Surgery of the Meniscus

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 lookinto the future of meniscus reconstruction, for example through regeneration using mesenchymal stem cells.

Introduction.- Meniscus Basic Science.- Classification Meniscal Lesions.- Preoperative Clinical Examination and Imaging.- Surgical Technique.- Postoperative Evaluation.- Results.- Indications: Adults.- Lavage, Debridement, and Osteoarthritis.- Post-meniscectomized Knee.- Meniscal Reconstruction - Allograft.- Meniscal Reconstruction – Substitutes.- Substitutes and Future Technology.- Conclusion.

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 ofthe 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.