| ID | 63984 |
| FullText URL | |
| Author |
Miyazawa, Shinichi
Department of Orthopaedic Surgery, Okayama University Hospital
ORCID
Kodama, Yuya
Department of Orthopaedic Surgery, Okayama University Hospital
Kamatsuki, Yusuke
Department of Orthopaedic Surgery, Okayama University Hospital
Okazaki, Yoshiki
Department of Orthopaedic Surgery, Okayama University Hospital
Hiranaka, Takaaki
Department of Orthopaedic Surgery, Okayama University Hospital
Okazaki, Yuki
Department of Orthopaedic Surgery, Okayama University Hospital
Kintaka, Keisuke
Department of Orthopaedic Surgery, Okayama University Hospital
Ozaki, Toshifumi
Department of Orthopaedic Surgery, Okayama University Hospital
Kaken ID
publons
researchmap
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| Abstract | Background: Transtibial pullout repair of medial meniscus posterior root tears (MMPRTs) cannot prevent the progression of knee osteoarthritis. Conversions of knee arthroplasties are occasionally required following MMPRT repair. However, other knee-related surgical treatments following MMPRT repair are unclear. This study was aimed at investigating the midterm clinical outcomes and knee-related surgical events following MMPRT repair.
Methods: Patients with MMPRT underwent pullout repair using FasT-Fix modified Mason -Allen (F-MMA) suturing with an all-inside meniscal repair device. Thirty-two patients with follow-up duration >2 years were enrolled. We assessed the clinical outcomes and postop-erative surgical treatment of both knees. Results: F-MMA pullout repair improved all clinical evaluation scores in patients with MMPRT at a mean follow-up of 36.1 months. Postoperative arthroscopic debridement was required for one patient. An additional MMPRT repair was performed in one patient on second-look arthroscopy. None of the patients required ipsilateral knee arthroplasty. In the contralateral knees, one pullout repair of a newly developed MMPRT and two knee arthroplasties were performed. Conclusions: This study demonstrated that F-MMA pullout repair yielded satisfactory clin-ical outcomes. However, subsequent knee-related surgeries were observed in 6.3% of the pullout-repaired knees and 9.4% of the contralateral knees. Our results suggest that sur-geons should be aware of the worsening and/or occurrence of contralateral knee joint dis-ease, even when the postoperative clinical outcomes are satisfactory following MMPRT repair. |
| Keywords | Medial meniscus
Posterior root tear
MMPRT
Transtibial pullout repair
Clinical outcome
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| Note | © 2022 Elsevier B.V. This manuscript version is made available under the CC-BY-NC-ND 4.0 License. http://creativecommons.org/licenses/by-nc-nd/4.0/.
This is the accepted manuscript version. The formal published version is available at [https://doi.org/10.1016/j.knee.2022.08.010] .
This fulltext is available in Sep. 2023.
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| Published Date | 2022-10
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| Publication Title |
The Knee
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| Volume | volume38
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| Publisher | Elsevier BV
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| Start Page | 141
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| End Page | 147
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| ISSN | 0968-0160
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| NCID | AA11534443
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| Content Type |
Journal Article
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| language |
English
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| OAI-PMH Set |
岡山大学
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| Copyright Holders | © 2022 Elsevier B.V.
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| File Version | author
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| PubMed ID | |
| DOI | |
| Web of Science KeyUT | |
| Related Url | isVersionOf https://doi.org/10.1016/j.knee.2022.08.010
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| License | http://creativecommons.org/licenses/by-nc-nd/4.0/
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| Funder Name |
Japan Society for the Promotion of Science
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| 助成番号 | 21K09279
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