Objective: This study aimed to evaluate the long-term effectiveness of different surgical techniques for discoid meniscus in athletes. Design: This retrospective cohort study included 44 athletes (51 knees) who underwent arthroscopic surgery for symptomatic discoid meniscus between 1996 and 2019. Setting: The study was conducted at a tertiary-level sports medicine center. Patients: Athletes aged 15 to 35 years with symptomatic discoid meniscus confirmed by magnetic resonance imaging and requiring surgical treatment were included. Exclusion criteria were cartilage injuries (Outerbridge grades 3–4), concomitant ligament injuries requiring surgery, osteochondritis dissecans, and prior knee surgery. Interventions: Patients underwent arthroscopic partial, subtotal, or total meniscectomy, with or without meniscus repair. Main Outcome Measures: Functional outcomes were assessed using Visual Analog Scale (VAS), International Knee Documentation Committee (IKDC), and Lysholm scores. Osteoarthritis progression was evaluated using the Kellgren–Lawrence classification. Return to sports time and total career duration were also recorded and compared between the surgical groups. Results: The mean follow-up was 13.5 ± 6.2 years (range: 5-27 years). At the final follow-up, 72% of the meniscus-preserving group (partial meniscectomy and repair) had KL grade 0 osteoarthritis, whereas 38% of the subtotal/total meniscectomy group developed KL grades 3 to 4 osteoarthritis ( P < 0.001). All groups showed significant postoperative functional improvements ( P < 0.001), but career duration and return to play time were significantly longer in the meniscus-preserving group ( P = 0.004, P < 0.001, respectively). Conclusions: Subtotal/total meniscectomy significantly accelerates osteoarthritis progression. Meniscus-preserving techniques provide better long-term outcomes.

Background: Lateralplasty is a minimally invasive method releasing the nail edge from soft tissue to reduce inflammation and granulation tissue. This study aimed to evaluate its effectiveness and clinical outcomes. Methods: This retrospective study included 33 toenails from 32 patients who underwent lateralplasty between 2018–2022. Demographic data, clinical features, VAS scores, cosmetic outcomes, recurrence, and complications were analyzed. Patients with fungal infections, thickened nails, or severe deformities were excluded. Surgical technique involved lateral nail fold release with non-absorbable sutures. VAS (0–10) and cosmetic scores (0–10 Likert scale) were recorded pre- and postoperatively. Results: A total of 27 patients (mean age: 27.5 ± 17 years; 63% male) were included. The right side was affected in 44%, and the left in 56%. Lesion locations were lateral (44%), medial (41%), and combined (15%). According to Heifetz classification, 44% were Stage 2 and 56% Stage 3; 78% presented with preoperative infection. The mean symptom duration was 9.1 ± 10.8 months. Postoperative pain scores significantly decreased from 3.4 to 0.84 on the VAS (p < 0.001). Cosmetic scores improved from 4.65 ± 1.1 to 7.1 ± 1.6 (p < 0.001). The recurrence rate was 14.8% (4/27). No statistically significant differences were identified between recurrence and non-recurrence groups regarding age (p = 0.277), gender (p = 0.097), lesion side (p = 0.809), location (p = 0.100), infection status (p = 0.257), or grading (p = 0.053). Univariate logistic regression revealed no significant predictors of recurrence (p > 0.05 for all variables). Conclusions: Lateralplasty is a minimally invasive, effective, and well-tolerated surgical technique for treating ingrown toenails. It may offer advantages including reduced postoperative pain, faster recovery, and better cosmetic results compared to the published literature of other studies on ingrown toenails.