Loop-Post Construct, A Novel Technique for Medial Meniscus Root Repair

Document Type : TECHNICAL NOTE

Authors

1 Bone and Joint Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

2 2 Department of Orthopedics, Tehran University of Medical Sciences, Tehran, Iran 3 Department of Orthopedics, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

3 Department of Orthopedics, Tehran University of Medical Sciences, Tehran, Iran

Abstract

Surgical reattachment of medial meniscus posterior root tear (MMPRT) with transtibial sutures can delay the presence
of medial knee joint compartment osteoarthritis. Most suture configurations are placed five mm away from the torn
margin in the meniscal substance which is already degenerated and may decrease the pull out strengths of repair
construct. The number of meniscus penetration may also be important considering meniscus tissue damage with more
complex suture techniques impose the risk of suture cut out through the meniscus substance.
We introduce our loop postsuture construct technique which is simple, cheap and reproducible.
Level of evidence: V

Keywords

References

1. Padalecki JR, Jansson KS, Smith SD, Dornan GJ, Pierce
CM, Wijdicks CA, et al. Biomechanical consequences
of a complete radial tear adjacent to the medial
meniscus posterior root attachment site: in situ pullout
repair restores derangement of joint mechanics.
The American journal of sports medicine. 2014;
42(3):699-707.
2. Pache S, Aman ZS, Kennedy M, Nakama GY, Moatshe G,
Ziegler C, et al. Meniscal root tears: current concepts
review. Archives of Bone and Joint Surgery. 2018;
6(4):250.
3. Seo HS, Lee SC, Jung KA. Second-look arthroscopic
findings after repairs of posterior root tears of the
medial meniscus. The American journal of sports
medicine. 2011; 39(1):99-107.
4. Moon HK, Koh YG, Kim YC, Park YS, Jo SB, Kwon SK.
Prognostic factors of arthroscopic pull-out repair
for a posterior root tear of the medial meniscus.
The American journal of sports medicine. 2012;
40(5):1138-43...
5. Papalia R, Vasta S, Franceschi F, D’Adamio S, Maffulli
N, Denaro V. Meniscal root tears: from basic science
to ultimate surgery. British medical bulletin. 2013;
106(1):91-115...
6. Feucht MJ, Grande E, Brunhuber J, Burgkart R, Imhoff
AB, Braun S. Biomechanical evaluation of different
suture techniques for arthroscopic transtibial pullout
repair of posterior medial meniscus root tears.
The American journal of sports medicine. 2013;
41(12):2784-90.
7. Feucht MJ, Grande E, Brunhuber J, Rosenstiel N,
Burgkart R, Imhoff AB, et al. Biomechanical evaluation
of different suture materials for arthroscopic
transtibial pull-out repair of posterior meniscus
root tears. Knee Surgery, Sports Traumatology,
Arthroscopy. 2015; 23(1):132-9.
8. LaPrade RF, LaPrade CM, Ellman MB, Turnbull TL,
Cerminara AJ, Wijdicks CA. Cyclic displacement after
meniscal root repair fixation: a human biomechanical
evaluation. The American journal of sports medicine.
2015; 43(4):892-8...
9. Kim YM, Joo YB. Pullout failure strength of the
posterior horn of the medial meniscus with root
ligament tear. Knee Surgery, Sports Traumatology,
Arthroscopy. 2013; 21(7):1546-52.
10. Kopf S, Colvin AC, Muriuki M, Zhang X, Harner CD.
Meniscal root suturing techniques: implications
for root fixation. The American journal of sports
medicine. 2011; 39(10):2141-6.
The Archives of Bone and Joint Surgery
Volume 8, Issue 4
July 2020
Pages 544-548

Files

History

  • Receive Date: 09 November 2019
  • Accept Date: 25 January 2020

Share

How to cite

Statistics