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Medial Meniscus Posterior Root Tear: A Comprehensive Review
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논문 기본 정보

Type
Academic journal
Author
Journal
대한슬관절학회 Knee Surgery and Related Research Knee Surgery and Related Research 제26권 제3호 KCI Accredited Journals
Published
2014.1
Pages
125 - 134 (10page)

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Medial Meniscus Posterior Root Tear: A Comprehensive Review
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Abstract· Keywords

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Damage to the medial meniscus root, for example by a complete radial tear, destroys the ability of the knee to withstand hoop strain, resulting in contact pressure increases and kinematic alterations. For these reasons, several techniques have been developed to repair the medial meniscus posterior root tear (MMPRT), many of which have shown complete healing of the repaired MMPRT. However, efforts to standardize or optimize the treatment for MMPRT are much needed. When planning a surgical intervention for an MMPRT, strict surgical indications regarding the effect of pullout strength on the refixed root, bony degenerative changes, mechanical alignment, and the Kellgren-Lawrence grade should be considered. Although there are several treatment options and controversies, the current trend is to repair the MMPRT using various techniques including suture anchors and pullout sutures if the patient meets the indications. However, there are still debates on the restoration of hoop tension and prevention of arthritis after repair and further biomechanical and clinical studies should be conducted in the future. The aim of this article was to review and summarize the recent literature regarding various diagnosis and treatment strategies of MMPRT, especially focusing on conflict issues including whether repair techniques can restore the main function of normal meniscus and which is the best suture technique to repair the MMPRT. The authors attempted to provide a comprehensive review of previous studies ranging from basic science to current surgical techniques.
#Knee #Medial meniscus #Root tear #Suture techniques

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References (24)

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Allaire R / 2008 / Biomechanical consequences of a tear of the posterior root of the medial meniscus. Similar to total meniscectomy / J Bone Joint Surg Am 90 : 1922 ~ 1931 google schola Bae JH / 2013 / Predictive value of painful popping for a posterior root tear of the medial meniscus in middle-aged to older Asian patients / Arthroscopy 29 : 545 ~ 549 google schola Bin SI / 2004 / Radial tears of the posterior horn of the medial meniscus / Arthroscopy 20 : 373 ~ 378 google schola Guermazi A / 2013 / Medial posterior meniscal root tears are associated with development or worsening of medial tibiofemoral cartilage damage : the multicenter osteoarthriti google schola Habata T / 2004 / Clinical features of the posterior horn tear in the medial meniscus / Arch Orthop Trauma Surg 124 : 642 ~ 645 google schola

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