A new surgical technique for arthroscopic repair of the meniscus root tear

Injury of the meniscal root can lead to meniscal extrusion and loss of normal hoop stress distribution by the meniscus. This has been shown to result in an excessive tibiofemoral contact pressures and has been associated with development of arthritis in the affected compartment of the knee. Repair o...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2009-12, Vol.17 (12), p.1433-1436
Main Authors: Nicholas, Stephen J., Golant, Alexander, Schachter, Aaron K., Lee, Steven J.
Format: Article
Language:English
Subjects:
Arthritis
Arthroscopy - methods
Humans
Injuries
Knee
Knees
Ligaments
Medicine
Medicine & Public Health
Menisci, Tibial - surgery
Orthopedics
Sports
Stress
Surgery
Surgical techniques
Suture Techniques
Techniques
Tibial Meniscus Injuries
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Summary:Injury of the meniscal root can lead to meniscal extrusion and loss of normal hoop stress distribution by the meniscus. This has been shown to result in an excessive tibiofemoral contact pressures and has been associated with development of arthritis in the affected compartment of the knee. Repair of meniscal root avulsion has been shown to restore the normal contact stresses, and several techniques for such repair have been described. We report an all-arthroscopic technique that allows anatomic reattachment of the avulsed meniscal root, applicable to both the medial or lateral menisci. Our technique utilizes a novel retrograde reaming device to create a small intraosseous socket at the meniscal tibial attachment, and may be particularly useful for repairing meniscal root avulsions in knees with multiligamentous injuries.
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-009-0874-1