scholarly journals Repair of the Posterior Lateral Meniscal Root Tear: Suture Anchor Fixation Through the Outside-In Anterior Cruciate Ligament Reconstruction Femoral Tunnel

2021 ◽  
Vol 10 (1) ◽  
pp. e151-e158
Author(s):  
Manuel Leyes ◽  
Cesar Flores-Lozano ◽  
Ignacio de Rus ◽  
María González Salvador ◽  
Eulogio Martin Buenadicha ◽  
...  
Keyword(s):  
Ligament Reconstruction ◽  
Suture Anchor ◽  
Femoral Tunnel ◽  
Cruciate Ligament ◽  
Root Tear ◽  
Meniscal Root ◽  
Meniscal Root Tear ◽  
Anterior Cruciate ◽  
Suture Anchor Fixation ◽  
Anchor Fixation

scholarly journals A Simple Way to Fix a Lateral Meniscal Root Tear

2021 ◽  
Vol 1 (4) ◽  
pp. 263502542110164
Author(s):  
Stefano Zaffagnini ◽  
Alberto Grassi ◽  
Giacomo Dal Fabbro
Keyword(s):  
Cruciate Ligament ◽  
Lateral Meniscus ◽  
Repair System ◽  
Root Tear ◽  
Concomitant Procedure ◽  
Meniscal Root ◽  
Kinematic Behavior ◽  
Meniscofemoral Ligaments ◽  
Meniscal Root Tear ◽  
Anterior Cruciate

Background: Meniscal posterior root tears, which are often associated with anterior cruciate ligament (ACL) injury, lead to the loss of normal biomechanical and kinematic behavior of menisci. Several arthroscopic techniques have been introduced to address this kind of injury. In this video, a simple all-inside technique to repair posterior lateral root tear (PLRT) is presented. Indications: To repair type 1, type 2, and type 4 PLRT. Technique: The torn lateral meniscus root is sutured to the medial fibers of the posterior cruciate ligament (PCL), with an arthroscopic all-inside repair system, with the purpose of reproducing the stabilizing function of the meniscofemoral ligaments. Results: This procedure allows restoration of the correct position of the detached horn, and restores meniscal stability with satisfactory clinical outcomes. Discussion/Conclusion: The technique described represents a simple and fast arthroscopic all-inside procedure to repair PLRT in association with concomitant procedure, such as ACL reconstruction. However, outcome reports of this technique are still lacking in the literature, and further studies are needed to confirm the authors’ results.

scholarly journals Treatment of Anterior Cruciate Ligament Tibial Avulsion Fracture in Children with Suture Anchor Fixation Outside The Tunnel: A Retrospective study

2020 ◽  
Author(s):  
Sunyu Chen ◽  
Zhanhao Xiao ◽  
Jiankun Wang
Keyword(s):  
Anterior Cruciate Ligament ◽  
Suture Anchor ◽  
Avulsion Fracture ◽  
Cruciate Ligament ◽  
Knee Function ◽  
Avulsion Fractures ◽  
Tibial Avulsion Fracture ◽  
Anterior Cruciate ◽  
Suture Anchor Fixation ◽  
Anchor Fixation

Abstract Background: Anterior cruciate ligament (ACL) tibial avulsion fractures are a special ACL injury type, classified as intra-articular fractures. Presently, the main treatment method is arthroscopic surgery, and various fixation methods are available, including use of steel wires, high-strength sutures, cannulated screws, anchors, Kirschner wires, etc. Joint fixation using wire binding could cut through the bone tunnel. We aimed to evaluate the clinical efficacy of a novel method involving suture anchor fixation outside the tunnel to treat anterior cruciate ligament (ACL) tibial avulsion fractures in children.Methods: This retrospective study analyzed the data of 42 pediatric patients (26 boys and 16 girls; age: 7–13 years) with ACL tibial avulsion fractures. Based on the Meyers–McKeever–Zaricznyj classification of fractures, 22, 14, and 6 patients had types II, III, and IV fractures, respectively. All patients underwent arthroscopic surgery for ACL tibial avulsion fracture; during surgery, double tibial tunnels were established, and high-strength sutures were passed through the tunnels and fixed externally with an anchor. The clinical outcome was evaluated by assessing the pre- and post-operative knee joint range of motion (ROM) and by using the Lysholm knee function score and International Knee Documentation Committee (IKDC) score. Post-operative computed tomography and magnetic resonance images were reviewed to determine the status of fracture displacement, healing, and epiphyseal damage.Results: All 42 patients were followed up for 20–36 months (average of 27.8 months). Knee ROM increased from 48.2°±21.7° pre-operatively to 131.6°±8.7° at the final follow-up (t=23.119, P=0.000). The Lysholm knee function score increased from 37.6±5.2 points pre-operatively to 90.1±6.3 points post-operatively, representing a significant improvement (t=41.651, P=0.000). The IKDC score improved from 43.3±7.5 points pre-operatively to 91.3±5.7 points post-operatively (t=45.521, P=0.000). The imaging findings indicated that the fractures healed with displacement and there was no significant epiphyseal damage.Conclusions: Suture anchor fixation outside the tunnel to treat ACL tibial avulsion fracture in children reduces the cutting action of the sutures on the tunnel, minimizes epiphyseal damage, involves a simple procedure, offers firm fixation, and effectively improves knee function. This approach can enable early functional rehabilitation and achieve satisfactory clinical efficacy.

Effect of Lateral Meniscal Root Tear on the Stability of the Anterior Cruciate Ligament–Deficient Knee

2015 ◽  
Vol 43 (4) ◽  
pp. 905-911 ◽  
Author(s):  
Theodore B. Shybut ◽  
Charles E. Vega ◽  
Jebran Haddad ◽  
Jerry W. Alexander ◽  
Jonathon E. Gold ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Root Tear ◽  
Meniscal Root ◽  
Meniscal Root Tear ◽  
Anterior Cruciate ◽  
The Stability ◽  
Deficient Knee ◽  
Anterior Cruciate Ligament Deficient
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