{"id":969,"date":"2021-07-14T01:40:54","date_gmt":"2021-07-14T01:40:54","guid":{"rendered":"https:\/\/www.drserracruz.com.br\/?page_id=969"},"modified":"2021-10-06T04:51:17","modified_gmt":"2021-10-06T04:51:17","slug":"lesoes-meniscais","status":"publish","type":"page","link":"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/lesoes-meniscais\/","title":{"rendered":"Les\u00f5es meniscais"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"969\" class=\"elementor elementor-969\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7fe4e45 elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"7fe4e45\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-0951b64\" data-id=\"0951b64\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-856d0d5 elementor-widget elementor-widget-heading\" data-id=\"856d0d5\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-xl\">Les\u00f5es meniscais<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-c5a00b6\" data-id=\"c5a00b6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ba388c0 elementor-hidden-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ba388c0\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-530a542\" data-id=\"530a542\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-81ecfed\" data-id=\"81ecfed\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-04fb564 elementor-widget elementor-widget-spacer\" data-id=\"04fb564\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-127734f\" data-id=\"127734f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6e94bf3c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6e94bf3c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-659b0a12\" data-id=\"659b0a12\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-13aa10f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"13aa10f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-8c8338f\" data-id=\"8c8338f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e717cac elementor-widget elementor-widget-toggle\" data-id=\"e717cac\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2421\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2421\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Les\u00f5es Meniscais<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2421\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2421\"><ul><li><a href=\"#menisco\">O que \u00e9 o menisco?<\/a><\/li><li><a href=\"#menisco2\">Quantos meniscos n\u00f3s temos?<\/a><\/li><li><a href=\"#menisco3\">Qual a fun\u00e7\u00e3o dos meniscos?<\/a><\/li><li><a href=\"#menisco4\">Como acontece a les\u00e3o dos menisco?<\/a><\/li><li><a href=\"#menisco5\">A les\u00e3o dos menisco pode curar espontaneamente?<\/a><\/li><li><a href=\"#menisco6\">Como saber se \u00e9 preciso operar o menisco?<\/a><\/li><li><a href=\"#menisco7\">Como \u00e9 a cirurgia para tratar uma les\u00e3o de menisco?<\/a><\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2422\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2422\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Tipos de Les\u00e3o Meniscal<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2422\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2422\"><ul><li><a href=\"#tmenisco\">Tipos de les\u00e3o meniscal<\/a><\/li><li><a href=\"#tmenisco1\">Les\u00e3o meniscal longitudinal<\/a><\/li><li><a href=\"#tmenisco2\">Les\u00e3o meniscal em &#8220;al\u00e7a de balde&#8221;<\/a><\/li><li><a href=\"#tmenisco3\">Les\u00e3o meniscal horizontal<\/a><\/li><li><a href=\"#tmenisco4\">Flap meniscal<\/a><\/li><li><a href=\"#tmenisco5\">Les\u00e3o radial<\/a><\/li><li><a href=\"#tmenisco6\">Les\u00e3o meniscal complexa<\/a><\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2423\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2423\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Les\u00f5es Meniscais \"Especiais\"<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2423\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2423\"><ul><li><a href=\"#lmenisco\">Les\u00f5es meniscais \u201cespeciais\u201d<\/a><\/li><li><a href=\"#lmenisco1\">Les\u00e3o da raiz meniscal<\/a><\/li><li><a href=\"#lmenisco2\">Les\u00f5es meniscais em rampa (ramp lesion)<\/a><\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2424\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-2424\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Principais T\u00e9cnicas de Sutura\u200b<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2424\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-2424\"><ul><li><a href=\"#sutura1\">Sutura meniscal &#8220;inside-out&#8221;<\/a><\/li><li><a href=\"#sutura2\">Sutura meniscal \u201call-inside\u201d<\/a><\/li><li><a href=\"#sutura3\">Sutura meniscal &#8220;outside-in&#8221;<\/a><\/li><li><a href=\"#sutura4\">Reparo da raiz meniscal<\/a><\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2425\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-2425\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">P\u00f3s-operat\u00f3rio<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2425\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-2425\"><ul><li><a href=\"#pos1\">Em quanto tempo depois de operar, pode-se voltar a praticar atividades f\u00edsicas?<\/a><\/li><li><a href=\"#pos2\">Suturar o menisco garante que ele ir\u00e1 cicatrizar e o paciente nunca mais vai ter este problema no joelho?<\/a><\/li><li><a href=\"#pos3\">Mas qual a vantagem em se suturar o menisco se demora mais tempo para recuperar?<\/a><\/li><li><a href=\"#pos4\">Como \u00e9 p\u00f3s-operat\u00f3rio da sutura de menisco?<\/a><\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-5acfff6\" data-id=\"5acfff6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-8a38c28\" data-id=\"8a38c28\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4a416fa elementor-widget elementor-widget-heading\" data-id=\"4a416fa\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Les\u00f5es meniscais<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bb1adb1 elementor-widget elementor-widget-spacer\" data-id=\"bb1adb1\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-00894c6 elementor-widget elementor-widget-menu-anchor\" data-id=\"00894c6\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"menisco\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1f82081 elementor-widget elementor-widget-heading\" data-id=\"1f82081\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">O que \u00e9 o menisco? <\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0f9a97b elementor-widget elementor-widget-text-editor\" data-id=\"0f9a97b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Os meniscos s\u00e3o estruturas fibrocartilaginosas em formato de semi-lua situadas entre o osso da coxa (f\u00eamur) e o osso principal da perna (t\u00edbia), firmemente aderidos a este \u00faltimo. Ajudam, entre outras coisas, a melhorar a congru\u00eancia articular, al\u00e9m de atuar na absor\u00e7\u00e3o de impactos que atravessam a articula\u00e7\u00e3o do joelho.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5f2f588 elementor-widget elementor-widget-menu-anchor\" data-id=\"5f2f588\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"menisco2\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-88de627 elementor-widget elementor-widget-heading\" data-id=\"88de627\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Quantos meniscos n\u00f3s temos?<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cf12e79 elementor-widget elementor-widget-text-editor\" data-id=\"cf12e79\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Possu\u00edmos 2 meniscos em cada joelho. Um na parte interna, chamado de menisco medial, que absorve cerca de 50% da carga transmitida atrav\u00e9s deste compartimento, e outro na parte externa, chamado de menisco lateral, que absorve at\u00e9 70% da carga transmitida atrav\u00e9s do respectivo compartimento.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-63ba5bb elementor-widget elementor-widget-menu-anchor\" data-id=\"63ba5bb\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"menisco3\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e3dc4f6 elementor-widget elementor-widget-heading\" data-id=\"e3dc4f6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Qual a fun\u00e7\u00e3o dos meniscos?<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3524818 elementor-widget elementor-widget-text-editor\" data-id=\"3524818\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Antigamente pensava-se que os meniscos eram \u201csimplesmente\u201d amortecedores dos joelhos. No entanto, esta ideia \u00e9 equivocada. Cada vez mais estudos comprovam outras fun\u00e7\u00f5es relacionadas aos meniscos t\u00e3o ou mais importantes que a fun\u00e7\u00e3o de absor\u00e7\u00e3o de impactos. Al\u00e9m disso, os meniscos t\u00eam papel importante na estabilidade da articula\u00e7\u00e3o (por isso les\u00e3o de menisco tamb\u00e9m pode evoluir com queixa de instabilidade), propriocep\u00e7\u00e3o, lubrifica\u00e7\u00e3o e nutri\u00e7\u00e3o da cartilagem articular.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ccc5c3f elementor-widget elementor-widget-menu-anchor\" data-id=\"ccc5c3f\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"menisco4\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-01a37ac elementor-widget elementor-widget-heading\" data-id=\"01a37ac\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Como acontece a les\u00e3o do menisco?<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1107040 elementor-widget elementor-widget-text-editor\" data-id=\"1107040\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Existem v\u00e1rios padr\u00f5es de les\u00e3o meniscal e certamente cada um deles est\u00e1 mais relacionado a um determinado mecanismo de trauma, mas, de um modo em geral, em tecidos previamente sadios, a les\u00e3o acontece durante uma entorse do joelho, no qual a for\u00e7a exercida entre o f\u00eamur e a t\u00edbia supera a capacidade do menisco em absorver a energia. Outro mecanismo de les\u00e3o muito relatado \u00e9 a hiper-flex\u00e3o do joelho.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-48fe45c elementor-widget elementor-widget-menu-anchor\" data-id=\"48fe45c\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"menisco5\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-330a530 elementor-widget elementor-widget-heading\" data-id=\"330a530\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">A les\u00e3o do menisco pode curar espontaneamente?<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e44d49f elementor-widget elementor-widget-text-editor\" data-id=\"e44d49f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Certamente algumas les\u00f5es meniscais s\u00e3o pass\u00edveis de cicatriza\u00e7\u00e3o sem interven\u00e7\u00e3o cir\u00fargica. Em geral, les\u00f5es isoladas (sem outras les\u00f5es que gerem instabilidade), pequenas,\u00a0 localizadas nas regi\u00f5es mais bem vascularizadas dos meniscos (chamadas de zona perif\u00e9rica ou vermelha-vermelha), t\u00eam potencial de cicatriza\u00e7\u00e3o mesmo sem cirurgia.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8c33cfa elementor-widget elementor-widget-menu-anchor\" data-id=\"8c33cfa\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"menisco6\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-486dec9 elementor-widget elementor-widget-heading\" data-id=\"486dec9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Como saber se \u00e9 preciso operar o menisco?<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8870435 elementor-widget elementor-widget-text-editor\" data-id=\"8870435\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Para esta resposta, o ideal \u00e9 consultar um especialista em joelho. Existem diversos par\u00e2metros que devem ser colocados em discuss\u00e3o para se optar pela cirurgia ou n\u00e3o. Mesmo optando pela cirurgia, ainda existem as op\u00e7\u00f5es de sutura ou meniscectomia parcial (retirada do tecido lesionado). Cada conduta com \u201cpr\u00f3s\u201d e \u201ccontras\u201d que devem ser explicadas pelo seu m\u00e9dico. Durante seu <em>fellowship<\/em> nos Estados Unidos, o dr. Serra Cruz realizou treinamento com diversas t\u00e9cnicas de sutura meniscal, possuindo uma vasta experi\u00eancia neste tipo de les\u00e3o.\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3010071 elementor-widget elementor-widget-menu-anchor\" data-id=\"3010071\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"menisco7\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f229a09 elementor-widget elementor-widget-heading\" data-id=\"f229a09\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Como \u00e9 a cirurgia para tratar uma les\u00e3o de menisco?<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a33537a elementor-widget elementor-widget-text-editor\" data-id=\"a33537a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Conforme mencionado previamente, existem diversas abordagens. Pensando em cirurgia preservadora de menisco, o que se realiza \u00e9 a sutura meniscal. A sutura do menisco envolve a passagem de fios ultra-resistentes atrav\u00e9s do tecido meniscal e da c\u00e1psula articular a fim de ancor\u00e1-los em seus locais nativos, aguardando pela cicatriza\u00e7\u00e3o das bordas suturadas. Existem algumas t\u00e9cnicas e varia\u00e7\u00f5es que est\u00e3o pormenorizadas no texto a seguir.<br \/><br \/>Quando se opta pela meniscectomia, a ideia \u00e9 retirar o tecido lesionado, mas ainda assim tentando preservar o m\u00e1ximo de tecido sadio poss\u00edvel. S\u00e3o utilizadas pin\u00e7as artrosc\u00f3picas (feitas para serem utilizadas em cirurgias por v\u00eddeo) que permitem este tipo de abordagem.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b528bbd elementor-widget elementor-widget-spacer\" data-id=\"b528bbd\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1db99d3 elementor-widget elementor-widget-menu-anchor\" data-id=\"1db99d3\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"tmenisco\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9a0b7ba elementor-widget elementor-widget-heading\" data-id=\"9a0b7ba\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Tipos de les\u00e3o meniscal<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b7da8e8 elementor-widget elementor-widget-spacer\" data-id=\"b7da8e8\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1f36802 elementor-widget elementor-widget-text-editor\" data-id=\"1f36802\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>De um modo em geral, qualquer tra\u00e7o de descontinuidade no menisco \u00e9 considerado uma les\u00e3o meniscal. Este tra\u00e7o pode ocorrer em um ou mais planos (ex. horizontal, vertical, obl\u00edqua ou complexa). Al\u00e9m disso, as les\u00f5es mais recentemente \u201cdescobertas\u201d, s\u00e3o as les\u00f5es em rampa (<em>ramp lesion<\/em>) e as les\u00f5es da raiz meniscal (descritas a seguir), que n\u00e3o envolvem necessariamente um tra\u00e7o no corpo do menisco. As les\u00f5es meniscais s\u00e3o divididas em tr\u00eas \u00e1reas (vermelha-vermelha, vermelha-branca e branca-branca) de acordo com a vasculariza\u00e7\u00e3o da regi\u00e3o acometida. Como os vasos sangu\u00edneos que penetram o menisco seguem da periferia para o centro, quanto mais perif\u00e9ricas as les\u00f5es, mais bem vascularizadas elas s\u00e3o, o que favorece a cicatriza\u00e7\u00e3o. Quanto mais centrais (ex. zona branca-branca), menos vascularizadas e, portanto, menor a chance de cicatriza\u00e7\u00e3o.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5d5ac00 elementor-widget elementor-widget-menu-anchor\" data-id=\"5d5ac00\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"tmenisco1\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-372c9b8 elementor-widget elementor-widget-heading\" data-id=\"372c9b8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">- Les\u00e3o meniscal longitudinal<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3a5171d elementor-widget elementor-widget-text-editor\" data-id=\"3a5171d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u00c9 a les\u00e3o que ocorre no plano vertical acompanhando a trajet\u00f3ria circunferencial do menisco. \u00c9 um dos tipos de les\u00e3o mais comuns e mais pass\u00edveis de sutura com bons resultados.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-baf8d38 elementor-widget elementor-widget-menu-anchor\" data-id=\"baf8d38\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"tmenisco2\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1d17107 elementor-widget elementor-widget-heading\" data-id=\"1d17107\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">- Les\u00e3o meniscal em \u201cal\u00e7a de balde\u201d<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f432f82 elementor-widget elementor-widget-text-editor\" data-id=\"f432f82\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u00c9 um tipo espec\u00edfico de les\u00e3o longitudinal que se estende por um comprimento suficiente para que o tecido lesionado se destaque na sua por\u00e7\u00e3o central, mas permanecendo fixo nas suas extremidades, podendo levantar-se de maneira semelhante a uma \u201cal\u00e7a de balde\u201d. Este tipo de les\u00e3o pode ser causa de uma emerg\u00eancia ortop\u00e9dica, quando a \u201cal\u00e7a\u201d se interp\u00f5e no centro do joelho (regi\u00e3o conhecida como interc\u00f4ndilo), bloqueando a articula\u00e7\u00e3o. Quando isto acontece, al\u00e9m da dor, o paciente n\u00e3o \u00e9 capaz de realizar a extens\u00e3o completa do joelho, caracterizando o joelho bloqueado. Existem manobras que podem ser realizadas para se tentar a redu\u00e7\u00e3o (retorno ao lugar original) de maneira fechada. No entanto, n\u00e3o \u00e9 incomum estes casos serem resolvidos com uma cirurgia de emerg\u00eancia. Mesmo quando a al\u00e7a \u00e9 reduzida de maneira fechada, h\u00e1 indica\u00e7\u00e3o nesses casos de tratamento cir\u00fargico definitivo.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-21f215f elementor-widget elementor-widget-menu-anchor\" data-id=\"21f215f\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"tmenisco3\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5b6e186 elementor-widget elementor-widget-heading\" data-id=\"5b6e186\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">- Les\u00e3o meniscal horizontal<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d5d9e3f elementor-widget elementor-widget-text-editor\" data-id=\"d5d9e3f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u00c9 um tipo de les\u00e3o que acontece como se o menisco houvesse sido \u201cfatiado\u201d, no plano horizontal, como o nome sugere. Em especial este tipo de les\u00e3o pode dar origem ao chamado cisto parameniscal, que acontece quando o l\u00edquido sinovial passa atrav\u00e9s do menisco, at\u00e9 a regi\u00e3o da c\u00e1psula articular e pode se tornar aprisionado, gerando o aumento de volume local. Tamb\u00e9m \u00e9 um tipo de les\u00e3o pass\u00edvel de sutura. Neste caso \u00e9 extremamente importante \u201cfechar\u201d a les\u00e3o para evitar o mecanismo de forma\u00e7\u00e3o do cisto descrito acima.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5c05911 elementor-widget elementor-widget-menu-anchor\" data-id=\"5c05911\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"tmenisco4\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fce1e87 elementor-widget elementor-widget-heading\" data-id=\"fce1e87\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">- Flap meniscal<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1b41b6b elementor-widget elementor-widget-text-editor\" data-id=\"1b41b6b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Ocorre quando uma parte do menisco faz um tra\u00e7o obl\u00edquo que se estende at\u00e9 a zona branca (zona mais central). No caso de les\u00f5es pequenas deste tipo, pode se realizar a meniscectomia parcial. Les\u00f5es maiores, principalmente que se estendam at\u00e9 a periferia do menisco se comportam como uma les\u00e3o longitudinal, sendo pass\u00edveis de sutura.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ca62b43 elementor-widget elementor-widget-menu-anchor\" data-id=\"ca62b43\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"tmenisco5\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4c6be6c elementor-widget elementor-widget-heading\" data-id=\"4c6be6c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">- Les\u00e3o radial<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7065bf7 elementor-widget elementor-widget-text-editor\" data-id=\"7065bf7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u00c9 um tipo de les\u00e3o vertical que corta o menisco em um eixo perpendicular ao eixo de suas fibras circunferenciais. Este tipo de les\u00e3o \u00e9 grave pois, quando completa, equivale biomecanicamente a uma meniscectomia, uma vez que o menisco precisa da integridade de suas fibras circunfer\u00eancias para atuar na fun\u00e7\u00e3o de absor\u00e7\u00e3o de cargas. Seu tratamento cir\u00fargico em geral requer a ancoragem do menisco na c\u00e1psula al\u00e9m do fechamento da les\u00e3o com pontos que aproximem as bordas da les\u00e3o. Isto pode ser obtido atrav\u00e9s de pontos em \u201cx\u201d, associados a pontos de ancoragem na c\u00e1psula, atrav\u00e9s de uma montagem tipo \u201cvergalh\u00e3o\u201d ou ainda atrav\u00e9s de t\u00faneis trans\u00f3sseos, ancorando as duas extremidades da les\u00e3o na t\u00edbia.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-69716c3 elementor-widget elementor-widget-menu-anchor\" data-id=\"69716c3\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"tmenisco6\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-705f4c7 elementor-widget elementor-widget-heading\" data-id=\"705f4c7\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">- Les\u00e3o meniscal complexa<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-939e1ae elementor-widget elementor-widget-text-editor\" data-id=\"939e1ae\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Uma les\u00e3o meniscal \u00e9 chamada de complexa quando mistura mais de um plano. Exatamente devido a esta caracter\u00edstica, muitas vezes n\u00e3o \u00e9 completamente pass\u00edvel de sutura, pois \u00e9 necess\u00e1rio que o tecido meniscal apresente um bom ponto de ancoragem para os fios transpassados. Quando ocorre les\u00e3o em mais de um plano, dificilmente existe um bom ponto de ancoragem para as suturas, sendo eventualmente necess\u00e1rio algum grau de meniscectomia nestes casos. No entanto, mesmo na les\u00e3o complexa, caso seja poss\u00edvel identificar um plano principal, pode-se tentar sutura-lo e salvar ao menos parte do tecido, removendo apenas o tecido que for invi\u00e1vel.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8a062ce elementor-widget elementor-widget-spacer\" data-id=\"8a062ce\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-63cf544 elementor-widget elementor-widget-menu-anchor\" data-id=\"63cf544\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"lmenisco\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-feb0fac elementor-widget elementor-widget-heading\" data-id=\"feb0fac\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Les\u00f5es meniscais \u201cespeciais\u201d<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f8f5ec3 elementor-widget elementor-widget-spacer\" data-id=\"f8f5ec3\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-779bb91 elementor-widget elementor-widget-text-editor\" data-id=\"779bb91\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>O Dr. Serra Cruz se dedicou bastante ao estudo destas les\u00f5es, tendo publicado artigos, cap\u00edtulo de livro e sendo convidado a ministrar aulas e palestras sobre o tema. Estas les\u00f5es n\u00e3o s\u00e3o \u201cnovas\u201d de fato, mas a identifica\u00e7\u00e3o delas n\u00e3o era realizada at\u00e9 pouco tempo atr\u00e1s, tanto pela dificuldade do seu diagn\u00f3stico quanto pelo desconhecimento que havia at\u00e9 ent\u00e3o sobre a exist\u00eancia das mesmas. Em 2016, publicou uma revis\u00e3o completa sobre o diagn\u00f3stico e a abordagem das <a href=\"https:\/\/www.researchgate.net\/publication\/309181728_Compreendendo_as_lesoes_das_raizes_posteriores_dos_meniscos_da_ciencia_basica_ao_tratamento\">les\u00f5es das ra\u00edzes meniscais<\/a> na Revista Brasileira de Ortopedia, juntamente com o dr. Robert LaPrade (EUA) e Leonardo Metsavaht (IBTS). Em 2019, foi convidado pelo dr. Rodrigo G\u00f3es (Brasil\/Portugal) a escrever um cap\u00edtulo sobre les\u00f5es de rampa meniscal (<em>ramp lesion<\/em>) no livro nacional mais importante sobre les\u00f5es meniscais j\u00e1 publicado at\u00e9 o momento e ,em 2020, foi convidado pelo Dr. Bertrand Sonnery-Cottet (FRA) para escrever um <a href=\"https:\/\/www.researchgate.net\/publication\/337463882_Ramp_Lesions_An_Unrecognized_Posteromedial_Instability\">artigo de revis\u00e3o<\/a> sobre este mesmo tema para a revista <em>Clinics in Sports Medicine<\/em>, uma das mais conceituadas do mundo.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-db26b4d elementor-widget elementor-widget-menu-anchor\" data-id=\"db26b4d\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"lmenisco1\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e1c2f6c elementor-widget elementor-widget-heading\" data-id=\"e1c2f6c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">- Les\u00e3o da raiz meniscal<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-84c10c6 elementor-widget elementor-widget-text-editor\" data-id=\"84c10c6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Al\u00e9m de toda sua inser\u00e7\u00e3o perif\u00e9rica na c\u00e1psula articular e nos plat\u00f4s tibiais, os meniscos possuem duas ra\u00edzes mais centrais, que o ancoram na t\u00edbia e s\u00e3o respons\u00e1veis pela resist\u00eancia \u00e0 for\u00e7a que sofrem no sentido de extrus\u00e3o (uma for\u00e7a centr\u00edfuga que ocorre com o peso do corpo, que levaria os meniscos a uma tend\u00eancia de se deslocarem para a periferia, caso n\u00e3o existissem as ra\u00edzes). Estudos biomec\u00e2nicos j\u00e1 demonstraram que uma les\u00e3o de raiz meniscal pode ser equivalente a uma meniscectomia completa, uma vez que sem a ancoragem que promovem junto ao plat\u00f4 tibial, o menisco \u00e9 deslocado e as for\u00e7as que atravessam o joelho passam diretamente da cartilagem do f\u00eamur para a cartilagem da t\u00edbia, sobrecarregando-as e levando-as \u00e0 degenera\u00e7\u00e3o, muitas vezes precoce. Portanto, a les\u00e3o da raiz meniscal muitas vezes requer o tratamento cir\u00fargico, que \u00e9 feito atrav\u00e9s de suturas trans\u00f3sseas. Estas suturas podem ser realizadas atrav\u00e9s da inser\u00e7\u00e3o de \u00e2ncoras ou atrav\u00e9s de t\u00faneis transtibiais (que cruzam a t\u00edbia). Um detalhe deste tipo de les\u00e3o meniscal \u00e9 que muitas vezes ocorre mesmo sem a exist\u00eancia de um trauma importante estando frequentemente associado a movimentos de hiperflex\u00e3o em pacientes na quinta ou sexta d\u00e9cadas de vida, como um agachamento para realiza\u00e7\u00e3o de jardinagem.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5fb849e elementor-widget elementor-widget-menu-anchor\" data-id=\"5fb849e\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"lmenisco2\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2ad2f21 elementor-widget elementor-widget-heading\" data-id=\"2ad2f21\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">- Les\u00e3o meniscal em rampa (ramp lesion)<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bc70e40 elementor-widget elementor-widget-text-editor\" data-id=\"bc70e40\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>As les\u00f5es em rampa s\u00e3o les\u00f5es na transi\u00e7\u00e3o meniscocapsular posterior, onde ocorre uma desinser\u00e7\u00e3o da periferia do menisco junto \u00e0 c\u00e1psula articular, podendo gerar tanto dor quanto queixa de instabilidade. Muitas vezes esta les\u00e3o pode passar despercebida, mesmo durante a realiza\u00e7\u00e3o de uma artroscopia, por estar em uma \u00e1rea de dif\u00edcil acesso. Por isso, tamb\u00e9m \u00e9 conhecida como \u201c<em>hidden lesion<\/em>\u201d, ou \u201cles\u00e3o escondida\u201d. Para realizar este diagn\u00f3stico \u00e9 necess\u00e1rio um alto \u00edndice de suspei\u00e7\u00e3o cl\u00ednica e correlacionar os sintomas do paciente com os exames de imagem e as manobras cl\u00ednicas. Al\u00e9m disso, \u00e9 interessante seguir os passos sistem\u00e1ticos de invent\u00e1rio articular propostos pelo Dr. Bertrand Sonnery-Cottet para que esta les\u00e3o n\u00e3o passe despercebida. Uma vez diagnosticada, na maioria das vezes, requer uma abordagem cir\u00fargica.\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-871d4da elementor-widget elementor-widget-spacer\" data-id=\"871d4da\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-30fe196 elementor-widget elementor-widget-heading\" data-id=\"30fe196\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Principais t\u00e9cnicas de sutura<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b2f1206 elementor-widget elementor-widget-spacer\" data-id=\"b2f1206\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-77aef50 elementor-widget elementor-widget-menu-anchor\" data-id=\"77aef50\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"sutura1\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7eb3e7c elementor-widget elementor-widget-heading\" data-id=\"7eb3e7c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">- Sutura meniscal \u201cinside-out\u201d<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-60e84af elementor-widget elementor-widget-text-editor\" data-id=\"60e84af\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u00c9 considerada a t\u00e9cnica padr\u00e3o-ouro para a maioria dos tipos de les\u00f5es, em especial para aquelas localizadas no corpo e corno posterior dos meniscos. Atrav\u00e9s desta t\u00e9cnica, agulhas carregadas com fios ultra-resistentes s\u00e3o passadas com o aux\u00edlio de c\u00e2nulas artrosc\u00f3picas, saindo na regi\u00e3o posterior do joelho. Para recuperar as agulhas \u00e9 necess\u00e1rio um acesso (incis\u00e3o) cir\u00fargico na regi\u00e3o posteromedial (para o menisco medial) ou posterolateral (para o menisco lateral) do joelho. Ap\u00f3s a passagem dos fios e verifica\u00e7\u00e3o da estabiliza\u00e7\u00e3o da les\u00e3o, os fios s\u00e3o amarrados pela parte externa e as incis\u00f5es s\u00e3o suturadas.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f0908be elementor-widget elementor-widget-menu-anchor\" data-id=\"f0908be\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"sutura2\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-934ebe1 elementor-widget elementor-widget-heading\" data-id=\"934ebe1\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">\t- Sutura meniscal \u201call-inside\u201d<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3d04644 elementor-widget elementor-widget-text-editor\" data-id=\"3d04644\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>A vantagem desta t\u00e9cnica \u00e9 a aus\u00eancia da necessidade de incis\u00f5es adicionais no joelho, pois os dispositivos de sutura j\u00e1 v\u00eam com \u201cn\u00f3s\u201d pr\u00e9-carregados de f\u00e1brica em seus fios, mas n\u00e3o s\u00e3o aplic\u00e1veis a todas as situa\u00e7\u00f5es. Os dispositivos para esta t\u00e9cnica est\u00e3o em constante evolu\u00e7\u00e3o para garantir que as suturas realizadas n\u00e3o se rompam.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8420562 elementor-widget elementor-widget-menu-anchor\" data-id=\"8420562\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"sutura3\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-607114e elementor-widget elementor-widget-heading\" data-id=\"607114e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">- Sutura meniscal \u201coutside-in\u201d<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0bb18bf elementor-widget elementor-widget-text-editor\" data-id=\"0bb18bf\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u00c9 um tipo de sutura meniscal preferencialmente realizada nas les\u00f5es mais anteriores dos meniscos. A vantagem desta t\u00e9cnica nestes casos \u00e9 que v\u00e1rias suturas podem ser realizadas, mesmo sem a utiliza\u00e7\u00e3o de dispositivos complexos e caros, podendo ser adaptada com o uso de agulhas canuladas conhecidas como \u201cjelco\u201d. No entanto, para les\u00f5es mais posteriores (maioria), esta t\u00e9cnica torna-se mais dif\u00edcil, sendo, na maioria destes casos, necess\u00e1ria a utiliza\u00e7\u00e3o de uma das outras t\u00e9cnicas descritas acima.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-58fe14a elementor-widget elementor-widget-menu-anchor\" data-id=\"58fe14a\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"sutura4\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7dfcb4e elementor-widget elementor-widget-heading\" data-id=\"7dfcb4e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">- Reparo da raiz meniscal<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ec6f2b1 elementor-widget elementor-widget-text-editor\" data-id=\"ec6f2b1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Como mencionado previamente, as ra\u00edzes meniscais s\u00e3o as regi\u00f5es onde as extremidades dos meniscos se ancoram de maneira firme na t\u00edbia. Para este reparo, em geral, s\u00e3o realizadas suturas trans\u00f3esseas. Com a utiliza\u00e7\u00e3o de pin\u00e7as especiais, os fios s\u00e3o passados pela raiz do menisco e posteriormente transportados atrav\u00e9s de t\u00faneis criados exatamente nos locais anat\u00f4micos das ra\u00edzes na t\u00edbia, saindo na parte da frente deste osso. Ap\u00f3s este procedimento, \u00e9 verificada a estabilidade do reparo e realizada a fixa\u00e7\u00e3o, em geral, com a utiliza\u00e7\u00e3o de um dispositivo de fixa\u00e7\u00e3o cortical chamado de \u201cbot\u00e3o\u201d ou <em>button<\/em>.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-001b8f1 elementor-widget elementor-widget-spacer\" data-id=\"001b8f1\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ba9f8c8 elementor-widget elementor-widget-heading\" data-id=\"ba9f8c8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">P\u00f3s-operat\u00f3rio<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0acad65 elementor-widget elementor-widget-spacer\" data-id=\"0acad65\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-801e7b6 elementor-widget elementor-widget-menu-anchor\" data-id=\"801e7b6\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"pos1\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7b2c514 elementor-widget elementor-widget-heading\" data-id=\"7b2c514\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Em quanto tempo depois de operar, pode-se voltar a praticar atividades f\u00edsicas?<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2130b12 elementor-widget elementor-widget-text-editor\" data-id=\"2130b12\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Esta \u00e9 a pergunta que muitos pacientes fazem, principalmente depois de verem retornos precoces de atletas, especialmente no futebol brasileiro. A resposta \u00e9: depende! Resumidamente, nos casos onde se realiza a meniscectomia parcial, o retorno pode ser t\u00e3o precoce como 2-3 semanas, a depender do estado da articula\u00e7\u00e3o e da musculatura previamente \u00e0 les\u00e3o e do protocolo de reabilita\u00e7\u00e3o a que este paciente\/atleta \u00e9 submetido. J\u00e1 nos casos onde \u00e9 realizada a sutura, este per\u00edodo pode se estender por at\u00e9 4 a 5 meses, dependendo do esporte.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a9d3007 elementor-widget elementor-widget-menu-anchor\" data-id=\"a9d3007\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"pos2\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-75c421c elementor-widget elementor-widget-heading\" data-id=\"75c421c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Suturar o menisco garante que ele ir\u00e1 cicatrizar e o paciente nunca mais vai ter este problema no joelho?<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-585eba9 elementor-widget elementor-widget-text-editor\" data-id=\"585eba9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>M\u00e9dico nenhum pode fazer este tipo de \u201cpromessa\u201d. At\u00e9 mesmo porque existem diversas vari\u00e1veis que influenciam no sucesso desta cirurgia. Dentre eles, est\u00e3o a \u00e1rea e tamanho da les\u00e3o, se h\u00e1 les\u00e3o ligamentar concomitante e qual seu tratamento, a idade do paciente, o eixo mec\u00e2nico do membro acometido, etc. No entanto, ao se indicar uma sutura, todos estes fatores s\u00e3o pormenorizados, de modo que uma boa indica\u00e7\u00e3o aumenta as chances de sucesso. Eventualmente, mesmo quando n\u00e3o h\u00e1 cicatriza\u00e7\u00e3o completa do menisco, ainda assim, os fios de sutura utilizados podem estabilizar a les\u00e3o por per\u00edodos indefinidos, mantendo o paciente livre de sintomas.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9ecd67a elementor-widget elementor-widget-menu-anchor\" data-id=\"9ecd67a\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"pos3\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cb8b78b elementor-widget elementor-widget-heading\" data-id=\"cb8b78b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Mas qual a vantagem em se suturar o menisco se demora mais tempo para recuperar?<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-90cf500 elementor-widget elementor-widget-text-editor\" data-id=\"90cf500\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Um dos principais argumentos para tentar preservar ao m\u00e1ximo o menisco \u00e9 o aumento de cargas sofrido em uma articula\u00e7\u00e3o ap\u00f3s a retirada de tecido meniscal e a rela\u00e7\u00e3o que existe entre este aumento de cargas e a evolu\u00e7\u00e3o para artrose. Al\u00e9m disso, como j\u00e1 foi previamente mencionado, os meniscos n\u00e3o atuam \u201csomente\u201d na absor\u00e7\u00e3o de impactos no joelho, mas tamb\u00e9m na lubrifica\u00e7\u00e3o da articula\u00e7\u00e3o, estabilidade e nutri\u00e7\u00e3o da cartilagem. Portanto, a perda de quantidades significativas de tecido meniscal pode comprometer n\u00e3o somente a fun\u00e7\u00e3o de amortecedor que o menisco possui, como tamb\u00e9m todas as demais fun\u00e7\u00f5es, levando a um maior desequil\u00edbrio articular. Sendo assim, sempre que for poss\u00edvel, deve-se optar pela preserva\u00e7\u00e3o do tecido meniscal.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-de51abb elementor-widget elementor-widget-menu-anchor\" data-id=\"de51abb\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"pos4\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-10f9f96 elementor-widget elementor-widget-heading\" data-id=\"10f9f96\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Como \u00e9 o p\u00f3s-operat\u00f3rio da sutura de menisco?<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e8e1455 elementor-widget elementor-widget-text-editor\" data-id=\"e8e1455\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Novamente a resposta \u00e9 vari\u00e1vel. Em casos de meniscectomia \u00e9 permitida carga imediata (sem uso de muletas) conforme a toler\u00e2ncia do paciente, uma vez que n\u00e3o h\u00e1 necessidade em se aguardar pela cicatriza\u00e7\u00e3o do menisco. J\u00e1 em casos de sutura, geralmente se indica algum tempo de carga protegida (com uso de muletas), sendo que pode ser \u201ccarga zero\u201d(sem qualquer apoio do peso do corpo no lado lesionado), carga proprioceptiva (apenas encostando p\u00e9 no ch\u00e3o, tamb\u00e9m sem peso) ou carga parcial (permitindo o apoio de parte do peso do corpo). Ainda assim, o tempo de carga protegida pode ser vari\u00e1vel. Os protocolos mais comuns recomendam 4-6 semanas de carga protegida.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5c6ddbb elementor-widget elementor-widget-spacer\" data-id=\"5c6ddbb\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-296c125 elementor-section-height-default elementor-section-boxed elementor-section-height-default\" data-id=\"296c125\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-2f91a40\" data-id=\"2f91a40\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-40a5285e\" data-id=\"40a5285e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-2f3333c\" data-id=\"2f3333c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-bf1fc9b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bf1fc9b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-9749e4f\" data-id=\"9749e4f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-38c903c elementor-widget elementor-widget-image\" data-id=\"38c903c\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"804\" src=\"https:\/\/www.drserracruz.com.br\/wp-content\/uploads\/2021\/09\/RETRATO-BRACO-CRUZADO-scaled-e1630935023289-1019x1024.jpg\" class=\"attachment-large size-large wp-image-2481\" alt=\"\" srcset=\"https:\/\/www.drserracruz.com.br\/wp-content\/uploads\/2021\/09\/RETRATO-BRACO-CRUZADO-scaled-e1630935023289-1019x1024.jpg 1019w, https:\/\/www.drserracruz.com.br\/wp-content\/uploads\/2021\/09\/RETRATO-BRACO-CRUZADO-scaled-e1630935023289-150x150.jpg 150w, https:\/\/www.drserracruz.com.br\/wp-content\/uploads\/2021\/09\/RETRATO-BRACO-CRUZADO-scaled-e1630935023289-768x772.jpg 768w, https:\/\/www.drserracruz.com.br\/wp-content\/uploads\/2021\/09\/RETRATO-BRACO-CRUZADO-scaled-e1630935023289-1529x1536.jpg 1529w, https:\/\/www.drserracruz.com.br\/wp-content\/uploads\/2021\/09\/RETRATO-BRACO-CRUZADO-scaled-e1630935023289.jpg 1707w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-551218a\" data-id=\"551218a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-35384762 elementor-widget elementor-widget-heading\" data-id=\"35384762\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Dr. Raphael Serra Cruz<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-79757712 elementor-widget elementor-widget-text-editor\" data-id=\"79757712\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul><li>Cirurgi\u00e3o de Joelho do INTO;<br \/><br \/><\/li><li>Fellowship em Vail, CO, EUA;<br \/><br \/><\/li><li>Mestre pelo INTO\/UFRJ;<br \/><br \/><\/li><li>Experi\u00eancia com les\u00f5es esportivas de joelho.<br \/><br \/><\/li><li><a href=\"https:\/\/www.drserracruz.com.br\/sobre\/\">Saiba mais<\/a><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-0d740c3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0d740c3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-b6da8bb\" data-id=\"b6da8bb\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d5fb871 elementor-widget elementor-widget-button\" data-id=\"d5fb871\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-md\" href=\"https:\/\/api.whatsapp.com\/send?phone=5521964979360&#038;text=Ol%C3%A1%20Dr.%20Raphael%20Serra%20Cruz%2C%20tudo%20bem%3F%20Gostaria%20de%20agendar%20uma%20consulta.%20Obrigado(a).\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon elementor-align-icon-left\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fab fa-whatsapp\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Agende uma consulta<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-8cb1719\" data-id=\"8cb1719\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2270b79 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2270b79\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-945cf4d\" data-id=\"945cf4d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-76dddda elementor-widget elementor-widget-spacer\" data-id=\"76dddda\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Les\u00f5es Meniscais O que \u00e9 o menisco? Quantos meniscos n\u00f3s temos? Qual a fun\u00e7\u00e3o dos meniscos? Como acontece a les\u00e3o dos menisco? A les\u00e3o dos menisco pode curar espontaneamente? Como saber se \u00e9 preciso operar o menisco? Como \u00e9 a cirurgia para tratar uma les\u00e3o de menisco? Tipos de Les\u00e3o Meniscal Tipos de les\u00e3o meniscal [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1630,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Les\u00f5es meniscais - Dr. Raphael Serra Cruz<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/lesoes-meniscais\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Les\u00f5es meniscais - Dr. Raphael Serra Cruz\" \/>\n<meta property=\"og:description\" content=\"Les\u00f5es Meniscais O que \u00e9 o menisco? Quantos meniscos n\u00f3s temos? Qual a fun\u00e7\u00e3o dos meniscos? Como acontece a les\u00e3o dos menisco? A les\u00e3o dos menisco pode curar espontaneamente? Como saber se \u00e9 preciso operar o menisco? Como \u00e9 a cirurgia para tratar uma les\u00e3o de menisco? 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