Changes in Bone Marrow Lesions Following Root Repair Surgery Using Modified Mason–Allen Stitches in Medial Meniscus Posterior Root Tears
<i>Background and Objectives</i>: Root repair can prevent osteoarthritis (OA) by restoring hoop tension in medial meniscus posterior root tears (MMPRTs). This study aims to investigate bone marrow edema (BME) lesions known to be associated with OA following MMPRTs. <i>Methods</i...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-11-01
|
| Series: | Medicina |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1648-9144/58/11/1601 |
| _version_ | 1797467339550097408 |
|---|---|
| author | Kyu Sung Chung Jeong Ku Ha Jin Seong Kim Jin Goo Kim |
| author_facet | Kyu Sung Chung Jeong Ku Ha Jin Seong Kim Jin Goo Kim |
| author_sort | Kyu Sung Chung |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: Root repair can prevent osteoarthritis (OA) by restoring hoop tension in medial meniscus posterior root tears (MMPRTs). This study aims to investigate bone marrow edema (BME) lesions known to be associated with OA following MMPRTs. <i>Methods</i>: Thirty patients with transtibial pull-out repair were recruited. Subchondral BME lesions were evaluated using magnetic resonance imaging (MRI) at 1-year follow-ups. Participants were categorized into three groups: no change of BME lesions (group one), improved BME lesions (group two) and worsened BME lesions (group three). Clinical scores and radiological outcomes, specifically Kellgren–Lawrence grade, medial joint space width and cartilage grade and meniscal extrusion were evaluated and compared between groups. <i>Results</i>: After surgery, twenty-three patients with no BME, three patients with BME lesions on the medial femoral condyle, one patient with BME lesions on the medial tibia plateau and three patients with BME lesions on both were investigated. A total of 20 patients in group one (66.7%) showed no change in BME lesions. In group two, seven patients (23.3%) presented with improved BME lesions. Only three patients (10%) showed worsened BME lesions (group three). Moreover, Lysholm scores and the rate of progression of cartilage grades were significantly worse in group three patients. Meniscal extrusion was significantly reduced in group two, whereas extrusion was significantly progressed in group three. <i>Conclusions</i>: Patients with worsened BME lesions showed less favorable outcomes than other patients. A decrease in meniscal extrusion can have a positive effect on BME lesions after root repair. |
| first_indexed | 2024-03-09T18:52:15Z |
| format | Article |
| id | doaj.art-c60f634a2f614b7fbbdd29ab748837e4 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-09T18:52:15Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-c60f634a2f614b7fbbdd29ab748837e42023-11-24T05:47:28ZengMDPI AGMedicina1010-660X1648-91442022-11-015811160110.3390/medicina58111601Changes in Bone Marrow Lesions Following Root Repair Surgery Using Modified Mason–Allen Stitches in Medial Meniscus Posterior Root TearsKyu Sung Chung0Jeong Ku Ha1Jin Seong Kim2Jin Goo Kim3Department of Orthopedic Surgery and Sports Medical Center, Sports Medical Research Institute, Seoul Paik Hospital, College of Medicine, Inje University, Seoul 04551, KoreaDepartment of Orthopedic Surgery and Sports Medical Center, Sports Medical Research Institute, Seoul Paik Hospital, College of Medicine, Inje University, Seoul 04551, KoreaDepartment of Sports Medical Center, Sports Medical Research Institute, Seoul Paik Hospital, College of Medicine, Inje University, Seoul 04551, KoreaDepartment of Orthopedic Surgery and Sports Center, Myong-Ji Hospital, Seoul 10475, Korea<i>Background and Objectives</i>: Root repair can prevent osteoarthritis (OA) by restoring hoop tension in medial meniscus posterior root tears (MMPRTs). This study aims to investigate bone marrow edema (BME) lesions known to be associated with OA following MMPRTs. <i>Methods</i>: Thirty patients with transtibial pull-out repair were recruited. Subchondral BME lesions were evaluated using magnetic resonance imaging (MRI) at 1-year follow-ups. Participants were categorized into three groups: no change of BME lesions (group one), improved BME lesions (group two) and worsened BME lesions (group three). Clinical scores and radiological outcomes, specifically Kellgren–Lawrence grade, medial joint space width and cartilage grade and meniscal extrusion were evaluated and compared between groups. <i>Results</i>: After surgery, twenty-three patients with no BME, three patients with BME lesions on the medial femoral condyle, one patient with BME lesions on the medial tibia plateau and three patients with BME lesions on both were investigated. A total of 20 patients in group one (66.7%) showed no change in BME lesions. In group two, seven patients (23.3%) presented with improved BME lesions. Only three patients (10%) showed worsened BME lesions (group three). Moreover, Lysholm scores and the rate of progression of cartilage grades were significantly worse in group three patients. Meniscal extrusion was significantly reduced in group two, whereas extrusion was significantly progressed in group three. <i>Conclusions</i>: Patients with worsened BME lesions showed less favorable outcomes than other patients. A decrease in meniscal extrusion can have a positive effect on BME lesions after root repair.https://www.mdpi.com/1648-9144/58/11/1601bone marrow lesionkneemeniscusroot tearroot repair |
| spellingShingle | Kyu Sung Chung Jeong Ku Ha Jin Seong Kim Jin Goo Kim Changes in Bone Marrow Lesions Following Root Repair Surgery Using Modified Mason–Allen Stitches in Medial Meniscus Posterior Root Tears Medicina bone marrow lesion knee meniscus root tear root repair |
| title | Changes in Bone Marrow Lesions Following Root Repair Surgery Using Modified Mason–Allen Stitches in Medial Meniscus Posterior Root Tears |
| title_full | Changes in Bone Marrow Lesions Following Root Repair Surgery Using Modified Mason–Allen Stitches in Medial Meniscus Posterior Root Tears |
| title_fullStr | Changes in Bone Marrow Lesions Following Root Repair Surgery Using Modified Mason–Allen Stitches in Medial Meniscus Posterior Root Tears |
| title_full_unstemmed | Changes in Bone Marrow Lesions Following Root Repair Surgery Using Modified Mason–Allen Stitches in Medial Meniscus Posterior Root Tears |
| title_short | Changes in Bone Marrow Lesions Following Root Repair Surgery Using Modified Mason–Allen Stitches in Medial Meniscus Posterior Root Tears |
| title_sort | changes in bone marrow lesions following root repair surgery using modified mason allen stitches in medial meniscus posterior root tears |
| topic | bone marrow lesion knee meniscus root tear root repair |
| url | https://www.mdpi.com/1648-9144/58/11/1601 |
| work_keys_str_mv | AT kyusungchung changesinbonemarrowlesionsfollowingrootrepairsurgeryusingmodifiedmasonallenstitchesinmedialmeniscusposteriorroottears AT jeongkuha changesinbonemarrowlesionsfollowingrootrepairsurgeryusingmodifiedmasonallenstitchesinmedialmeniscusposteriorroottears AT jinseongkim changesinbonemarrowlesionsfollowingrootrepairsurgeryusingmodifiedmasonallenstitchesinmedialmeniscusposteriorroottears AT jingookim changesinbonemarrowlesionsfollowingrootrepairsurgeryusingmodifiedmasonallenstitchesinmedialmeniscusposteriorroottears |