Medial Meniscus Posterior Root Tear: A Comprehensive Review
The Journal of Korean Knee Society
; : 125-134, 2014.
Article
en En
| WPRIM
| ID: wpr-759146
Biblioteca responsable:
WPRO
ABSTRACT
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.
Palabras clave
Texto completo:
1
Banco de datos:
WPRIM
Asunto principal:
Artritis
/
Suturas
/
Meniscos Tibiales
/
Técnicas de Sutura
/
Diagnóstico
/
Anclas para Sutura
/
Rodilla
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
Idioma:
En
Revista:
The Journal of Korean Knee Society
Año:
2014
Tipo del documento:
Article