Conservative treatment strategy of degenerative meniscus injury
Abstract. Article presents a clinical case of a patient with degenerative medial meniscus tear, discussing the choice of treatment between arthroscopic intervention and local injection therapy (LIT). A 71-year-old man with a posterior horn tear of the medial meniscus received conflicting opinions from traumatologists: one specialist recommended arthroscopic meniscus repair, while the other recommended conservative therapy. The patient underwent local injection therapy (LIT) using a regimen consisting of two injections of 2.5% hyaluronic acid (Flexotron® Ultra) and a course of polynucleotides (Chronotron), followed by another hyaluronic acid injection. Upon completion of the treatment course, the patient’s pain subsided, and surgery was not required. Magnetic resonance imaging (MRI) showed no significant negative changes after two years. This case demonstrates the efficacy of LIT for degenerative meniscal injury and emphasizes the need to use all available conservative treatment options before considering arthroscopic intervention.Devald I.V.
Keywords
local injection therapy
meniscal suture
hyaluronic acid
gonarthrosis
degenerative meniscal tear
polynucleotides
arthroscopy
References
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About the Authors
Inessa V. Devald, MD, Dr. Sci. (Medicine), associate professor, professor of the Department of therapy of the Institute of Continuing Professional Education, South Ural State Medical University of the Ministry of Healthcare of Russia; associate professor of the Department of microbiology, immunology, and general biology, Chelyabinsk State University. Address: 454141, Chelyabinsk, 64 Vorovskogo St.E-mail: inessa.devald@gmail.com
ORCID: https://orcid.org/0000-0001-8657-7035. Scopus ID: 55191381500. eLibrary SPIN: 4835-6725
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