Arthroscopy Tech 2017;6(5):e1919 e1925

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2 Arthroscopy Tech 2017;6(5):e1919 e1925

3 meniscal root tear repair is indicated in patients without osteoarthritis who have sustained an traumatic root tear associated or not with an ACL rupture

4 the technique proposed consists of root s attachment footprint and subsequent fixation of the meniscus through bone contact using 2 posterolateral portals it permits easy and strong fixation and obviates the need of a tibial hole

5

6 Table 2. Technical Pearls, Pitfalls and Risks

7 Table 2. Technical Pearls, Pitfalls and Risks

8 Table 2. Technical Pearls, Pitfalls and Risks

9 repair of posterior root tears in the lateral or medial meniscus using TT pullout sutures results in satisfactory return to previous activity (9,31)

10 1. Johnson DL, Swenson TM, Livesay GA, Aizawa H, Fu FH, Harner CD. Insertion-site anatomy of the human menisci: gross, arthroscopic, and topographical anatomy as a basis for meniscal transplantation. Arthroscopy 1995;11: Kohn D, Moreno B. Meniscus insertion anatomy as a basis for meniscus replacement: a morphological cadaveric study. Arthroscopy 1995;11: Ahn JH, Wang JH, Yoo JC. Arthroscopic all-inside suture repair of medial meniscus lesion in anterior cruciate ligament-deficient knees: results of second-look arthros- copies in 39 cases. Arthroscopy 2004;20: Brody JM, Hulstyn MJ, Fleming BC, Tung GA. The meniscal roots: gross anatomic correlation with 3-T MRI findings. AJR Am J Roentgenol 2007;188:W446-W Johannsen AM, Civitarese DM, Padalecki JR, Goldsmith MT, Wijdicks CA, Laprade RF. Qualitative and quantitative anatomic analysis of the posterior root at- tachments of the medial and lateral menisci. Am J Sports Med 2012;40: Kim JH, Shin DE, Dan JM, Nam KS, Ahn TK, Lee DH. Arthroscopic suture anchor repair of posterior root attachment injury in medial meniscus: technical note. Arch Orthop Trauma Surg 2009;129: Kale A, Kopuz C, Dikici F, Demir MT, Corumlu U, Ince Y. Anatomic and arthroscopic study of the medial meniscal horns insertions. Knee Surg Sports Traumatol Arthrosc 2010;18: Moatshe G, Chahla J, Slette E, Engebretsen L, Laprade RF. Posterior meniscal root injuries. Acta Orthop 2016;87: Ahn JH, Lee YS, Yoo JC, Chang MJ, Park SJ, Pae YR. Results of arthroscopic all-inside repair for lateral meniscus root tear in patients undergoing concomitant anterior cruciate liga- ment reconstruction. Arthroscopy 2010;26: Anderson L, Watts M, Shapter O, et al. Repair of radial tears and posterior horn detachments of the lateral meniscus: minimum 2-year follow-up. Arthroscopy 2010;26: Feucht MJ, Bigdon S, Mehl J, et al. Risk factors for pos- terior lateral meniscus root tears in anterior cruciate lig- ament injuries. Knee Surg Sports Traumatol Arthrosc 2014;23: Pagnani MJ, Cooper DE, Warren RF. Extrusion of the medial meniscus. Arthroscopy 1991;7: Ahn JH, Oh I. Arthroscopic all-inside lateral meniscus suture using posterolateral portal. Arthroscopy 2006;22: 572.e1-572.e Allaire R, Muriuki M, Gilbertson L, Harner CD. Biome- chanical consequences of a tear of the posterior root of the medial meniscus. Similar to total meniscectomy. J Bone JointSurg Am 2008;90: Vyas D, Harner CD. Meniscus root repair. Sports Med Arthrosc2012;20: Nha KW, Lee YS, Hwang DH, et al. Second-look arthro- scopic findings after open-wedge high tibia osteotomy focusing on the posterior root tears of the medial meniscus. Arthroscopy 2013;29: Krych AJ, Reardon PJ, Johnson NR, et al. Non-operative management of medial meniscus posterior horn root tears is associated with worsening arthritis and poor clinical outcome at 5-year follow-up. Knee Surg Sports Traumatol Arthrosc2017;25: Forkel P, Reuter S, Sprenker F, et al. Different patterns of lateral meniscus root tears in ACL injuries: application of a differentiated classification system. Knee Surg Sports Trau- matol Arthrosc2015;23: Geeslin AG, Civitarese D, Turnbull TL, Dornan GJ, Fuso FA, LaPrade RF. Influence of lateral meniscal pos- terior root avulsions and the meniscofemoral ligaments on tibiofemoral contact mechanics. Knee Surg Sports Traumatol Arthrosc2015;24: Bhatia S, LaPrade CM, Ellman MB, LaPrade RF. Meniscal root tears: significance, diagnosis, and treatment. Am J Sports Med 2014;42: Morin WD, Steadman JR. Arthroscopic assessment of the posterior compartments of the knee via the intercondylar notch: the arthroscopist s field of view. Arthroscopy 1993;9: Tolin BS, Sapega AA. Arthroscopic visual field mapping at the periphery of the medial meniscus: a comparison of different portal approaches. Arthroscopy 1993;9: Lubowitz JH, Rossi MJ, Baker BS, Guttmann D. Arthro- scopic visualization of the posterior compartments of the knee. Arthroscopy 2004;20: Makridis KG, WajsfiszA, Agrawal N, Basdekis G, Djian P. Neurovascular anatomic relationships to arthroscopic posterior and transseptal portals in different knee posi- tions. Am J Sports Med 2013;41: Ohishi T, Takahashi M, Suzuki D, Matsuyama Y. Arthroscopic approach to the posterior compartment of the knee using a posterior transseptal portal. World J Orthop 2015;6: Ropke EF, Kopf S, Drange S, Becker R, Lohmann CH, Starke C. Biomechanical evaluation of meniscal root

11 repair: a porcine study. Knee Surg Sports Traumatol Arthrosc 2015;23: Marzo JM, Gurske-DePerio J. Effects of medial meniscus posterior horn avulsion and repair on tibiofemoral contact area and peak contact pressure with clinical implications. Am J Sports Med 2009;37: Schillhammer CK, Werner FW, Scuderi MG, Cannizzaro JP. Repair of lateral meniscus posterior horn detachment lesions: a biomechanical evaluation. Am J Sports Med 2012;40: Starke C, Kopf S, Grobel KH, Becker R. The effect of a nonanatomic repair of the meniscal horn attachment on meniscal tension: a biomechanical study. Arthroscopy 2010;26: Shino K, Hamada M, Mitsuoka T, Kinoshita H, Toritsuka Y. Arthroscopic repair for a flap tear of the posterior horn of the lateral meniscus adjacent to its tibial insertion. Arthroscopy 1995;4: Lee JH, Lim YJ, Kim KB, Kim KH, Song JH. Arthroscopic pullout suture repair of posterior root tear of the medial meniscus: radiographic and clinical results with a 2-year follow-up. Arthroscopy 2009;25: Feucht MJ, Grande E, Brunhuber J, et al. Biomechanical comparison between suture anchor and transtibial pull- out repair for posterior medial meniscus root tears. Am J Sports Med 2014;42: Barber FA, Herbert MA, Hapa O, et al. Biomechanical analysis of the pullout strength of rotator cuff and glenoid anchors: 2011 update. Arthroscopy 2011;27: Forkel P, Foehr P, Meyer JC, et al. Biomechanical and viscoelastic properties of different posterior meniscal root fixation techniques. Knee Surg Sports Traumatol Arthrosc 2017;25: Kim JH, Chung JH, Lee DH, Lee YS, Kim JR, Ryu KJ. Arthroscopic suture anchor repair versus pullout suture repair in posterior root tear of the medial meniscus: a prospective comparison study. Arthroscopy 2011;27: Jung YH, Choi NH, Oh JS, Victoroff BN. All-inside repair for a root tear of the medial meniscus using a suture an- chor. Am J Sports Med 2012;40: Prasathaporn N, Kuptniratsaikul S, Kongrukgreatiyos K. Arthroscopic lateral meniscus root repair with soft suture anchor technique. ArthroscTech 2013;2: Seo HS, Lee SC, Jung KA. Second-look arthroscopic findings after repairs of posterior root tears of the medial meniscus. Am J Sports Med 2011;39: Jung WH, Kim DH, Chun CW, Lee JH, Ha JH, Jeong JH. Arthroscopic, suture anchor repair through a novel medial quadriceptalportal for medial meniscal root tear. Knee Surg Sports Traumatol Arthrosc 2012;20: Moon HK, Koh YG, Kim YC, Park YS, Jo SB, Kwon SK. Prognostic factors of arthroscopic pull-out repair for a posterior root tear of the medial meniscus. AmJ Sports Med 2012;40: Kim SB, Ha JK, Lee SW, et al. Medial meniscus root tear refixation: comparison of clinical, radiologic, and arthro- scopic findings with medial meniscectomy. Arthroscopy 2011;27:

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