of the full range of meniscal pathology, including traumatic lesions, degenerative lesions, root tears, meniscal cysts, and congenital lesions. Choice of treatment in different settings is explained, and the various surgical techniques – meniscectomy, meniscal repair, and reconstruction with allografts – are described in detail with the aid of accompanying videos and with presentation of long-term results. The concluding chapter takes a look into the future of meniscus reconstruction, for example through regeneration using mesenchymal stem cells.

Features
• Offers a complete overview of pathology of the meniscus
• Discusses all aspects of the relevant basic science
• Presents practical guidelines on choice of surgical technique
• Looks at the future of meniscal reconstruction
• Includes videos of surgical techniques

Authors
Christophe Hulet, MD, PhD, is Professor in Orthopedics and Traumatology at Caen University Hospital, Caen, France, where he is Head of the Orthopedics Department and Director of the Outpatient Surgical Unit. He has been Surgical College President of CAEN CHU since 2010. Dr. Hulet gained a Master’s Degree in Biological Sciences and Medical Anatomy from the University of Caen in 1991. In 1993 he presented his MD thesis on “cysts of the lateral meniscus” and in the same year he was awarded his Competence in General Surgery and Diploma of Specialized Studies in Orthopaedic Surgery and Traumatology. He subsequently gained his doctorate from the University of Caen and was appointed a University Professor in 2003. Dr. Hulet has held a variety of important positions, including as a member of the Basic Science Committee of ESSKA from 2010 to 2014, a member of the Knee Committee of ESSKA from 2012 to 2014, President of the Arthroscopy Committee of ESSKA from 2014 to 2016, and President of the French Society of Arthroscopy (Société Française d’Arthroscopie) from 2009 to 2011. He is the author of 140 articles in peer-reviewed JCR-listed journals.