Arthroscopic Direct Repair for a Complete Radial Tear of the Posterior Root of the Medial Meniscus.
10.4055/cios.2011.3.4.332
- Author:
Kook Hyun WANG
1
;
Dae Hee HWANG
;
Jin Ho CHO
;
Sachin D CHANGALE
;
Sung Jong WOO
;
Kyung Wook NHA
Author Information
1. Department of Orthopaedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea. kwnhamj@hotmail.com
- Publication Type:Original Article
- Keywords:
Radial tear;
Medial meniscus posterior root;
Direct repair;
Arthroscopy
- MeSH:
Arthroscopy/methods;
Humans;
Menisci, Tibial/*injuries/*surgery;
Middle Aged;
Rupture/surgery
- From:Clinics in Orthopedic Surgery
2011;3(4):332-335
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report here on a new arthroscopic direct repair technique for a radial tear of the posterior root of the medial meniscus (PRMM) using a posterior trans-septal portal. Radial tears of the PRMM are commonly observed in the elderly population of Korea and Japan, and the life style of these people requires squatting and kneeling down in daily life. A radial tear of the PRMM results in the loss of hoop tension and this accelerates degenerative changes in the knee joint and causes early osteoarthritis. Several reports in the medical literature have focused on various repair techniques for these tears by using pull out sutures. These techniques result in nonanatomic fixation of the meniscus, which may lead to disturbed meniscal excursion and failure to restore hoop tension. Arthroscopic direct repair may contribute to restoring hoop tension and preventing accelerated degenerative changes in the knee joint of these patients.
