Arthroscopic Suture Anchor Repair Versus Pullout Suture Repair in Posterior Root Tear of the Medial Meniscus: A Prospective Comparison Study

Kim, Jaehwa; Chung, Ju-Hwan; Lee, Dong‐Hoon; Lee, Yoon-Seok; Kim, Jung-Ryul; Ryu, Keun-Jung

doi:10.1016/j.arthro.2011.06.033

Cited by 243 publications

(365 citation statements)

References 23 publications

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“…9 This has been validated clinically where healed meniscal root repairs have been shown to decrease the rate of arthritic progression. 10 Kim et al 10 compared transtibial fixation with suture anchor fixation for posterior root medial meniscus tears. A total of 45 patients (22 suture anchordgroup 1; 23 transtibialdgroup 2) were assessed at 2 years postoperatively.…”

Section: Discussionmentioning

confidence: 99%

Medial Meniscus Posterior Root Repair Using a Transtibial Technique

Woodmass

Mohan

Stuart

et al. 2017

Arthroscopy Techniques

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The meniscal roots are critical in maintaining the normal shock absorbing function of the meniscus. If a meniscal root tear is left untreated, meniscal extrusion can occur rendering the meniscus nonfunctional resulting in degenerative arthritis. Two main repair techniques are described: (1) suture anchors (direct fixation) and (2) sutures pulled through a tibial tunnel (indirect fixation). Meniscal root repair using a suture anchor technique is technically challenging requiring a posterior portal and a curved suture passing device that can be difficult to manipulate within the knee. We present a technique for posterior medial meniscus root repair using 3 sutures (1 leader, 2 cinch), standard arthroscopy portals, and transtibial fixation. Overall, this technique simplifies a challenging procedure and allows for familiarity and efficiency.

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Section: Discussionmentioning

confidence: 99%

Medial Meniscus Posterior Root Repair Using a Transtibial Technique

Woodmass

Mohan

Stuart

et al. 2017

Arthroscopy Techniques

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“…Of the 549 identified articles, 7 studies met the inclusion criteria. 9,21,24,[28][29][30][31] The general characteristics of the included studies are shown in Table 1. Of the 7 studies included, 3 were Level III evidence 9,24,28 and 4 were Level IV.…”

Section: Literature Search and Quality Assessmentmentioning

confidence: 99%

“…However, ATPR is a technically demanding and time-consuming operation, with only limited evidence. 24,31 In general, the short-term clinical results of ATPR for PMMRTs have been encouraging. 29 However, other studies using magnetic resonance imaging (MRI) or second-look arthroscopy have found increased meniscal extrusion and incomplete or failed healing in several patients.…”

mentioning

confidence: 96%

Arthroscopic Transtibial Pullout Repair for Posterior Medial Meniscus Root Tears: A Systematic Review of Clinical, Radiographic, and Second-Look Arthroscopic Results

Feucht

Kühle

Bode

et al. 2015

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…5,19,20 After posterior root tears of the medial and lateral menisci, there is a significant increase in tibiofemoral contact pressure concomitant with decreased contact areas, 2,13,19,20,22 with one study reporting that posterior root tears simulate a state of total meniscectomy.2 Therefore, the current treatment of choice for meniscal root injuries is primary repair by use of either a transtibial bone tunnel or a suture anchor for fixation of the root to bone. 7,14,16,21 The literature suggests that existing surgical techniques for meniscal root repair fail to restore the biomechanical properties of repaired meniscus tissue to its native state at time zero. 6,7,8,18 Feucht et al 7 reported that neither the transtibial pullout nor suture anchor technique was able to adequately restore biomechanical properties of the native posterior medial (PM) meniscal root.…”

mentioning

confidence: 99%