Outcomes after Surgical Repair of Medial Meniscal Root Tears: A Review

J Knee Surg DOI: 10.1055/s-0040-1710565At the present time, there is a paucity of literature regarding medial meniscal posterior root repair and outcomes. This review seeks to examine the currently available data to further elucidate the clinical risks and benefits and any associated risks of medial meniscal posterior root repair. A systematic literature search was performed up to July 2018 in the databases of Medline via PubMed, EBSCOhost, and EMBASE. The results were reviewed independently by two authors and appropriate articles were reviewed and eligibility determined based on established criteria. The best-evidence synthesis was subsequently used. Thirteen studies (324 patients) were included in this review with a mean patient age of 54 years. There were no control studies with nonoperative treatment of medial meniscal posterior root tears. All studies included a minimum of 10 patients in a case series or case-control manner. Of patients treated with medial meniscal posterior root repair, 62.43% demonstrated complete healing on follow-up magnetic resonance imaging (MRI) or second-look arthroscopy. Among them, 32.60% demonstrated incomplete healing, loosening of the construct, or excessive scar tissues formation. Also, 4.97% demonstrated complete failure or retearing of the construction. At a mean follow-up period of 33 months, patients demonstrated a mean improvement in Lysholm's score of 30.5 (p 
Source: Journal of Knee Surgery - Category: Orthopaedics Authors: Tags: Original Article Source Type: research

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ConclusionThis study demonstrated that the nearer the tibial tunnel position to the anatomic attachment of the MM posterior root, the more effective the reduction in MMPE at 90 ° knee flexion. Our results emphasize that an anatomic tibial tunnel should be created in the MM posterior root to improve the postoperative MMPE and protect the articular cartilage in a knee flexion position. Placement of an anatomic tibial tunnel significantly improves the MMPE at 90° of knee fl exion after MM posterior root pullout repair.Level of evidenceIV.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
Anterior cruciate ligament (ACL) reconstruction is a commonly performed procedure, with an increasing frequency leading to an increased number of revision procedures. Etiologies for graft rupture are varied and can include technical issues, repeat trauma, and graft choice. The preoperative evaluation before a revision ACL reconstruction should include a detailed history and physical exam, as well as radiographs, magnetic resonance imaging to evaluate graft integrity and for concomitant injuries, as well as computed tomography to measure for bone tunnel osteolysis. Surgical techniques for revision ACL reconstruction include...
Source: Sports Medicine and Arthroscopy Review - Category: Sports Medicine Tags: Digital Exclusive Source Type: research
AbstractBackground:Osteochondral injury is a very common orthopaedic pathology, mainly affecting young, active population, with limited current treatment options. Herein we are presenting cellular and early clinical data of a patient series treated for chronic osteochondral lesions in the knee with a filter-based intra-operative bone marrow aspirate (BMA) separation device.Methods:Fifteen patients with chronic knee osteochondral lesions (60% females, 19 –59 years) were included in this prospective case series. Filtered BMA (f-BMA), containing mesenchymal stem/stromal cells (MSCs), was combined with a biomimetic colla...
Source: Tissue Engineering and Regenerative Medicine - Category: Biotechnology Source Type: research
ConclusionWhen compared with knot repair, knotless repair of the lateral ankle ligament produced similar functional outcomes.Level of evidenceIII.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
J Knee Surg DOI: 10.1055/s-0040-1709135The study evaluates the meniscal tissue after primary meniscal suturing using 7-Tesla (T) magnetic resonance imaging with T2* mapping at 6 and 12 months after surgery to investigate the differences between repaired meniscal tissue and healthy meniscal tissue in the medial and lateral compartment. This prospective study included 11 patients (9m/2f) with a mean age of 30.6 years (standard deviation 9.0). Patients with a meniscal tear that was treated arthroscopically with meniscus suturing, using an all-inside technique, were included. All patients and seven healthy volunteers were imag...
Source: Journal of Knee Surgery - Category: Orthopaedics Authors: Tags: Original Article Source Type: research
This study aimed to evaluate the effect of transtibial repair in reducing the volume using three-dimensional (3D) magnetic resonance imaging, at 10 ° and 90° knee flexion.MethodsTwenty patients with MMPRTs and 16 volunteers with normal knees participated. The 3D models of meniscus were constructed using SYNAPSE VINCENT®. The meniscal extrusion and its volume were measured at 10 ° and 90° knee flexion. Differences between the pre- and postoperative examinations were assessed using the Wilcoxon signed-rank test. The postoperative parameters were compared to those in patients with normal knees.ResultsThere...
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
In some patients with rotator cuff tears, the axial view of magnetic resonance imaging (MRI) shows posterior shift (PS) of the humeral head to the glenoid. This is considered a result of loss of centralization due to loss of rotator cuff function. However, the clinical implication of PS has not been reported. The purpose of this study was to investigate the clinical implication of PS in arthroscopic rotator cuff repair (ARCR). We included consecutive patients who underwent ARCR at our institute and were followed up for at least 1 year.
Source: Journal of Shoulder and Elbow Surgery - Category: Orthopaedics Authors: Source Type: research
Few studies have evaluated the mid-term integrity of repaired rotator cuffs using magnetic resonance imaging (MRI). The purpose of this study was to evaluate the relevance of the association between the change of cuff integrity and the clinical outcome from 1 to 2 years postoperatively using MRI among 353 patients with rotator cuff tears treated with arthroscopic rotator cuff repair. Retear was detected in 53 cases (retear rate: 15.0%) in the first year after surgery, and the number of retear cases increased to 67 (19.0%) at 2 years after surgery.
Source: Journal of Shoulder and Elbow Surgery - Category: Orthopaedics Authors: Source Type: research
The size of the labrum of the hip found at the time of arthroscopy can be predicted by measuring the labrum on preoperative magnetic resonance imaging/magnetic resonance arthrography, which may lead to consideration of using this measurement for preoperative planning. While normal labral anatomy is becoming better understood and our ability to preoperatively evaluate this improves, more evaluation is warranted to determine if, and at what point, labral width should influence treatment decisions, including labral repair techniques or the decision to reconstruct the labrum with allograft or autograft.
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - Category: Surgery Authors: Tags: Editorial Commentary Source Type: research
With the desire to remain athletically competitive, many adolescent athletes with shoulder instability are turning to early surgical invention. But is surgical repair always necessary and are all Bankart lesions identical? Using 3-dimensional, frequency-selective, fat-suppressed gradient recalled echo magnetic resonance imaging (MRI) scans, the authors noted that the anterior glenoid rim secondary ossification center peaks at age 16 years in male patients but is only fused in 70% of male patients at age 17 years.
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - Category: Surgery Authors: Tags: Editorial Commentary Source Type: research
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