Novel Posterior Anchoring Method Associated With Medial Meniscus Posterior Root Repair

IF 0.2 Q4 ORTHOPEDICS
Y. Okazaki, T. Furumatsu, T. Hiranaka, Keisuke Kintaka, Ximing Zhang, Yuya Kodama, Yusuke Kamatsuki, Tadashi Yamawaki, Toshifumi Ozaki
{"title":"Novel Posterior Anchoring Method Associated With Medial Meniscus Posterior Root Repair","authors":"Y. Okazaki, T. Furumatsu, T. Hiranaka, Keisuke Kintaka, Ximing Zhang, Yuya Kodama, Yusuke Kamatsuki, Tadashi Yamawaki, Toshifumi Ozaki","doi":"10.1097/BTO.0000000000000570","DOIUrl":null,"url":null,"abstract":"Introduction: Transtibial pullout repair is the gold standard surgical treatment for medial meniscus (MM) posterior root tear. However, posteromedial extrusion of the MM during knee flexion may remain a problem postoperatively. Materials and Methods: We used a novel posterior anchoring technique to help reduce posteromedial extrusion, applying two cinch sutures (TCSs) to the MM posterior horn and creating a bone tunnel at the center of the posterior root attachment to pullout the suture. Another bone tunnel was created at the posterior corner of the medial tibial plateau in the externally rotated knee flexion. The first anchor of an all-inside meniscal repair device was inserted through the inferior surface of the MM posterior horn with tensioning TCS and the second anchor into the bone tunnel. Tibial fixation of pullout sutures was performed using a bioabsorbable screw in 30 degrees knee flexion. Conclusions: Our posterior anchoring method, combined with conventional pullout repair with TCS, helped reduce posteromedial extrusion in patients with a MM posterior root tear.","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":"2015 1","pages":"175 - 180"},"PeriodicalIF":0.2000,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Techniques in Orthopaedics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/BTO.0000000000000570","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 1

Abstract

Introduction: Transtibial pullout repair is the gold standard surgical treatment for medial meniscus (MM) posterior root tear. However, posteromedial extrusion of the MM during knee flexion may remain a problem postoperatively. Materials and Methods: We used a novel posterior anchoring technique to help reduce posteromedial extrusion, applying two cinch sutures (TCSs) to the MM posterior horn and creating a bone tunnel at the center of the posterior root attachment to pullout the suture. Another bone tunnel was created at the posterior corner of the medial tibial plateau in the externally rotated knee flexion. The first anchor of an all-inside meniscal repair device was inserted through the inferior surface of the MM posterior horn with tensioning TCS and the second anchor into the bone tunnel. Tibial fixation of pullout sutures was performed using a bioabsorbable screw in 30 degrees knee flexion. Conclusions: Our posterior anchoring method, combined with conventional pullout repair with TCS, helped reduce posteromedial extrusion in patients with a MM posterior root tear.
新型后锚定方法与内侧半月板后根修复相关
简介:经胫骨拔出修复术是治疗内侧半月板后根撕裂的金标准手术方法。然而,膝关节屈曲时MM的后内侧挤压可能仍然是一个术后问题。材料和方法:我们使用了一种新的后路锚固技术来帮助减少后内侧挤压,在MM后角处应用两根夹缝(TCSs),并在后根附着体中心建立骨隧道以拔出缝合线。在膝关节外旋屈曲时,在胫骨平台内侧后角处建立另一个骨隧道。全内半月板修复装置的第一个锚点通过MM后角的下表面通过张力TCS插入,第二个锚点进入骨隧道。在膝关节屈曲30度时,使用生物可吸收螺钉对拔出缝合线进行胫骨固定。结论:我们的后牙锚定方法,结合传统的TCS拔牙修复,有助于减少MM后根撕裂患者的后内侧挤压。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
0.60
自引率
0.00%
发文量
31
期刊介绍: The purpose of Techniques in Orthopaedics is to provide information on the latest orthopaedic procedure as they are devised and used by top orthopaedic surgeons. The approach is technique-oriented, covering operations, manipulations, and instruments being developed and applied in such as arthroscopy, arthroplasty, and trauma. Each issue is guest-edited by an expert in the field and devoted to a single topic.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信