scholarly journals Arthroscopic Lateral Meniscus Root Repair With Soft Suture Anchor Technique

2013 ◽  
Vol 2 (4) ◽  
pp. e479-e482 ◽  
Author(s):  
Niti Prasathaporn ◽  
Somsak Kuptniratsaikul ◽  
Kitiphong Kongrukgreatiyos
Keyword(s):  
Suture Anchor ◽  
Lateral Meniscus ◽  
Meniscus Root ◽  
Root Repair ◽  
Meniscus Root Repair

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 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

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 Association Between Transtibial Meniscus Root Repair and Rate of Meniscal Healing and Extrusion on Postoperative Magnetic Resonance Imaging: A Prospective Multicenter Study

2021 ◽  
Vol 9 (8) ◽  
pp. 232596712110237
Author(s):  
Aaron J. Krych ◽  
Richard F. Nauert ◽  
Bryant M. Song ◽  
Corey S. Cook ◽  
Adam C. Johnson ◽  
...  
Keyword(s):  
Subchondral Bone ◽  
Cartilage Degeneration ◽  
High Rate ◽  
Meniscus Root ◽  
Postoperative Mri ◽  
Root Repair ◽  
Meniscal Healing ◽  
Mri Scans ◽  
Meniscus Root Repair ◽  
Bone Abnormalities

Background: Prospective studies evaluating second-look imaging of meniscus root repair using a transtibial pull-out technique are limited; therefore, optimal surgical indications and the technique for meniscus root repair remain uncertain. Hypothesis: It was hypothesized that there would be a high rate of healing, improvement in meniscal extrusion, and prevention of articular cartilage degeneration and subchondral bone abnormalities after meniscus root repair. Study Design: Case series; Level of evidence, 4. Methods: Consecutive patients undergoing transtibial root repair were prospectively enrolled at 2 orthopaedic centers between March 2017 and January 2019. Pre- and postoperative magnetic resonance imaging (MRI) scans were reviewed by a musculoskeletal radiologist in a blinded fashion for meniscal healing, quantification of extrusion, articular cartilage grade, subchondral bone changes, and coronary/meniscotibial ligament abnormalities. Given persistent extrusion observed on postoperative MRI scans, an additional 10 patients gave consent and were enrolled for immediate (before weightbearing) postoperative MRI scans. Results: A total of 45 patients (16 male, 29 female; mean ± standard deviation age, 42.3 ± 12.9 years; body mass index, 31.6) were prospectively enrolled in the study; there were 47 meniscus root repairs: 29 medial and 18 lateral (2 with both). Postoperative MRI was obtained at an average of 6.3 months (range, 5.1-8 months); 98% of meniscal repairs had evidence of healing. Mean extrusion increased significantly, from 1.9 ± 1.5 mm preoperatively to 2.6 ± 1.4 mm postoperatively ( P = .03). There was no significant progression of chondromalacia grade, subchondral edema, insufficiency fracture, subchondral cysts, or subchondral collapse. In the additional 10-patient cohort, the mean preoperative extrusion (1.6 ± 1.2 mm) was not significantly different from that immediately postoperatively (2.0 ± 1.0 mm; P = .23). Conclusion: Prospective MRI analysis of transtibial meniscus root repair confirmed a high rate of meniscal healing and no observable progression of cartilage degeneration or subchondral bone abnormalities at the short-term follow-up. However, meniscal extrusion worsened in the first 6 months after surgery. Registration: NCT03037242 ( ClinicalTrials.gov identifier).

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.

0124 - MENISCUS ROOT REPAIR STENGTH IS DEPENDENT UPON SUTURE MATERIAL AND LOCATION

The Knee ◽  
2017 ◽  
Vol 24 (6) ◽  
pp. IV
Author(s):  
James Robinson ◽  
Paul Jermin ◽  
Evelyn Frank ◽  
Ritchie Gill
Keyword(s):  
Suture Material ◽  
Meniscus Root ◽  
Root Repair ◽  
Meniscus Root Repair
Sign in / Sign up

Export Citation Format

Share Document