Meniscal Root Repair
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...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2021-10-01
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| Series: | Video Journal of Sports Medicine |
| Online Access: | https://doi.org/10.1177/26350254211044513 |
| _version_ | 1818404824454004736 |
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| author | John R. Matthews MD Ryan W. Paul BS Sommer Hammoud MD |
| author_facet | John R. Matthews MD Ryan W. Paul BS Sommer Hammoud MD |
| author_sort | John R. Matthews MD |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-14T08:46:17Z |
| format | Article |
| id | doaj.art-980d261b84b042ed8fdf7e81d7724424 |
| institution | Directory Open Access Journal |
| issn | 2635-0254 |
| language | English |
| last_indexed | 2024-12-14T08:46:17Z |
| publishDate | 2021-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Video Journal of Sports Medicine |
| spelling | doaj.art-980d261b84b042ed8fdf7e81d77244242022-12-21T23:09:09ZengSAGE PublishingVideo Journal of Sports Medicine2635-02542021-10-01110.1177/26350254211044513Meniscal Root RepairJohn R. Matthews MD0Ryan W. Paul BS1Sommer Hammoud MD2Thomas Jefferson Rothman Institute Sports Medicine Fellow, Philadelphia, Pennsylvania, USARothman Orthopedic Research FellowOrthopaedic Surgery, Rothman Orthopaedic Institute, Philadelphia, Pennsylvania, USABackground: 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.https://doi.org/10.1177/26350254211044513 |
| spellingShingle | John R. Matthews MD Ryan W. Paul BS Sommer Hammoud MD Meniscal Root Repair Video Journal of Sports Medicine |
| title | Meniscal Root Repair |
| title_full | Meniscal Root Repair |
| title_fullStr | Meniscal Root Repair |
| title_full_unstemmed | Meniscal Root Repair |
| title_short | Meniscal Root Repair |
| title_sort | meniscal root repair |
| url | https://doi.org/10.1177/26350254211044513 |
| work_keys_str_mv | AT johnrmatthewsmd meniscalrootrepair AT ryanwpaulbs meniscalrootrepair AT sommerhammoudmd meniscalrootrepair |