ICRS scores worsen between 2-year short term and 5-year mid-term follow-up after transtibial medial meniscus root repair despite maintained functional outcomes

2021 ◽  
Author(s):  
Daniel J. Kaplan ◽  
David Bloom ◽  
Erin F. Alaia ◽  
William R. Walter ◽  
Robert J. Meislin ◽  
...  
Keyword(s):  
Functional Outcomes ◽  
Medial Meniscus ◽  
Short Term ◽  
Meniscus Root ◽  
Root Repair ◽  
Meniscus Root Repair

Correlation of factors affecting correction of meniscal extrusion and outcome after medial meniscus root repair

2021 ◽  
Author(s):  
Silvampatti Ramsamy Sundararajan ◽  
Rajagopalakrishnan Ramakanth ◽  
Arvinth Shivaa Sethuraman ◽  
Muhil Kannan ◽  
Shanmuganathan Rajasekaran
Keyword(s):  
Medial Meniscus ◽  
Meniscal Extrusion ◽  
Factors Affecting ◽  
Meniscus Root ◽  
Root Repair ◽  
Meniscus Root Repair

scholarly journals Type II Medial Meniscus Root Repair With Peripheral Release for Addressing Meniscal Extrusion

2019 ◽  
Vol 8 (9) ◽  
pp. e941-e946 ◽  
Author(s):  
Nicholas N. DePhillipo ◽  
Mitchell I. Kennedy ◽  
Jorge Chahla ◽  
Robert F. LaPrade
Keyword(s):  
Medial Meniscus ◽  
Type Ii ◽  
Meniscal Extrusion ◽  
Meniscus Root ◽  
Root Repair ◽  
Meniscus Root Repair

scholarly journals Medial Meniscus Root Repair

2015 ◽  
Vol 3 (3_suppl) ◽  
pp. 2325967115S0001 ◽  
Author(s):  
Fotios P. Tjoumakaris ◽  
Nick J. Lombardi ◽  
Bradford S. Tucker ◽  
Dave Levi ◽  
Amy Austin ◽  
...  
Keyword(s):  
Medial Meniscus ◽  
Meniscus Root ◽  
Root Repair ◽  
Meniscus Root Repair

scholarly journals Meniscal Root Repair in Pediatric Patients: Minimum 2-Year Outcomes (196)

2021 ◽  
Vol 9 (10_suppl5) ◽  
pp. 2325967121S0030
Author(s):  
S. Clifton Willimon ◽  
Michael Busch ◽  
Asahi Murata ◽  
Crystal Perkins
Keyword(s):  
Patient Satisfaction ◽  
Pediatric Patients ◽  
Medial Meniscus ◽  
Lateral Meniscus ◽  
Injury Pattern ◽  
Posterior Root ◽  
Root Tear ◽  
Meniscus Root ◽  
Root Repair

Objectives: The medial and lateral menisci function to optimize force transmission across the knee by increasing contact area between the femur and tibia, absorbing shock, and transmitting loads. The anterior and posterior meniscus roots anchor the meniscus to bone. Injuries to the meniscus root attachments result in extrusion of the meniscus, impaired distribution of hoop stresses, and progressive degenerative articular wear. As a result of these deleterious effects, there has been increasing emphasis on repair of meniscus root injuries to restore structure and function. The purpose of this study is to describe meniscus root tears, associated injuries, and minimum 2-year treatment outcomes in a series of pediatric patients. Methods: A single-institution, IRB approved, retrospective review was performed of consecutive pediatric patients less than 19 years of age with a meniscus root tear treated with transosseous root repair over a 4-year period. All patients had minimum 24-month clinical follow-up. Partial root tears treated with partial meniscectomy or irreparable root tears were excluded. All meniscus root tears were classified arthroscopically based on the tear types described by LaPradeADDIN EN.CITE 9. The primary outcomes were revision meniscus surgery and patient reported outcome scores (PROs) (Lysholm, Patient Satisfaction, and Tegner activity). Results: Twenty-one patients, 11 males and 10 females with a mean age of 15 years (range 7 – 18 years), met inclusion criteria. There were 15 lateral meniscus root tears and 6 medial meniscus root tears. The tears occurred in the posterior root in 20 patients (95%). The most common injury pattern was a lateral meniscus posterior root tear (14 patients, 67%). 18 patients (86%) had an associated ligament tear: 13 ACL tears and 5 PCL tears. Two root tears occurred in isolation, and both were the posterior root of the medial meniscus. The majority of meniscus root tears (15 patients, 71%) were root avulsions (type 5). Mean follow-up was 42 months (range 25 – 71 months). Three patients had a second surgery on the affected knee. In two patients, one with revision ACL reconstruction and one treated with chondroplasty of the patella, the meniscus root repair was noted to be well healed. A third patient sustained a new injury to the knee 4 years following medial meniscus posterior root repair and underwent partial medial meniscectomy. At final follow-up, PROs were obtained for 17 patients (81%). Mean Lysholm score was 91 (range 51 – 100). Mean patient satisfaction score was 8.7 (range 5 – 10). Fourteen of 16 patients (88%) reported returning to the same or higher level of activity following surgery. Conclusions: Meniscus root tears occur in pediatric patients, most commonly as root avulsions of the posterior root of the lateral meniscus and in association with ACL tears. This is unique as compared to the adult population, in which the medial meniscus posterior root is often injured in isolation and radial tears adjacent the root are the most commonly described injury pattern. In our case series, transosseous root repair resulted in successful outcomes in the majority of patients with durable results at midterm follow-up.

Outcomes of Arthroscopic All-Inside Repair Versus Observation in Older Patients With Meniscus Root Tears

2020 ◽  
Vol 48 (5) ◽  
pp. 1127-1133 ◽  
Author(s):  
Jason L. Dragoo ◽  
Jaclyn A. Konopka ◽  
Roberto A. Guzman ◽  
Nicole Segovia ◽  
Abdurrahman Kandil ◽  
...  
Keyword(s):  
Older Patients ◽  
Lateral Meniscus ◽  
Nonoperative Treatment ◽  
Contact Forces ◽  
Arthroscopic Repair ◽  
Meniscus Root ◽  
Root Repair ◽  
Conversion Rates ◽  
Meniscus Root Repair

Background: Meniscus root tears lead to de-tensioning of the meniscus, increased contact forces, and cartilage damage. Management of older patients with root tears is controversial and the efficacy of different treatment options is unclear. Purpose: To compare the clinical outcomes of patients with moderate knee osteoarthritis who underwent an all-inside meniscus root repair technique versus nonoperative management for either medial or lateral meniscus root tears. Study Design: Cohort study; Level of evidence, 2. Methods: Patients with a diagnosed posterior meniscus root tear who underwent arthroscopic repair (AR: 30 knees) or nonoperative treatment with observation (O: 18 knees) were followed for a minimum of 2 years (mean follow-up, 4.4 years). The arthroscopic repair included all-inside sutures to reduce the root back to its remnant (reduction sutures), thereby re-tensioning the meniscus, and 1 mattress suture to strengthen the repair by reapproximating the construct to the posterior capsule. The data collected included the Knee injury and Osteoarthritis Outcome Score (KOOS), Lysholm, Tegner, and Veterans RAND 12-Item Health Survey (VR-12) Physical Component Summary (PCS) and Mental Component Summary (MCS) scores and conversion to total knee arthroplasty (TKA). Results: Medial meniscus root tears comprised 80.0% of the AR group and 77.8% of the O group. The average Kellgren-Lawrence grade was 2 in both groups. The baseline scores for the KOOS Symptoms subscale were lower for AR (50.2 ± 19.3) than for O (66.5 ± 16.1) ( P = .003), as were the KOOS Knee-Related Quality of Life scores (AR, 26.7 ± 16.1; O, 39.6 ± 22.1) ( P = .046). No differences were found between groups for the absolute values at follow-up except that follow-up Tegner scores were lower in the O group than in the AR group ( P = .004). Significant improvements were seen in the AR group from baseline to ultimate follow-up in average KOOS subscale scores ( P < .001), Lysholm scores ( P < .001), Tegner scores ( P = .0002), and VR-12 PCS scores ( P < .001), whereas the O group had a significant improvement only in average KOOS Pain ( P = .003), KOOS Function in Daily Living ( P = .006), and VR-12 PCS ( P = .038) scores. Compared with the O group, the AR group had a significantly larger improvement from baseline to follow-up in average KOOS Pain ( P = .009), KOOS Symptoms ( P = .029), and Lysholm scores ( P = .016). During follow-up, 3.3% of the AR group underwent a TKA compared with 33.3% of the O group ( P = .008). The hazard ratio of TKA conversion was 93.2% lower for the AR group compared with the O group ( P = .013). Conclusion: All-inside medial or lateral meniscus root repair showed improved functional outcomes and decreased TKA conversion rates compared with nonoperative treatment and may be considered as a treatment option for the management of meniscus root tears in older patients with moderate osteoarthritis.

scholarly journals Medial Meniscus Posterior Root Tear Treatment: A matched cohort comparison of non-operative management, partial meniscectomy and repair

2020 ◽  
Vol 8 (7_suppl6) ◽  
pp. 2325967120S0036
Author(s):  
Christopher Bernard ◽  
Adam Tagliero ◽  
Matthew LaPrade ◽  
Christopher Camp ◽  
Daniel Saris ◽  
...  
Keyword(s):  
Medial Meniscus ◽  
Operative Management ◽  
Partial Meniscectomy ◽  
Matched Cohort ◽  
Root Tear ◽  
Posterior Root Tear ◽  
Meniscus Root ◽  
Root Repair ◽  
Non Operative Management ◽  
Meniscus Root Repair

Objectives: Meniscal root disruption results in a loss of hoop strain resistance, increased articular cartilage contact pressure, and acceleration of degenerative changes. There is limited data comparing the outcomes of similarly matched patients with a medial meniscus posterior root tear treated with non-operative management, partial meniscectomy, or repair. The purpose of this study is to compare treatment failure, clinical outcome scores, and radiographic findings for a matched cohort of patients who underwent either non-operative management, partial meniscectomy, or transtibial pull-through repair for a medial meniscus posterior root tear (MMPRT). Our hypothesis is that patients who underwent meniscus root repair will have lower rates of progression to arthroplasty than patients who were treated with non-operative management or partial meniscectomy. Methods: Patients who underwent transtibial medial meniscus posterior horn root repair were matched by meniscus laterality, age, sex and K-L grades to patients treated non-operatively or with a partial meniscectomy. Progression to arthroplasty rates, IKDC and Tegner scores, and radiographic outcomes were analyzed between groups. Results: Forty-five patients were included in this study (15 non-operative, 15 partial meniscectomy, 15 root repair). Progression to arthroplasty demonstrated significant differences among treatment groups at a mean 74 months (non-operative 4/15, partial meniscectomy 9/15, meniscus repair 0/15, p=.0003). The meniscus root repair group had significantly less arthritic progression, as measured by change in K-L grade from pre-op to post-op (non-operative 1.0, partial mensicectomy 1.1, and meniscus repair 0.1, p=.001). Conclusion: Meniscus root repair leads to significantly less arthritis progression and subsequent knee arthroplasty compared to non-operative management and partial meniscectomy in a demographically matched cohort.

scholarly journals Arthroscopic Medial Meniscus Root Repair With Soft Suture Anchor Without Posterior Portal Technique

2018 ◽  
Vol 7 (5) ◽  
pp. e553-e556
Author(s):  
Somsak Kuptniratsaikul ◽  
Thun Itthipanichpong ◽  
Vanasiri Kuptniratsaikul
Keyword(s):  
Medial Meniscus ◽  
Suture Anchor ◽  
Meniscus Root ◽  
Root Repair ◽  
Meniscus Root Repair ◽  
Portal Technique
Sign in / Sign up

Export Citation Format

Share Document