{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T15:58:18Z","timestamp":1784649498828,"version":"3.55.0"},"reference-count":36,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T00:00:00Z","timestamp":1693612800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T00:00:00Z","timestamp":1693612800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T00:00:00Z","timestamp":1693612800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Despite an improved understanding of discoid lateral meniscus (DLM), the treatment of symptomatic discoid lateral meniscus remains controversial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The aim of this retrospective, single\u2010centred, consecutive\u2010case study was to evaluate the clinical outcome of 60 DLM treated arthroscopically by the \u201cmeniscoplasty or saucerisation\u2013suture\u201d technique in children and adolescents [median (range) age 11 (4\u201317) years], and to investigate surgical failures. The instability was assessed before any saucerisation. The hypotheses were that: (i) the management of instability with suture first was effective and that (ii) a combined classification with clinical and MRI data had a prognostic value.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In 57\u00a0knees (95%), the DLM was unstable, and a suture fixation was performed. After a median follow\u2010up of 41.5\u00a0months, the median (range) IKDC score was improved from 55 (10\u201370) preoperatively to 90 (37.5\u2013100) postoperatively. The median (range) Lysholm score at last follow\u2010up was 93.5 (45\u2013100). The procedure was effective in 49\u00a0knees (81.6%) after a single procedure. Eleven patients had a failure with a new meniscal tear after a median (range) delay of 42\u00a0months (24\u201360) after the initial procedure. The patterns of discoid lateral meniscus instability were not found to have a prognostic value for surgical failure since they mainly occurred after sport\u2010related injuries. All the patients with initial repair failures but one achieved a good clinical outcome after revision repair without any further meniscectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In contrast to adult knees, symptomatic discoid lateral meniscus is rarely stable in children (5%). Meniscal repair is effective to preserve the meniscus tissue, but revision repair became necessary in 18% of the cases and was finally successful.<\/jats:p><jats:p><jats:bold>Level of evidence<\/jats:bold> Level III.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-023-07538-1","type":"journal-article","created":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T00:01:21Z","timestamp":1693612881000},"page":"4816-4823","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Discoid lateral meniscus instability in children: part II.: Repair first to minimise the saucerisation"],"prefix":"10.1002","volume":"31","author":[{"given":"Paul Henri","family":"Bauwens","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Pediatric Orthopaedic Surgery Lyon University Hospital for Mother and Children 59 Boulevard Pinel 69677 Bron France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Vandergugten","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Pediatric Orthopaedic Surgery Unit Cliniques Universitaires UCL Saint\u2010Luc Bruxelles, and in Grand Hopital de Charleroi Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Fiquet","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Clinique de l\u2019infirmerie Protestante of Lyon 1\u20103 Chemin du Penthod 69300 Caluire et Cuire France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00e9bastien","family":"Raux","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Pediatric Orthopaedic Surgery Lyon University Hospital for Mother and Children 59 Boulevard Pinel 69677 Bron France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Cance","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Pediatric Orthopaedic Surgery Lyon University Hospital for Mother and Children 59 Boulevard Pinel 69677 Bron France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2111-0132","authenticated-orcid":false,"given":"Franck","family":"Chotel","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--> Department of Pediatric Orthopaedic Surgery Lyon University Hospital for Mother and Children and Claude Bernard University Lyon I., Hospices Civils de Lyon 59 Boulevard Pinel 69677 Bron France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,9,2]]},"reference":[{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2004.01.028"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.12.012"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509332502"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010017\u20104420\u20102"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.03.002"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010002\u20100341\u20108"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2022.03.018"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s001670100241"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e31823d8338"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20632"},{"issue":"1","key":"e_1_2_10_12_2","first-page":"13","article-title":"Meniscal plasty and suture repair for torn discoid lateral meniscus involving popliteal hiatus","volume":"25","author":"Dai Z","year":"2011","journal-title":"Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi"},{"key":"e_1_2_10_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.09.002"},{"key":"e_1_2_10_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402\u2010016\u20102575\u20109"},{"key":"e_1_2_10_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2022.02.021"},{"key":"e_1_2_10_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010017\u20104825\u2010y"},{"key":"e_1_2_10_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001370"},{"key":"e_1_2_10_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2019.03.007"},{"key":"e_1_2_10_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010018\u20105268\u20109"},{"key":"e_1_2_10_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/01241398\u2010200401000\u201000015"},{"key":"e_1_2_10_21_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS\u2010D\u201015\u201000491"},{"key":"e_1_2_10_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2019.02.023"},{"key":"e_1_2_10_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221076857"},{"key":"e_1_2_10_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001903"},{"key":"e_1_2_10_25_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891\u2010022\u201006002\u20104"},{"key":"e_1_2_10_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001907"},{"key":"e_1_2_10_27_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010020\u201005929\u20102"},{"key":"e_1_2_10_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2018.06.003"},{"key":"e_1_2_10_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.10.006"},{"key":"e_1_2_10_30_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001695"},{"key":"e_1_2_10_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.03.028"},{"key":"e_1_2_10_32_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010023\u201007521\u2010w"},{"key":"e_1_2_10_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2010.11.009"},{"key":"e_1_2_10_34_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010021\u201006635\u20103"},{"key":"e_1_2_10_35_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516668623"},{"key":"e_1_2_10_36_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010013\u20102371\u20109"},{"key":"e_1_2_10_37_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e31817766dd"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-023-07538-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00167-023-07538-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-023-07538-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-023-07538-1","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T09:50:55Z","timestamp":1760867455000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-023-07538-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,2]]},"references-count":36,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1007\/s00167-023-07538-1"],"URL":"https:\/\/doi.org\/10.1007\/s00167-023-07538-1","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,2]]},"assertion":[{"value":"6 June 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 August 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 September 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"There is no conflict of interest for any author and co-authors.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study protocol was approved by Lyon university hospital for Mother and children and Claude Bernard University Lyon I research ethics board (N\u00b020_070).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Retrospective study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}