Apollo Hospitals, Chennai has recently performed a corrective procedure called arthroscopic discoid meniscus saucerization and repair on a 7-year-old girl who was affected by discoid lateral meniscal tear, a rare abnormal condition in children.
The child was brought to the hospital in Chennai followed by severe pain in the right knee, with difficulty in walking and restricted right knee movements. She had difficulty in sitting down, climbing stairs and playing for the past several months due to severe pain in the knee.
The meniscus is a soft piece of cartilage that acts as a shock absorber to protect the knee. There are two of these C-shaped pads in each knee and they are crescent-shaped. A discoid meniscus is thicker than normal and has a different shape and texture. It is more likely to be injured than a normally shaped meniscus. While a discoid meniscus present from birth can get injured with twisting motions to the knee, usually during pivoting motion or changes in direction while playing sports. Surgical treatment is often recommended for patients with this condition.
A team led by the orthopedic surgeon Dr Vijay Kishore Reddy, from Apollo Hospitals successfully completed the procedure. The child underwent arthroscopic lateral discoid meniscus saucerization and repair which was done completely through keyhole procedure, with sophisticated instrumentation designed specifically for the children.
Speaking about the procedure, Dr Reddy said, “Active children and teenagers sometimes can have structural injuries to their knees. The meniscus, which is a shock-absorbing cartilage in the knee, can tear; often these painful injuries are treated surgically, using a minimally-invasive procedure called arthroscopy. The surgeons repair or trim torn meniscus cartilages, which can relieve pain and cure the injury. In this case the child already had an abnormal discoid meniscus which had a tear.”
During saucerization the surgeon will make small incisions over the knee to access the meniscus. They insert the arthroscope and surgical instruments through the incision to cut and re-shape the discoid meniscus into a crescent with the help of a punch.
The child became the youngest kid to have undergone a complete keyhole procedure for discoid meniscus in India. The child could walk effortlessly on the same day of surgery, said Dr Reddy.