EVALUATION OF THE CLINICAL CHARACTERISTICS AND THE RESULT OF POSTERIOR MEDIAL MENISCAL ROOT REPAIR BY THE TECHNIQUE USING A TRANSTIBIAL TUNNEL VIA KNEE ARTHROSCOPY
Main Article Content
Abstract
Background: Medial meniscal posterior root tears (MMPRTs) are defined as radial tears within 1 cm of the meniscal root insertion. These injuries change joint loading due to failure of the meniscus to convert axial loads into hoop stresses, resulting in joint overloading and degenerative changes in the knee. Improved knee function has been reported after meniscal root repair, and meniscal repair can prevent knee osteoarthritis in many studies in the world. However, no studies of medial meniscal posterior root repair is conducted in Viet Nam. Objectives: To evaluate the clinical characteristics and the result of medial meniscal posterior root repair by the technique using a transtibial tunnel via knee arthroscopy. Materials and methods: All patients who were indicated to MMPRTs repair at Hospital for Traumatology and Orthopaedics. The design is a crosssectional study. Results: From July 2022 to July 2023, there were 15 patients enrolled in the study. 14/15 patients got the good functional outcome. Conclusion: Mensical root repair is a safe and reliable method to treat the MMPRTs.
Article Details
Keywords
Medial meniscal posterior root tear, meniscal root repair, knee arthroscopy
References
2. Moon H.S., Choi, C.H., Jung M., Chung K., Jung S.H., Kim Y.H., Kim S.H. Medial Meniscus Posterior Root Tear: How Far Have We Come and What Remains? Medicina 2023. 59:1181, https://doi.org/ 10.3390/medicina59071181.
3. Revelt N., Kurcz B., George E., Wolters B. Medial Meniscal Posterior Root Avulsion Fracture Repair Using the Nice Knot. Arthrosc Tech. 2023. 12(3):e357-e362, doi:
10.1016/j.eats.2022.11.015.
4. Karpinski K., Forkel P., Häner M., Bierke S., Petersen W. Etiology of posterior meniscus root tears: medial vs. lateral. Arch Orthop Trauma Surg. 2023.143(1):429-437, doi: 10.1007/s00402022-04347-y.
5. Moon H.S., Choi C.H., Jung M., Lee D.Y., Hong S.P., Kim S.H. Early Surgical Repair of Medial Meniscus Posterior Root Tear Minimizes the Progression of Meniscal Extrusion: 2-Year Follow-up of Clinical and Radiographic Parameters After Arthroscopic Transtibial Pull-out Repair. Am J Sports Med. 2020.48(11):2692-2702, doi: 10.1177/0363546520940715.
6. Banovetz M.T., Roethke L.C., Rodriguez A.N., LaPrade R.F. Meniscal Root Tears: A Decade of Research on their Relevant Anatomy, Biomechanics, Diagnosis, and Treatment. Arch Bone Jt Surg. 2022.10(5):366-380, doi: 10.22038/ABJS.2021.60054.2958.
7. Bernard C.D., Kennedy N.I., Tagliero A.J., Camp C.L., Saris D.B.F., Levy B.A., Stuart M.J., Krych A.J. Medial Meniscus Posterior Root Tear Treatment: A Matched Cohort Comparison of Nonoperative Management, Partial Meniscectomy, and Repair. Am J Sports Med. 2020.48(1):128-132, doi: 10.1177/0363546519888212.
8. Randazzo E., Duerr R., Baria M.R. Meniscus Root Tears: A Clinical Review. Curr Sports Med Rep. 2022.21(5):155-158, doi: 10.1249/JSR.0000000000000959.
9. Krivicich L.M., Kunze K.N., Parvaresh K.C., Jan K., DeVinney A., Vadhera A., LaPrade R.F., Chahla J. Comparison of Long-term Radiographic Outcomes and Rate and Time for Conversion to Total Knee Arthroplasty Between Repair and Meniscectomy for Medial Meniscus Posterior Root Tears: A Systematic Review and Meta-analysis. Am J Sports Med. 2022.50(7):2023-2031, doi: 10.1177/03635465211017514.
10. Floyd E.R., Rodriguez A.N., Falaas K.L., Carlson G.B., Chahla J., Geeslin A.G., LaPrade R.F. The Natural History of Medial Menisca.l Root Tears: A Biomechanical and Clinical Case Perspective. Front Bioeng Biotechnol. 2021.9:744065, doi:10.3389/fbioe.2021.744065.