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Patterns and Influencing Factors of Medial Meniscus Tears in Varus Knee Osteoarthritis
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논문 기본 정보

Type
Academic journal
Author
Journal
대한슬관절학회 Knee Surgery and Related Research Knee Surgery and Related Research 제28권 제2호 KCI Accredited Journals
Published
2016.1
Pages
142 - 146 (5page)

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Patterns and Influencing Factors of Medial Meniscus Tears in Varus Knee Osteoarthritis
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purpose: To investigate the patterns of medial meniscus (MM) tears in patients with varus knee osteoarthritis who underwent total knee arthroplasty and analyze the factors that could affect MM tears.materials and methods: The patients (365 knees, 268 patients) were classified into three groups; group I with MM posterior horn (PH) tear only; group II with MM root tear only; and group III with MMPH plus root tear. The following factors were evaluated: age, gender, body mass index, varus deviation of the mechanical axis, medial proximal tibial angle, posterior tibial slope (PTS), and anterior cruciate ligament (ACL) integrity (normal, degeneration, and tear or absence).results: MM tears were identified in all knees. The patterns of the combined MMPH tears in group III were less complex than those in group I. Varus deviation and PTS were significantly greater in group III than groups I and II. In group III, there were significantly more cases of ACL tear or absence than groups I and II. The others showed no differences among three groups.conclusions: Severe varus knee osteoarthritis was always accompanied by MM tears. Risk factors for MMPH plus root tears were severe varus deformity, great PTS, and ACL tear or absence.
#Knee #osteoarthritis #varus #medial meniscus #tear

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References (16)

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Bessette GC / 1992 / The meniscus / Orthopedics 15:35~42 google schola Fukuda Y / 2000 / Impact load transmission of the knee joint-influence of leg alignment and the role of meniscus and articular cartilage / Clin Biomech(Bristol, Avon) 15:516~521 google schola Walker PS / 1975 / The role of the menisci in force transmission across the knee / Clin Orthop Relat Res (109):184~192 google schola Allaire R / 2008 / Similar to total meniscectomy / J Bone Joint Surg Am 90:1922~1931 google schola Bin SI / 2004 / Radial tears of the posterior horn of the medial meniscus / Arthroscopy 20:373~378 google schola

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