Repair of Radial Tears and Posterior Horn Detachments of the Lateral Meniscus: Minimum 2-Year Follow-Up

Anderson, Libby; Watts, Mark; Shapter, Oliver; Logan, Martin; Risebury, Michael; Duffy, David; Myers, Peter

doi:10.1016/j.arthro.2010.07.020

Cited by 114 publications

(152 citation statements)

References 32 publications

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“…According to the functional outcome literature, combined PLMRT repair and ACL reconstruction have been shown to lead to an increase in clinical scores postoperatively [2,6]. But at the same time studies having compared the surgical with nonsurgical procedure for PLMRT report no significant differences in clinical outcome [39].…”

Section: Discussionmentioning

confidence: 99%

“…As different surgical techniques such as side-to-side suture, suture anchors, and transtibial pull-out suture have been described in literature, the most common for PLMRT with avulsion of the tibial insertion (the transtibial repair with a pull-out suture transosseous technique) was recommended [6,29,30]. Therefore, this technique was used in our patients.…”

Section: Discussionmentioning

confidence: 99%

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Transosseous Repair of Root Tears of the Lateral Meniscus: Operative Technique and Short-Term Clinical Follow-Up of 28 Patients

Driessen

Balke

White

et al. 2017

Advances in Orthopedic Surgery

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An avulsion of the posterior tibial insertion of the lateral meniscus occurs during rotational distortion of the knee and can be associated with a tear of the anterior cruciate ligament (ACL). We performed a follow-up of 28 patients who, following anatomical ACL reconstruction using the ipsilateral semitendinosus graft, underwent either transosseous repair of the posterior lateral meniscus root (n=14) or no intervention (n=14). The meniscus root tears were classified as Forkel I lesions. All patients were examined 6 months after surgery and undertook scoring using International Knee Documentation Committee Score (IKDC). Comparing the repair group with the no repair group the subjective IKDC 6 months after surgery was 75,72% (±1,019) and 75,56 (±1,058). Regarding the objective IKDC 8 × A (57,1%) and 6 × B (42,9%) could be ascertained in the repair group whereas 6 × A (42,9%), 6 × B (42,9%), and 2 × C (14,3%) scoring could be ascertained in the no repair group. It remains unclear if surgery on type Forkel I PLMRT provides benefits compared to the nonsurgical procedures as in both groups stability might occur. The purpose of this article was to report the outcome of surgical repair of lateral meniscus root tears.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Transosseous Repair of Root Tears of the Lateral Meniscus: Operative Technique and Short-Term Clinical Follow-Up of 28 Patients

Driessen

Balke

White

et al. 2017

Advances in Orthopedic Surgery

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“…3 Recently, surgical techniques for repair of the radial tear and posterior root tear have been developed, and good short-term results were reported. 1 However, in cases with osteochondral injury or OA progression caused by extrusion of the lateral meniscus after partial meniscectomy, meniscal transplantation has been the only surgical intervention to regain meniscal function. This is also the case with discoid lateral meniscus, because extrusion of the meniscus and subsequent osteochondral injury could oc-FIGURE 1.…”

Section: Discussionmentioning

confidence: 99%

“…xtrusion of the lateral meniscus has been reported in patients with posterior root tear or radial tear, 1 after partial meniscectomy, 2 after meniscoplasty of discoid meniscus, 3 and as a complication after meniscal transplantation. 4 It has also been reported that extrusion of the meniscus is associated with development of osteoarthritis (OA) 5,6 and knee pain 7 in patients with OA.…”

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confidence: 99%

Arthroscopic Centralization of an Extruded Lateral Meniscus

Koga

Muneta

Yagishita

et al. 2012

Arthroscopy Techniques

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Extrusion of the lateral meniscus has been reported after posterior root tear or radial tear, partial meniscectomy, and meniscoplasty of discoid meniscus. It has also been shown to be associated with the development of osteoarthritis. This technical note describes a new arthroscopic technique to centralize and stabilize the mid body of the lateral meniscus to restore and maintain the lateral meniscus function by repairing/preventing extrusion of the meniscus. A JuggerKnot Soft Anchor (Biomet, Warsaw, IN), loaded with a MaxBraid suture (Biomet), was placed on the lateral edge of the lateral tibial plateau, just anterior to the popliteal hiatus, through a midlateral portal. A Micro Suture Lasso Small Curve with Nitinol Wire Loop (Arthrex, Naples, FL) was used to pass 2 limbs of the MaxBraid suture through the meniscus at the margin between the meniscus and the capsule. Another anchor was inserted on the lateral edge of the lateral tibial plateau, 1 cm anterior to the first anchor, and the same procedure was repeated. The sutures were then tied by use of a self-locking sliding knot, achieving centralization and secure stabilization of the lateral meniscus.

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“…These have decreased the operating time and the level of surgical skill required 23 . These devices, which may be shaped like arrows, @ C I C E d i z i o n i I n t e r n a z i o n a l i screws or stitches 43,44 , reduce the surgical time, simplify the technique and reduce the risk of neurovascular lesions, although it has also been shown that there may be a reaction to the introduction of a foreign body, and they may damage the cartilage, become displaced in the joint 45,46 . This has led to the creation of a second generation of devices, which are more flexible, aimed at achieving a balance between the suture and rigid anchoring systems.…”

Section: Meniscal Suture Techniques and Their Biomechanical Consideramentioning

confidence: 99%

Meniscus tear surgery and meniscus replacement

Vaquero

Forriol

2016

MLTJ

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SummaryObjective: the menisci are easily injured and difficult to repair. The aim of this study was to analyze the current state of meniscal surgery aimed at preserving morphology and conserving the biomechanics of the knee to prevent joint degeneration. Methodology: a search of the electronic medical literature database Medline was conducted, from http://www.ncbi.nlm.nih.gov/pubmed. The search was not limited by language. Candidate articles were identified by searching for those that included the keywords meniscus, surgery, suture, implant, allograft. The limits were included for clinical research and clinical trials. Basic research was not included. The studies selected were evaluated and classified in three different categories: basic science, reconstruction (suture and meniscectomy) and implants (scaffolds and allograft). Results: the consequences of meniscectomy performed at a young age can lead to a joint cartilage degeneration twenty years later. There are few surgical options for the repair of meniscal injuries in order both to preserve the meniscus and to ensure the long term survival of the knee joint, meniscectomy, repair, suturing the tear, or reconstruction, when a meniscal allograft or synthetic substitute is used to replace the meniscus, but the biomechanical properties of the native meniscus are not reproduced entirely by the scaffolds that exist today.Conclusion: therapies that successfully repair or replace the meniscus are therefore likely to prevent or delay osteoarthritis progression.

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Repair of Radial Tears and Posterior Horn Detachments of the Lateral Meniscus: Minimum 2-Year Follow-Up

Cited by 114 publications

References 32 publications

Transosseous Repair of Root Tears of the Lateral Meniscus: Operative Technique and Short-Term Clinical Follow-Up of 28 Patients

Transosseous Repair of Root Tears of the Lateral Meniscus: Operative Technique and Short-Term Clinical Follow-Up of 28 Patients

Arthroscopic Centralization of an Extruded Lateral Meniscus

Meniscus tear surgery and meniscus replacement

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