Feucht MJ, Kühle J, Bode G, Mehl J, Schmal H, Südkamp NP, Niemeyer P. Arthroscopic Transtibial Pullout Repair for Posterior Medial Meniscus Root Tears: A Systematic Review of Clinical, Radiographic, and Second-Look Arthroscopic Results. medial meniscus root tears. Am J Spor ts Med. Transtibial pullout repair for the medial meniscus (MM) posterior root tear has become the gold standard. Another surgical option is to partially or completely remove the meniscus. N2 - Purpose: The purpose of this study was to compare the load-to-failure of different common suturing techniques with a new technique for the medial meniscus posterior root tear (MMPRT). 12. 42(1):187–193. Transtibial Pullout Repair Reduces Posterior Extrusion of the Medial Meniscus. 2 No. However, an optimal repair technique has not yet been established for MM posterior horn (MMPH) tear with a sufficient root remnant. Twenty-eight patients with symptomatic medial meniscus posterior root tear were included. Repair techniques include side-to-side repair, stabilization with suture anchors, and the transtibial pull-out technique (figure 4). 13. The two-simple-stitches (TSS) method of suture fixation is shown. To assess the effects of transtibial pullout repair for medial meniscus posterior root tears (MMPRTs) among patients with early osteoarthritis of the knee as measured by the meniscus healing score and to determine whether the meniscus healing score correlates with the International Cartilage Repair Society (ICRS) grade progression. Surgical repair has been described with excellent results using a transtibial tunnel pull-out technique, with anatomic reduction of the meniscus and fixation on the anterior tibia. Referring to previous cadaveric studies, transtibial pullout repair using a single tibial tunnel for MM fixation was performed. Indications for Surgery Patients who are poor surgical candidates (multiple comorbidities or advanced age) have severe osteoar- The two most common surgical procedures are suture anchor repair and transtibial pullout repair. Radiographics, 36(6): 1792-1806, 2016 Oct. 5. ... We evaluated medial meniscus posterior extrusion before and after pullout repair for medial meniscus posterior root tear using magnetic resonance images. Methods: Thirty porcine medial menisci were randomly assigned to three suturing techniques used for transtibial pullout repair of the MMPRT (n = 10 per group). Fig 6 Illustration of the transtibial pullout repair technique for a tear of the posteromedial meniscal root of the right knee. a variety of repair strategies to restore meniscal func-tion.2,5,6 The purpose of this technical note was to describe the procedure for posterior meniscal root repair using a transtibial double tunnel pullout technique. Postoperative Imaging for Transtibial Pullout Repair. 2 nonabsorbable sutures are passed throughout meniscal roots and later pull throughout transtibial bone tunnel drilled at center of ntire posterior root of medial meniscus. anchor and transtibial pull-out repair for posterior. 4 . The anterior and posterior sutures are shuttled down their respective tunnels. Both are performed arthroscopically and are done by either suturing the meniscus root back in place or tunneling through the bone to tie the meniscus back to the tibia. We describe a pullout repair technique associated with a bridging suture using FiberLink (Arthrex, Naples, FL) for the MMPH tear. Feucht MJ, Grande E, Brunhuber J, Rosenstiel. Figure 4: Illustration of the transtibial pullout repair for a tear of the posterior horn medial meniscal root (arrow). A complete radial tear is located 3 mm from the bony attachment. Figure 2: Transtibial pull-out repair technique used single transtibial bone tunnel . 20 PATIENTS AND METHODS:
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