Meniscal Root Repair Alone or Combined with Different Procedures After at Least 6 Months of Follow-Up: A Series of Cases

Faria, José Leonardo Rocha de; Cruz, Raphael Serra; Campos, André Luiz Siqueira; Souza, Gabriel Garcez Araújo; Cavalcanti, Yuri Sampaio Di; Goes, Rodrigo Araújo

doi:10.2147/oajsm.s348401

Cited by 2 publications

(2 citation statements)

References 29 publications

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“…With α of 0.05, power of 80%, and frequency reported in previous study of Faria et al (P1=0.7 and P2=0.28), 10 22 patients in each group were identified enough to perform this study.…”

Section: Methodsmentioning

confidence: 99%

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Using a simple angiocath instead of scorpion suture passer in transtibial pullout repair of the meniscal root tear

Moghtadaei,

Bagherifard,

Yahyazadeh

et al. 2023

Current Orthopaedic Practice

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Background: Suture pullout during arthroscopic transtibial pullout repair of the meniscal root tear is generally performed using a Scorpion. In this study, we introduce a suture passing technique using a simple angiocath and compare its results with that of a Scorpion. Patients and Methods: In a retrospective series, 28 patients for whom an angiocath was used to pass the suture and 28 group-matched patients for whom a Scorpion was used were included. The outcomes of the patients were evaluated radiologically by assessment of ghost sign, cleft sign, and meniscal extrusion in knee MRI, and clinically by the assessment of the International Knee Documentation Committee (IKDC) score, Lysholm scale, and VAS for pain, which were obtained in the last follow-up. Results: The baseline characteristics of the two groups were not significantly different. After the operation, no patient had a positive ghost or cleft sign. The change of meniscal extrusion was not statistically different between the two groups (P=0.24). At the last follow-up, the mean Lysholm scale was 84.7±7.3 in the case group and 83.7±7.4 in the control group (P=0.61). The mean IKDC score was 84.6±6.8 in the case group and 85.3±4.9 in the control group (P=0.33). The mean VAS for pain was 3.2±0.9 in the case group and 3.3±0.9 in the control group (P=0.44). Conclusion: Using an angiocath to pass the suture in transtibial pullout repair is a cost-effective and efficient substitute for the Scorpion suture passer and could be used alternatively. Level of evidence: Level IV.

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“…With α of 0.05, power of 80%, and frequency reported in previous study of Faria et al (P1=0.7 and P2=0.28), 10 22 patients in each group were identified enough to perform this study.…”

Section: Methodsmentioning

confidence: 99%

“…With α of 0.05, power of 80%, and frequency reported in previous study of Faria et al (P1 = 0.7 and P2 = 0.28), 10 22 patients in each group were identified enough to perform this study. SPSS for Windows, version 16 (SPSS Inc., Chicago, Ill., USA) was used for statistical analysis of the data.…”

Section: Sample Size and Statistical Analysismentioning

confidence: 99%

Using a simple angiocath instead of scorpion suture passer in transtibial pullout repair of the meniscal root tear

Moghtadaei,

Bagherifard,

Yahyazadeh

et al. 2023

Current Orthopaedic Practice

View full text Add to dashboard Cite

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Diagnosis and Treatment Strategies of Meniscus Root Tears: A Scoping Review

Garcia,

Ayala,

Allende

et al. 2024

Orthopaedic Journal of Sports Medicine

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Background: Meniscus root tears comprise 10% to 21% of all meniscal tears. These tears alter knee biomechanics, elevating contact pressure, akin to a meniscectomy. Consequently, they are linked to advanced joint degeneration and cartilage damage in the affected compartment. Purpose: To systematically evaluate and relate the current literature describing the diagnosis and treatment strategies for meniscus root tears. Study Design: Scoping review; Level of evidence, 4. Methods: This review was conducted following the guidelines of the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) extension for scoping reviews. Inclusion criteria encompassed English-language clinical and preclinical research, technical notes, and narrative reviews on meniscus root tears. Exclusion criteria were studies on patellar tendon rupture, studies on medial patellofemoral ligament rupture with additional knee joint ligament injuries, studies of patients <16 years old, and studies involving open fractures. The data were summarized using a descriptive analysis and a thematic analysis. Results: After 1425 articles were identified, 461 studies were included; 17% (n = 78) were case reports or case series, 15% (n = 71) were technical notes, 9% (n = 41) addressed aspects of diagnosis, 7% (n = 32 ) were narrative reviews, and 5% (n = 21) were systematic reviews or meta-analyses. Studies presenting original data comprised 57% (n = 262) of all included studies, and 97% of the studies were of evidence levels 3 to 5. Contributions were mainly from the United States (n = 123; 27%), Republic of Korea (n = 102; 22%), and Japan (n = 99; 21%). Many studies (n = 216; 47%) focused on the treatment and outcomes of meniscus root tears. A significant chronological surge in the quantity of studies addressing the diagnosis and treatment of meniscus root tears was evident, particularly over the past 3 years. Consensus was found regarding the definition of meniscus root tears, the advantages of early repair, and postoperative rehabilitation protocols. The variations in surgical techniques and operative strategies created the greatest amount of contention, along with clinical assessment and imaging modalities. Conclusion: High-level evidence studies for diagnosing and managing meniscus root tears were scarce. A consensus has yet to be reached regarding the role of concomitant osteotomy, comparison of repair techniques, the use of a centralization stitch, patient factors affecting outcomes, and long-term outcomes of nonoperative management.

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Meniscal Root Repair Alone or Combined with Different Procedures After at Least 6 Months of Follow-Up: A Series of Cases

Cited by 2 publications

References 29 publications

Using a simple angiocath instead of scorpion suture passer in transtibial pullout repair of the meniscal root tear

Using a simple angiocath instead of scorpion suture passer in transtibial pullout repair of the meniscal root tear

Diagnosis and Treatment Strategies of Meniscus Root Tears: A Scoping Review

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