Arthroscopic Linear Chain Fixation for the Treatment of Medial Meniscus Posterior Root Tear: A Case Study
Jing-qing Chen, Hai-yun Niu, Ming Li, Zhen-yue Dong, Ju-yuan Gu, Wei-xia Bai, Bai-cheng Chen
Arthroscopic Linear Chain Fixation for the Treatment of Medial Meniscus Posterior Root Tear: A Case Study
Background: The repair and reconstruction of medial meniscus posterior root tears (MMPRTs) is an important issue in the field of orthopedic sports medicine. This study reports the first application of arthroscopic linear chain fixation for the treatment of MMPRTs.
Case presentation: A 78-year-old female patient presented with a 1.5-month history of right knee pain accompanied by a locked facet joint. The patient underwent surgery with the new linear chain fixation method. In this method, the suture and the loop part of the buckle-strap titanium plate were combined into a linear chain mechanical complex, and the tension of the posterior root stump was gradually increased by pulling on the two attachment lines at the external mouth of the tibial tunnel. The postoperative Lysholm score was 89, and the visual analogue scale score was 0.9, indicating a significant improvement in knee joint function. At the 7-month and 1-year post-surgery follow-up, physical and MRI examinations confirmed satisfactory healing of the MMPRTs.
Conclusion: This surgical approach offers several benefits, including a simplified instrumentation setup, preservation of natural anatomical structures, and reliable residual stump fixation. It has the potential for clinical implementation.
Arthroscopy / Medial meniscus / Meniscus posterior root tear / Repair surgery
[1] |
Gee SM, Posner M. Meniscus anatomy and basic science. Sports Med Arthrosc Rev. 2021;29(3):e18–e23.
CrossRef
Google scholar
|
[2] |
Battistelli M, Favero M, Burini D, Trisolino G, Dallari D, de Franceschi L, et al. Morphological and ultrastructural analysis of normal, injured and osteoarthritic human knee menisci. Eur J Histochem. 2019;63(1):2998.
CrossRef
Google scholar
|
[3] |
Ozeki N, Koga H, Sekiya I. Degenerative meniscus in knee osteoarthritis: from pathology to treatment. Life (Basel). 2022;12(4):603.
CrossRef
Google scholar
|
[4] |
Olivotto E, Belluzzi E, Pozzuoli A, Cigolotti A, Scioni M, Goldring SR, et al. Do synovial inflammation and meniscal degeneration impact clinical outcomes of patients undergoing arthroscopic partial meniscectomy? A histological study. Int J Mol Sci. 2022;23(7):3903.
CrossRef
Google scholar
|
[5] |
Scanzello CR, McKeon B, Swaim BH, DiCarlo E, Asomugha EU, Kanda V, et al. Synovial inflammation in patients undergoing arthroscopic meniscectomy: molecular characterization and relationship to symptoms. Arthritis Rheum. 2011;63(2):391–400.
CrossRef
Google scholar
|
[6] |
Olivotto E, Trisolino G, Belluzzi E, Lazzaro A, Strazzari A, Pozzuoli A, et al. Macroscopic synovial inflammation correlates with symptoms and cartilage lesions in patients undergoing arthroscopic partial meniscectomy: a clinical study. J Clin Med. 2022;11(15):4330.
CrossRef
Google scholar
|
[7] |
Niu EL, Lee RJ, Joughin E, Finlayson CJ, Heyworth BE. Discoid Meniscus. Clin Sports Med. 2022;41(4):729–747.
CrossRef
Google scholar
|
[8] |
Wu R, Ma Y, Wang C. Research progress in the diagnosis and treatment of medial meniscus posterior root tears. Zhejiang Medical J. 2022;44(18):2003–2008.
|
[9] |
Tao X. Research on the correlation between degenerative injury of the medial meniscus and lower limb force line. Three Gorges University. 2022.
|
[10] |
Bernard CD, Kennedy NI, Tagliero AJ, Camp CL, Saris DBF, Levy BA, et al. Medial meniscus posterior root tear treatment: a matched cohort comparison of nonoperative management, partial meniscectomy, and repair. Am J Sports Med. 2020;48(1):128–132.
CrossRef
Google scholar
|
[11] |
Perry AK, Lavoie-Gagne O, Knapik DM, Maheshwer B, Hodakowski A, Gursoy S, et al. Examining the efficacy of medial meniscus posterior root repair: a meta-analysis and systematic review of biomechanical and clinical outcomes. Am J Sports Med. 2023;51(7):1914–1926.
CrossRef
Google scholar
|
[12] |
Shi B, Stinson Z, Nault ML, Brey J, Beck J. Meniscus repair in pediatric athletes. Clin Sports Med. 2022;41(4):749–767.
CrossRef
Google scholar
|
[13] |
Kennedy MI, Strauss M, LaPrade RF. Injury of the meniscus root. Clin Sports Med. 2020;39(1):57–68.
CrossRef
Google scholar
|
[14] |
Qalib YO, Tang Y, Lu H. The meniscal ossicle associated with medial meniscus posterior root tear. BJR Case Rep. 2022;8(4):20210243.
CrossRef
Google scholar
|
[15] |
Hiranaka T, Furumatsu T, Okazaki Y, Kamatsuki Y, Masuda S, Okazaki Y, et al. Bilateral anterior cruciate ligament tear combined with medial meniscus posterior root tear. Acta Med Okayama. 2019;73(6):523–528.
CrossRef
Google scholar
|
[16] |
Wasilewski G, Drammeh H, Belal M, Khokhar Z, Pasion A, Allam E. Failed transtibial pullout repair of the medial meniscus posterior root. Radiol Case Rep. 2023;18(4):1507–1510.
CrossRef
Google scholar
|
[17] |
Ohno T, Okamura H, Ishikawa H, Fujita S, Inagaki K. Medial meniscus posterior root reconstruction and open-wedge high tibial osteotomy for medial meniscus posterior root tear with Varus knee: a case report. J Orthop Case Rep. 2022;12(12):95–99.
CrossRef
Google scholar
|
[18] |
Okazaki Y, Furumatsu T, Kodama Y, Matsumoto Y, Takahashi M, Ozaki T. Medial and lateral meniscus posterior root tears with an intact anterior cruciate ligament. Case Rep Orthop. 2020;2020:8842167.
CrossRef
Google scholar
|
[19] |
Kubo T, Hagiwara K, Takahashi T, Kimura M, Takeshita K. Histological evaluation of harvested specimen of a patient who underwent Unicompartmental knee arthroplasty two years and six months after medial meniscus posterior root tear transtibial pull-out repair. Cureus. 2021;13(3):e14013.
CrossRef
Google scholar
|
[20] |
Qin Z, Qiao X. Meniscus repair versus meniscectomy for medial meniscus posterior root tears of the knee:a meta-analysis. Orthopedic J China. 2022;30(9):801–805.
CrossRef
Google scholar
|
[21] |
Zhou Y, He W, Lin W, et al. Research progress in diagnosis and treatment of medial meniscus protrusion. Int J Orthopaedics. 2022;43(1):55–59.
CrossRef
Google scholar
|
[22] |
Jiang J, Xing D, Ni L, Chen J. Non-anatomical arthroscopic all-inside repair of medial meniscus posterior root tear to posterior cruciate ligament for patients with Normal lower limb alignment. Orthop Surg. 2022;14(2):397–404.
CrossRef
Google scholar
|
/
〈 | 〉 |