Superior outcomes of pullout repairs for medial meniscus posterior root tears in partial tear compared to complete radial tear
Abstract Purpose To reveal the outcomes of partial medial meniscus posterior root tears following transtibial pullout repair compared with the outcomes of complete radial meniscus posterior root tears. Materials and methods We retrospectively evaluated 15 consecutive patients (male/female, 5/10; ave...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-02-01
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| Series: | Knee Surgery & Related Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43019-023-00206-1 |
| _version_ | 1797274225737728000 |
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| author | Masanori Tamura Takayuki Furumatsu Yusuke Yokoyama Naohiro Higashihara Koki Kawada Toshifumi Ozaki |
| author_facet | Masanori Tamura Takayuki Furumatsu Yusuke Yokoyama Naohiro Higashihara Koki Kawada Toshifumi Ozaki |
| author_sort | Masanori Tamura |
| collection | DOAJ |
| description | Abstract Purpose To reveal the outcomes of partial medial meniscus posterior root tears following transtibial pullout repair compared with the outcomes of complete radial meniscus posterior root tears. Materials and methods We retrospectively evaluated 15 consecutive patients (male/female, 5/10; average age, 64.4 years) who underwent transtibial pullout repair for partial medial meniscus posterior root tears and compared their results with those of 86 consecutive patients who underwent the same surgery for complete medial meniscus posterior root tears. All patients underwent second-look arthroscopy on average 1 year postoperatively, and a semi-quantitative meniscal healing score (anteroposterior width, stability, and synovial coverage, total 10 points) was evaluated. Medial meniscus extrusion was evaluated preoperatively and at second-look arthroscopy. Results Postoperative clinical scores were not significantly different in the short term. However, second-look arthroscopy revealed a significant difference in repaired meniscal stability (partial tear; 3.3 points, complete tear; 2.3 points, p < 0.001) and total meniscal healing scores (partial tear; 8.3 points, complete tear; 7.1 points, p < 0.001). Medial meniscus extrusion progression was significantly different (partial tear; 0.4 mm, complete tear; 1.0 mm, p < 0.001). Conclusion Partial medial meniscus posterior root tears showed better meniscal healing and less medial meniscus extrusion progression following pullout repair than complete medial meniscus posterior root tears. |
| first_indexed | 2024-03-07T14:55:19Z |
| format | Article |
| id | doaj.art-43febe0d63034ec1ac802642c980bdf2 |
| institution | Directory Open Access Journal |
| issn | 2234-2451 |
| language | English |
| last_indexed | 2024-03-07T14:55:19Z |
| publishDate | 2024-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Knee Surgery & Related Research |
| spelling | doaj.art-43febe0d63034ec1ac802642c980bdf22024-03-05T19:27:59ZengBMCKnee Surgery & Related Research2234-24512024-02-0136111010.1186/s43019-023-00206-1Superior outcomes of pullout repairs for medial meniscus posterior root tears in partial tear compared to complete radial tearMasanori Tamura0Takayuki Furumatsu1Yusuke Yokoyama2Naohiro Higashihara3Koki Kawada4Toshifumi Ozaki5Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesDepartment of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesDepartment of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesDepartment of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesDepartment of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesDepartment of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesAbstract Purpose To reveal the outcomes of partial medial meniscus posterior root tears following transtibial pullout repair compared with the outcomes of complete radial meniscus posterior root tears. Materials and methods We retrospectively evaluated 15 consecutive patients (male/female, 5/10; average age, 64.4 years) who underwent transtibial pullout repair for partial medial meniscus posterior root tears and compared their results with those of 86 consecutive patients who underwent the same surgery for complete medial meniscus posterior root tears. All patients underwent second-look arthroscopy on average 1 year postoperatively, and a semi-quantitative meniscal healing score (anteroposterior width, stability, and synovial coverage, total 10 points) was evaluated. Medial meniscus extrusion was evaluated preoperatively and at second-look arthroscopy. Results Postoperative clinical scores were not significantly different in the short term. However, second-look arthroscopy revealed a significant difference in repaired meniscal stability (partial tear; 3.3 points, complete tear; 2.3 points, p < 0.001) and total meniscal healing scores (partial tear; 8.3 points, complete tear; 7.1 points, p < 0.001). Medial meniscus extrusion progression was significantly different (partial tear; 0.4 mm, complete tear; 1.0 mm, p < 0.001). Conclusion Partial medial meniscus posterior root tears showed better meniscal healing and less medial meniscus extrusion progression following pullout repair than complete medial meniscus posterior root tears.https://doi.org/10.1186/s43019-023-00206-1Knee injuriesArthroscopyMeniscusRoot tear |
| spellingShingle | Masanori Tamura Takayuki Furumatsu Yusuke Yokoyama Naohiro Higashihara Koki Kawada Toshifumi Ozaki Superior outcomes of pullout repairs for medial meniscus posterior root tears in partial tear compared to complete radial tear Knee Surgery & Related Research Knee injuries Arthroscopy Meniscus Root tear |
| title | Superior outcomes of pullout repairs for medial meniscus posterior root tears in partial tear compared to complete radial tear |
| title_full | Superior outcomes of pullout repairs for medial meniscus posterior root tears in partial tear compared to complete radial tear |
| title_fullStr | Superior outcomes of pullout repairs for medial meniscus posterior root tears in partial tear compared to complete radial tear |
| title_full_unstemmed | Superior outcomes of pullout repairs for medial meniscus posterior root tears in partial tear compared to complete radial tear |
| title_short | Superior outcomes of pullout repairs for medial meniscus posterior root tears in partial tear compared to complete radial tear |
| title_sort | superior outcomes of pullout repairs for medial meniscus posterior root tears in partial tear compared to complete radial tear |
| topic | Knee injuries Arthroscopy Meniscus Root tear |
| url | https://doi.org/10.1186/s43019-023-00206-1 |
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