2018
DOI: 10.4055/cios.2018.10.1.111
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Medial Meniscal Root Repair Using Curved Guide and Soft Suture Anchor

Abstract: Medial meniscal root tears have been repaired using various methods. Arthroscopic all-inside repair using a suture anchor is one of the popular methods. However, insertion of the suture anchor into the proper position at the posterior root of the medial meniscus is technically difficult. Some methods have been reported to facilitate suture anchor insertion through a high posteromedial portal, a posterior trans-septal portal, or a medial quadriceptal portal. Nevertheless, many surgeons still have difficulty dur… Show more

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Cited by 20 publications
(6 citation statements)
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“…Meniscus root tears can lead to loss of hoop tension, and pathologic loads can lead to degenerative arthritis 1314151617. Root repair can restore meniscal hoop tension and slow arthritic progression in most cases 18192021. We assume this to be one of the reasons for higher meniscus repair ratio in Korea than that in the United States among middle-aged and older patients.…”
Section: Discussionmentioning
confidence: 98%
“…Meniscus root tears can lead to loss of hoop tension, and pathologic loads can lead to degenerative arthritis 1314151617. Root repair can restore meniscal hoop tension and slow arthritic progression in most cases 18192021. We assume this to be one of the reasons for higher meniscus repair ratio in Korea than that in the United States among middle-aged and older patients.…”
Section: Discussionmentioning
confidence: 98%
“…Issues related to distal tibial fixation, such as elongation and abrasion of sutures, can be dismissed, excluding the possibility of the “bungee effect”. Also, the knotless mechanism provides a lower rate of suture slippage (loss of loop security), 16 and more reproducible tension.…”
Section: Discussionmentioning
confidence: 99%
“…The repair methods for MMRTs include two techniques: one uses a suture anchor (suture anchor repair), and the other uses a transosseous tunnel (transtibial pull-out repair). Suture anchor repair is performed by placing the suture anchor on the region of an MMRT above the posterior tibial plateau [ 36 , 77 , 78 , 79 , 80 ]. This method has the advantage of reducing the risk of the bungee effect, micromotion between the meniscus-suture complex, and abrasion of the suture material, which may be found in long meniscus-suture constructs, resulting from transtibial pull-out repair [ 81 , 82 ].…”
Section: Treatmentmentioning
confidence: 99%