Published online Nov 18, 2014. doi: 10.5312/wjo.v5.i5.597
Revised: April 6, 2014
Accepted: July 17, 2014
Published online: November 18, 2014
Core tip: The healing potential of chronic degenerative menisci remains poor. Persistent hoop and shear stresses create complex tears in the posterior horn and midbody. Conservative treatment with anti-inflammatory medications and physical therapy may provide pain relief and improve mechanical knee function. For patients refractory to conservative therapy, arthroscopic partial meniscectomy can provide short-term pain relief when combined with a physiotherapy program. Surgery, however, is not a guaranteed success, especially in the presence of articular pathology. Long-term outcomes of surgical or non-surgical treatment have been shown to be similar for most patient subsets.