Lateral Meniscus Replacement Using Peroneus Longus Tendon Autograft

Milenin, Oleg; Страфун, С.С.; Sergienko, Ruslan; Baranov, Kirill

doi:10.1016/j.eats.2020.04.016

Cited by 10 publications

(11 citation statements)

References 14 publications

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“…However, with suitable intraarticular cartilage conditions a soft tissue graft could potentially serve well as a meniscus substitution as shown in the other cases in the present study. This is also in line with a recent case study that presented results from two cases, where the peroneus longus tendon was used as a meniscus transplant [25].…”

Section: Discussionsupporting

confidence: 89%

Autologous semitendinosus tendon graft could function as a meniscal transplant

Rönnblad

Rotzius

Eriksson

2021

Knee Surg Sports Traumatol Arthrosc

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Purpose Meniscectomy results in poor knee function and increased risk for osteoarthritis. Meniscal allograft transplantation is not widely used due to costs and availability. The semitendinosus tendon (ST) has the potential to remodel and revascularize in an intraarticular environment, such as ACL reconstruction. The objective for this pilot study was to investigate whether the ST graft could function as a meniscal transplant. Methods The ST was doubled and sutured with running sutures and pull-out sutures in each end. Bone tunnels were used for root anchorage and the graft was sutured with allinside, inside-out and outside-in technique. The pull-out sutures were fixed over a button. Partial weight bearing was allowed with limited range of motion in a brace for the first 6 weeks. Evaluation was assessed using clinical examination, radiology and patient reported outcome. Results A total of seven patients have been included between January 2018 and June 2020. Six medial transplants and one lateral transplant were performed. Mean age was 29 years. Four patients had completed the 12-month follow-up. Improvements were noted for IKDC Global Score, KOOS pain subscale and Lysholm. MRI indicated that the transplant become more wedge-like with visible roots and minor protrusion. Conclusions Even though this is primarily a technical report the follow-up data indicate that the transplant survives and adapts in shape and capabilities to an original meniscus. There were no adverse events and the patients seem to improve in terms of pain and quality of life.

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Section: Discussionsupporting

confidence: 89%

Autologous semitendinosus tendon graft could function as a meniscal transplant

Rönnblad

Rotzius

Eriksson

2021

Knee Surg Sports Traumatol Arthrosc

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“…There have been reports of meniscus reconstruction using the peroneus longus tendon after lateral meniscectomy [ 12 ]. In addition, a study using rabbits reported that the semitendinosus and gracilis were suitable for meniscus reconstruction [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Medial Meniscus Posterior Root Reconstruction and Open-Wedge High Tibial Osteotomy for Medial Meniscus Posterior Root Tear with Varus Knee: A Case Report

Ohno¹,

Okamura²,

Ishikawa³

et al. 2022

JOCR

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Introduction: Pull-out suture, suture anchor, and open- wedge high tibial osteotomy have been widely used for surgical treatment of medial meniscus posterior root tear, and relatively good clinical results have been reported. However, radiologic and arthroscopic findings are not sufficient. This report describes the first case, to the best of our knowledge, of medial meniscus posterior root reconstruction and high tibial osteotomy for medial meniscus posterior root tear with varus knee. Case Report: A 78-year-old Japanese man was referred to our hospital due to the right popliteal pain. Plain radiography showed the mechanical axis percentage of the right limb to be 17%, indicating a varus mechanical axis. magnetic Magnetic resonance imaging noted a medial meniscus posterior root tear. Medial meniscus posterior root reconstruction and high tibial osteotomy were performed. His knee injury and osteoarthritis score improved from 22 points preoperatively to 91 points 1 year postoperatively. The graft had a good live induction and the medial meniscus hoop was maintained. Conclusion: This report is the first case, to the best of our knowledge, of medial meniscus posterior root reconstruction and high tibial osteotomy for medial meniscus posterior root tear with varus knee. This type surgical technique may be useful for a meniscus posterior root tear with varus knee. Keywords: Arthroscopy, high tibial osteotomy, knee, medial meniscus posterior root tear, meniscus reconstruction.

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“…12,13 Reconstruction of the lateral meniscus using the peroneus longus tendon has been performed after excision of the discoid lateral meniscus. 14 Moreover, studies using rabbits have reported that semitendinosis and gracilis are more useful for meniscal reconstruction. 15 Thus, reconstruction of the MM posterior root (MMPR) can be a useful technique for MMPRT.…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic Medial Meniscus Posterior Root Reconstruction and Pull-Out Repair Combined Technique for Root Tear of Medial Meniscus

Ishikawa¹,

Okamura²,

Ohno³

et al. 2022

Arthroscopy Techniques

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Repair of medial meniscus posterior root tear is important in preventing rapid progression of knee osteoarthritis. There are many repair techniques for medial meniscus posterior root tears, and good clinical results have been reported. Conversely, in terms of improving extrusion and healing meniscal injuries, sufficient results have not been obtained. Reconstruction of the medial meniscus posterior root can restore meniscal hoop action and normal knee biomechanics. Moreover, pull-out repair technique provides strong traction. We describe arthroscopic medial meniscus posterior root reconstruction and pull-out repair technique combined technique for medial meniscus root tear.

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Lateral Meniscus Replacement Using Peroneus Longus Tendon Autograft

Cited by 10 publications

References 14 publications

Autologous semitendinosus tendon graft could function as a meniscal transplant

Autologous semitendinosus tendon graft could function as a meniscal transplant

Medial Meniscus Posterior Root Reconstruction and Open-Wedge High Tibial Osteotomy for Medial Meniscus Posterior Root Tear with Varus Knee: A Case Report

Arthroscopic Medial Meniscus Posterior Root Reconstruction and Pull-Out Repair Combined Technique for Root Tear of Medial Meniscus

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