Arthroscopy Techniques · 2022 · 13 citations · 35 references
MedicineOrthopaedic SurgeryOrthopedic SurgeryCartilage RepairOrthopedic BiomechanicsOrthopedicsJoint SurgeryKnee BiomechanicsKnee InjuriesMeniscal InjuriesOsteoarthritisAll-suture Anchor RepairKnee Joint LoadingKnee Joint MechanicsKnee MeniscectomyMeniscal PathologyMeniscal Root TearsSuture Anchor Fixation
Meniscus root tears are increasingly being recognized and treated because of improved awareness and diagnostics. These injuries commonly occur in combination with knee ligament injuries. Untreated posterior meniscus root teats have been demonstrated to increase contact pressure and decrease contact area, ultimately leading to unfavorable joint loading and development of early osteoarthritis. Posterior lateral meniscus root tears (PLMRTs) also have been reported to increase anterior tibial translation and pivot shift in anterior cruciate ligament-deficient knees. Therefore, it is crucial to repair meniscal root tears when possible to restore knee joint loading and kinematics. Several techniques for repair of the PLMRT have been described. In this Technical Note, we describe our preferred technique for repair of PLMRT using an all-suture anchor. This technique is reproducible, does not need a tunnel, mitigates bungee effect of transtibial technique, and the anchor can easily be inserted on the footprint without a need for a guide.
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Christopher M. LaPrade, Evan W. James, Tyler R. Cram et al. · The American Journal of Sports Medicine · 2014 · 408 citations