Description
Recently, there is an ongoing interest regarding Meniscal Extrusion (ME) since it alters the knee biomechanics and leads to accelerated joint degeneration. Moreover, many studies advocate that ME should be addressed concurrently with meniscal posterior root tears. Isolated management of the meniscal tear, with either meniscectomy or repair, is inadequate since the residual ME accelerates the knee joint degeneration and the patients present poor functional outcomes.
Considering the negative impact that ME has on knee function and cartilage preservation, many investigators have aimed to develop a technique that could minimize ME or even restore the meniscus to its native location into the knee compartment. Although there is still not a gold-standard method, meniscal centralization seems to be the most promising technique. This systematic review of biomechanical and clinical studies focuses on the effect of meniscal centralization technique on ME and knee biomechanics.