The Meniscal Ossicle Revisited: Etiology and an Arthroscopic Technique for Treatment

Raustol, Ole A.; Poelstra, Kornelis A.; Chhabra, Arvind; Diduch, David R.

doi:10.1016/j.arthro.2005.12.022

Cited by 55 publications

(32 citation statements)

References 6 publications

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“…Although meniscal calcification is common in menisci in humans with OA (36), in general it rarely occurs in humans (37)(38)(39). This therefore raises the question whether the pathogenesis of OA is the same in humans and Dunkin Hartley guinea pigs, but this needs to be investigated further before any firm conclusions can be reached.…”

Section: Discussionmentioning

confidence: 90%

Relationship between articular cartilage damage and subchondral bone properties and meniscal ossification in the Dunkin Hartley guinea pig model of osteoarthritis

Thomsen

Straarup

Danielsen

et al. 2011

Scandinavian Journal of Rheumatology

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Section: Discussionmentioning

confidence: 90%

Relationship between articular cartilage damage and subchondral bone properties and meniscal ossification in the Dunkin Hartley guinea pig model of osteoarthritis

Thomsen

Straarup

Danielsen

et al. 2011

Scandinavian Journal of Rheumatology

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“…Shino et al42) first introduced the idea of pull-out repair of the posterior attachment of the lateral meniscus by making a 5-mm trans-tibial hole. Raustol et al43) used a similar method on a young patient for refixation of the medial meniscal ossicle. Recently, pull-out suture methods have been described in comprehensive studies on MMPRT repairs.…”

Section: Treatment Of Mmprtmentioning

confidence: 99%

Medial Meniscus Posterior Root Tear: A Comprehensive Review

Lee¹,

2014

Knee Surg Relat Res

106

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Damage to the medial meniscus root, for example by a complete radial tear, destroys the ability of the knee to withstand hoop strain, resulting in contact pressure increases and kinematic alterations. For these reasons, several techniques have been developed to repair the medial meniscus posterior root tear (MMPRT), many of which have shown complete healing of the repaired MMPRT. However, efforts to standardize or optimize the treatment for MMPRT are much needed. When planning a surgical intervention for an MMPRT, strict surgical indications regarding the effect of pullout strength on the refixed root, bony degenerative changes, mechanical alignment, and the Kellgren-Lawrence grade should be considered. Although there are several treatment options and controversies, the current trend is to repair the MMPRT using various techniques including suture anchors and pullout sutures if the patient meets the indications. However, there are still debates on the restoration of hoop tension and prevention of arthritis after repair and further biomechanical and clinical studies should be conducted in the future. The aim of this article was to review and summarize the recent literature regarding various diagnosis and treatment strategies of MMPRT, especially focusing on conflict issues including whether repair techniques can restore the main function of normal meniscus and which is the best suture technique to repair the MMPRT. The authors attempted to provide a comprehensive review of previous studies ranging from basic science to current surgical techniques.

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“…Repair is a reasonable option in acute and subacute cases or in chronic cases in which there is little or no articular cartilage disease and good preservation of healthy meniscal tissue. Several techniques have been reported in the literature, Raustol et al6) used a long pin and sutures passed through a posteromedial accessory arthroscopy portal in a transosseous fashion. Recently, Griffith et al7) described a technique that combines an arthroscopic approach to repair the medial meniscal root to a decorticated footprint via suture tunnels over a bone bridge.…”

Section: Discussionmentioning

confidence: 99%

Modified Pull-out Suture in Posterior Root Tear of the Medial Meniscus: Using a Posteromedial Portal

Cho

2012

Knee Surg Relat Res

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In cases with root tear of the medial meniscus posterior horn, the meniscus usually can be repaired by a pull out suture technique. However, there is difficulty in manipulating a suture hook via the anteromedial portal and looking through the arthroscopic camera via anterolateral portal in the narrow medial joint space at the same time. This article describes a modified simple pull out suture technique for root tear of the medial meniscus posterior horn using a posteromedial portal that provides a safe and easy handling of the suture hook. Our indications of this technique used in patients with Outerbridge 1-2 arthritic change and minimal varus axis change. Benefits of this technique are simple, less invasive, and reduced operation time by simultaneous suture with a hook via posteromedial portal and pulling of a string with grasper. It may reduce the possibility of an additional chondral or meniscal injury.

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The Meniscal Ossicle Revisited: Etiology and an Arthroscopic Technique for Treatment

Cited by 55 publications

References 6 publications

Relationship between articular cartilage damage and subchondral bone properties and meniscal ossification in the Dunkin Hartley guinea pig model of osteoarthritis

Relationship between articular cartilage damage and subchondral bone properties and meniscal ossification in the Dunkin Hartley guinea pig model of osteoarthritis

Medial Meniscus Posterior Root Tear: A Comprehensive Review

Modified Pull-out Suture in Posterior Root Tear of the Medial Meniscus: Using a Posteromedial Portal

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