Rehabilitation Following Meniscal Root Repair: A Clinical Commentary

2016 ◽  
Vol 46 (2) ◽  
pp. 104-113 ◽  
Author(s):  
Brett T. Mueller ◽  
Samuel G. Moulton ◽  
Luke O'Brien ◽  
Robert F. LaPrade
Keyword(s):  
Meniscal Root ◽  
Root Repair

Meniscal Root Repair

2020 ◽  
pp. 91-111
Author(s):  
Michael Alaia ◽  
David Klein
Keyword(s):  
Meniscal Root ◽  
Root Repair

scholarly journals Meniscus Root Repair

2019 ◽  
Vol 7 (11_suppl6) ◽  
pp. 2325967119S0046
Author(s):  
Jafri Hasan
Keyword(s):  
Hoop Stress ◽  
Suture Anchor ◽  
Symptomatic Treatment ◽  
Normal Function ◽  
Suture Technique ◽  
High Rate ◽  
Meniscal Root ◽  
Root Repair ◽  
Meniscus Suture ◽  
Pullout Repair

Meniscal root tears defined as bony or soft tissue root avulsion injuries or radial tears within 1cm of the meniscal root attachment. If it is not treated properly can cause early development of osteoarthritis. The meniscal root tears leading to compromised hoop stress and decreased tibiofemoral contact area and increased contact pressures in the involved compartment. To confirm the diagnosis is through arthroscopic as a diagnostic and treatment and through magnetic resonance imaging. Not all meniscal root tears can be treated surgically, especially if they have multiple comorbidities or advanced age, severe osteoarthritis, non-symptomatic chronic meniscal root tears and significant mal-alignment of the affected compartment then the treatment of choice is to give a symptomatic treatment like non-steroid anti-inflammatory drug, and activity modification. Meniscectomy has been found to induce a high rate of arthritis progression postoperatively. There are two most common meniscal root repair techniques which are trans-tibial pullout repair and suture anchor repair that now preferred over meniscectomy. The most important thing to consider when repairing the meniscal root is the right anatomically repair. It has been proven that non-anatomical meniscal root repair will not able to restore to the normal function because the conversion of femorotibial loads into circumferential tension may be altered, with functional impairment of the knee. Anchor suture technique shows a greater degree of healing and better biomechanical outcome. The suture anchor technique uses “all-inside" fixation and avoids the need for a distal fixation which potentially places abrasive forces on the sutures used. The trans-tibial pullout repair can restore the attachment and contact pressure near normal value, also the tunnel drilling stimulating growth factors and progenitor cells from bone marrow and facilitate the ability of meniscus to convert axial load into hoop stress. The concern of trans-tibial pullout repair is its ‘bungee effect’ and repetitive loading resulted in the displacement of this repair complex and might compromise healing because of decreased stiffness and micromotion of the meniscus-suture complex.

Biomechanical evaluation of meniscal root repair: a porcine study

2013 ◽  
Vol 23 (1) ◽  
pp. 45-50 ◽  
Author(s):  
Ekkehard F. Röpke ◽  
Sebastian Kopf ◽  
Steffen Drange ◽  
Roland Becker ◽  
Christoph H. Lohmann ◽  
...  
Keyword(s):  
Meniscal Root ◽  
Root Repair ◽  
Biomechanical Evaluation

Clinical and Radiologic Outcomes of Patients With Lax Healing After Medial Meniscal Root Repair: Comparison With Subtotal Meniscectomy

2019 ◽  
Vol 35 (11) ◽  
pp. 3079-3086 ◽  
Author(s):  
Chang-Wan Kim ◽  
Chang-Rack Lee ◽  
Heui-Chul Gwak ◽  
Jung-Han Kim ◽  
Dae-Hyun Park ◽  
...  
Keyword(s):  
Meniscal Root ◽  
Root Repair

scholarly journals Arthroscopic Meniscal Root Repair Using a Ceterix NovoStitch Suture Passer

2014 ◽  
Vol 3 (5) ◽  
pp. e643-e646 ◽  
Author(s):  
Andrew J. Blackman ◽  
Michael J. Stuart ◽  
Bruce A. Levy ◽  
Mark A. McCarthy ◽  
Aaron J. Krych
Keyword(s):  
Meniscal Root ◽  
Root Repair

scholarly journals Transosseous Medial Meniscal Root Repair Using a Modified Mason-Allen Suture Configuration

2015 ◽  
Vol 4 (6) ◽  
pp. e781-e784 ◽  
Author(s):  
Chad D. Lavender ◽  
Shane R. Hanzlik ◽  
Paul E. Caldwell ◽  
Sara E. Pearson
Keyword(s):  
Meniscal Root ◽  
Root Repair

scholarly journals Meniscal Root Repair

2021 ◽  
Vol 1 (6) ◽  
pp. 263502542110445
Author(s):  
John R. Matthews ◽  
Ryan W. Paul ◽  
Sommer Hammoud
Keyword(s):  
Knee Injury ◽  
Gap Formation ◽  
Axial Loads ◽  
Highly Active ◽  
Meniscal Root ◽  
Root Repair ◽  
Complete Tear ◽  
Meniscal Root Tear ◽  
Hoop Stresses ◽  
Tibia Plateau

Background: Meniscal root tears typically result from a hyperflexion/squatting injury or are in conjunction with ligamentous knee injury. Once a complete tear occurs, the meniscus is unable to convert axial loads to transverse hoop stresses which result in increased tibiofemoral contact pressure and osteoarthritis. The goal of a meniscal root repair is to anatomically reattach the meniscal root to the tibia plateau. Complete and partial healing occurs in over 93% of cases with retear rates ranging from 0% to 7%. Indications: We present a case of a highly active 21-year-old male collegiate soccer play that sustained a medial meniscal root tear after slipping on ice. Technique: An anatomic medial meniscal root repair was performed using a transtibial guide and 2 loop sutures tied over a button. Results: Full anatomic footprint coverage was able to be achieved intraoperatively and gentle range of motion from 0 to 90° of flexion did not result in gap formation. Discussion/Conclusion: Successful outcomes with full anatomic footprint coverage of the medial meniscal root can be achieved with 2-loop suture button configuration.

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