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We reviewed 93 patients who had had arthroscopy (99 cases, torn 83, non-tear 16) for symptomatic discoid meniscal injuries between 1989 and 1996. The indications for plastic excision or partial meniscectomy in these patients is discussed.In 79 joints (80%), plastic excision or partial meniscectomy was performed and in 20 joints with severe injury, subtotal meniscectomy was performed. In 3 cases of plastic excistion and 1 case of partial meniscectomy re-tear happened and revision arthroscopy was done.In cases of non-tear discoid meniscus, plastic excision was performed and in the torn condition, plastic excision or partial meniscectomy was performed according to the site and shape of tear. It is thought that to preserve the meniscal function and prevent early osteoarthritic changes, plastic excision is preferred in cases of non-tear discoid meniscus and plastic excision or partial meniscectomy is preferred according the shape of the tear in cases of torn meniscus.

Plastic Excision or Partial Meniscectomy in Discoid Meniscus Injury.