Arthroscopic Centralization Using Knotless Anchors for Extruded Medial Meniscus
The load-distributing function is most critical in meniscal function, and meniscal extrusion suggests failure of this function, leading to the progression of osteoarthritis. The arthroscopic centralization technique has been developed to reduce meniscal extrusion; however, existing arthroscopic tech...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-03-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628720303339 |
| _version_ | 1798032997896683520 |
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| author | Hideyuki Koga, M.D., Ph.D. Tomomasa Nakamura, M.D., Ph.D. Yusuke Nakagawa, M.D., Ph.D. Nobutake Ozeki, M.D., Ph.D. Toshiyuki Ohara, M.D., Ph.D. Mikio Shioda, M.D., Ph.D. Yuji Kohno, M.D., Ph.D. Masaki Amemiya, M.D., Ph.D. Ichiro Sekiya, M.D., Ph.D. |
| author_facet | Hideyuki Koga, M.D., Ph.D. Tomomasa Nakamura, M.D., Ph.D. Yusuke Nakagawa, M.D., Ph.D. Nobutake Ozeki, M.D., Ph.D. Toshiyuki Ohara, M.D., Ph.D. Mikio Shioda, M.D., Ph.D. Yuji Kohno, M.D., Ph.D. Masaki Amemiya, M.D., Ph.D. Ichiro Sekiya, M.D., Ph.D. |
| author_sort | Hideyuki Koga, M.D., Ph.D. |
| collection | DOAJ |
| description | The load-distributing function is most critical in meniscal function, and meniscal extrusion suggests failure of this function, leading to the progression of osteoarthritis. The arthroscopic centralization technique has been developed to reduce meniscal extrusion; however, existing arthroscopic techniques sometimes fail to reduce the most extruded region, especially in cases with a medial meniscus (MM) posterior root tear, in which the most extruded region is on the posterior border of the medial collateral ligament, which is very difficult to approach. This Technical Note describes an arthroscopic technique for extrusion of the MM in which a centralization technique using knotless anchors efficiently reduces the MM extrusion at the posteromedial part and consequently restores the MM function. This technique efficiently reduces MM extrusion and restores its function, thus preventing the progression of osteoarthritis. |
| first_indexed | 2024-04-11T20:23:12Z |
| format | Article |
| id | doaj.art-d869d6188df047bf99fa072dc820c488 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-04-11T20:23:12Z |
| publishDate | 2021-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-d869d6188df047bf99fa072dc820c4882022-12-22T04:04:46ZengElsevierArthroscopy Techniques2212-62872021-03-01103e639e645Arthroscopic Centralization Using Knotless Anchors for Extruded Medial MeniscusHideyuki Koga, M.D., Ph.D.0Tomomasa Nakamura, M.D., Ph.D.1Yusuke Nakagawa, M.D., Ph.D.2Nobutake Ozeki, M.D., Ph.D.3Toshiyuki Ohara, M.D., Ph.D.4Mikio Shioda, M.D., Ph.D.5Yuji Kohno, M.D., Ph.D.6Masaki Amemiya, M.D., Ph.D.7Ichiro Sekiya, M.D., Ph.D.8Department of Joint Surgery and Sports Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Japan; Department of Orthopaedic Surgery, Tokyo Medical and Dental University Hospital of Medicine, Bunkyo-ku, Japan; Address correspondence to Hideyuki Koga, M.D., Ph.D., Department of Joint Surgery and Sports Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan.Department of Joint Surgery and Sports Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Japan; Department of Orthopaedic Surgery, Tokyo Medical and Dental University Hospital of Medicine, Bunkyo-ku, JapanDepartment of Joint Surgery and Sports Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Japan; Department of Orthopaedic Surgery, Tokyo Medical and Dental University Hospital of Medicine, Bunkyo-ku, JapanDepartment of Orthopaedic Surgery, Tokyo Medical and Dental University Hospital of Medicine, Bunkyo-ku, JapanDepartment of Orthopaedic Surgery, Tokyo Medical and Dental University Hospital of Medicine, Bunkyo-ku, JapanDepartment of Orthopaedic Surgery, Tokyo Medical and Dental University Hospital of Medicine, Bunkyo-ku, JapanDepartment of Orthopaedic Surgery, Tokyo Medical and Dental University Hospital of Medicine, Bunkyo-ku, JapanDepartment of Joint Surgery and Sports Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Japan; Department of Orthopaedic Surgery, Tokyo Medical and Dental University Hospital of Medicine, Bunkyo-ku, JapanDepartment of Orthopaedic Surgery, Tokyo Medical and Dental University Hospital of Medicine, Bunkyo-ku, JapanThe load-distributing function is most critical in meniscal function, and meniscal extrusion suggests failure of this function, leading to the progression of osteoarthritis. The arthroscopic centralization technique has been developed to reduce meniscal extrusion; however, existing arthroscopic techniques sometimes fail to reduce the most extruded region, especially in cases with a medial meniscus (MM) posterior root tear, in which the most extruded region is on the posterior border of the medial collateral ligament, which is very difficult to approach. This Technical Note describes an arthroscopic technique for extrusion of the MM in which a centralization technique using knotless anchors efficiently reduces the MM extrusion at the posteromedial part and consequently restores the MM function. This technique efficiently reduces MM extrusion and restores its function, thus preventing the progression of osteoarthritis.http://www.sciencedirect.com/science/article/pii/S2212628720303339 |
| spellingShingle | Hideyuki Koga, M.D., Ph.D. Tomomasa Nakamura, M.D., Ph.D. Yusuke Nakagawa, M.D., Ph.D. Nobutake Ozeki, M.D., Ph.D. Toshiyuki Ohara, M.D., Ph.D. Mikio Shioda, M.D., Ph.D. Yuji Kohno, M.D., Ph.D. Masaki Amemiya, M.D., Ph.D. Ichiro Sekiya, M.D., Ph.D. Arthroscopic Centralization Using Knotless Anchors for Extruded Medial Meniscus Arthroscopy Techniques |
| title | Arthroscopic Centralization Using Knotless Anchors for Extruded Medial Meniscus |
| title_full | Arthroscopic Centralization Using Knotless Anchors for Extruded Medial Meniscus |
| title_fullStr | Arthroscopic Centralization Using Knotless Anchors for Extruded Medial Meniscus |
| title_full_unstemmed | Arthroscopic Centralization Using Knotless Anchors for Extruded Medial Meniscus |
| title_short | Arthroscopic Centralization Using Knotless Anchors for Extruded Medial Meniscus |
| title_sort | arthroscopic centralization using knotless anchors for extruded medial meniscus |
| url | http://www.sciencedirect.com/science/article/pii/S2212628720303339 |
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