BACKGROUND: There are no published articles reporting clinical outcomes after all-inside meniscal repair using a suture anchor for a medial meniscal root tear. PURPOSE: To evaluate the subjective and objective outcomes after repair of medial meniscal root tears. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Thirteen patients with a root tear of the medial meniscus underwent all-inside repair using a suture anchor. Postoperative evaluation of meniscal status was performed using physical examination criteria, specifically joint line tenderness, McMurray test, and follow-up magnetic resonance imaging (MRI). Functional evaluations were performed using Tegner activity level and Lysholm knee score. Follow-up MRI scans were obtained 6 months postoperatively to evaluate healing of the root tear and measure extrusion of the midbody of the medial meniscus. RESULTS: The average follow-up was 30.8 months (range, 24-40 months). No patients had joint line tenderness or effusion. No patients demonstrated a positive McMurray test result postoperatively. The preoperative mean Tegner activity level was 1.9 (range, 1-6), and the mean Lysholm score was 69.1 (range, 53-91). At last follow-up, the mean Tegner activity level was 3.9 (range, 2-6), and the mean Lysholm score was 90.3 (range, 75-100). Improvements in both the Tegner activity level and Lysholm score were statistically significant (P = .001 and P = .000, respectively). Follow-up MRI was performed in 10 patients. Five (50%) patients showed complete healing; 2 of these 5 patients showed complete healing with isointense signal of a normal meniscus, and 3 showed intermediate signal tissue at the previous tear site without any high signal cleft or ghost sign. Four (40%) patients showed partial healing, and 1 (10%) showed no healing. Mean extrusion of the midbody of the medial meniscus was 3.9 mm (range, 2.2-7.1 mm) preoperatively and 3.5 mm (range, 1.2-6.1 mm) postoperatively. Extrusion was not significantly decreased. CONCLUSION: This study demonstrated symptomatic improvement after meniscal root repair using a suture anchor. However, follow-up MRI scans did not show complete healing of all repaired root tears.
BACKGROUND: There are no published articles reporting clinical outcomes after all-inside meniscal repair using a suture anchor for a medial meniscal root tear. PURPOSE: To evaluate the subjective and objective outcomes after repair of medial meniscal root tears. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Thirteen patients with a root tear of the medial meniscus underwent all-inside repair using a suture anchor. Postoperative evaluation of meniscal status was performed using physical examination criteria, specifically joint line tenderness, McMurray test, and follow-up magnetic resonance imaging (MRI). Functional evaluations were performed using Tegner activity level and Lysholm knee score. Follow-up MRI scans were obtained 6 months postoperatively to evaluate healing of the root tear and measure extrusion of the midbody of the medial meniscus. RESULTS: The average follow-up was 30.8 months (range, 24-40 months). No patients had joint line tenderness or effusion. No patients demonstrated a positive McMurray test result postoperatively. The preoperative mean Tegner activity level was 1.9 (range, 1-6), and the mean Lysholm score was 69.1 (range, 53-91). At last follow-up, the mean Tegner activity level was 3.9 (range, 2-6), and the mean Lysholm score was 90.3 (range, 75-100). Improvements in both the Tegner activity level and Lysholm score were statistically significant (P = .001 and P = .000, respectively). Follow-up MRI was performed in 10 patients. Five (50%) patients showed complete healing; 2 of these 5 patients showed complete healing with isointense signal of a normal meniscus, and 3 showed intermediate signal tissue at the previous tear site without any high signal cleft or ghost sign. Four (40%) patients showed partial healing, and 1 (10%) showed no healing. Mean extrusion of the midbody of the medial meniscus was 3.9 mm (range, 2.2-7.1 mm) preoperatively and 3.5 mm (range, 1.2-6.1 mm) postoperatively. Extrusion was not significantly decreased. CONCLUSION: This study demonstrated symptomatic improvement after meniscal root repair using a suture anchor. However, follow-up MRI scans did not show complete healing of all repaired root tears.
Authors: Santiago Pache; Zachary S Aman; Mitchell Kennedy; Gilberto Y Nakama; Gilbert Moatshe; Connor Ziegler; Robert F LaPrade Journal: Arch Bone Jt Surg Date: 2018-07
Authors: Matthias J Feucht; Philipp Minzlaff; Tim Saier; Andreas Lenich; Andreas B Imhoff; Stefan Hinterwimmer Journal: Knee Surg Sports Traumatol Arthrosc Date: 2013-03-01 Impact factor: 4.342
Authors: Lauren M Matheny; Andrew C Ockuly; J Richard Steadman; Robert F LaPrade Journal: Knee Surg Sports Traumatol Arthrosc Date: 2014-05-28 Impact factor: 4.342
Authors: Daniel J Kaplan; Erin F Alaia; Andrew P Dold; Robert J Meislin; Eric J Strauss; Laith M Jazrawi; Michael J Alaia Journal: Knee Surg Sports Traumatol Arthrosc Date: 2017-11-02 Impact factor: 4.342