Meniscal Root Repair Alone or Combined with Different Procedures After at Least 6 Months of Follow-Up: A Series of Cases.

Autor:	Rocha de Faria JL; Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brazil.; Albert Sabin Hospital, Juiz de Fora, MG, Brazil., Serra Cruz R; Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brazil.; Instituto Brasil de Tecnologias da Saúde, Rio de Janeiro, RJ, Brazil.; Hospital São Vicente de Paulo, Rio de Janeiro, RJ, Brazil., Campos ALS; Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brazil.; Hospital Federal dos Servidores do Estado, Rio de Janeiro, RJ, Brazil., Souza GGA; Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brazil., Di Cavalcanti YS; Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brazil., Goes RA; Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brazil.
Jazyk:	angličtina
Zdroj:	Open access journal of sports medicine [Open Access J Sports Med] 2022 Mar 29; Vol. 13, pp. 25-34. Date of Electronic Publication: 2022 Mar 29 (Print Publication: 2022).
DOI:	10.2147/OAJSM.S348401
Abstrakt:	Purpose: To analyze clinical and functional outcomes of patients submitted to posterior meniscal root repair of the medial or lateral meniscus in different settings, with at least 6 months of follow-up. Patients and Methods: Retrospective multicentric study assessing epidemiological characteristics and clinical-functional results of 22 patients who underwent meniscal root reinsertion (MRR) by transtibial technique. This study addressed different settings: isolated medial root repair, medial root repair associated with high tibial osteotomy (HTO) and lateral root repair associated with anterior cruciate ligament (ACL) reconstruction. Results: Twelve patients had an isolated tear of the posterior root of the medial meniscus and underwent MRR alone. Six patients had a varus axis >5°, undergoing MRR in addition to HTO in the same surgical procedure. Four patients underwent repair of the posterior root of the lateral meniscus associated with simultaneous reconstruction of the ACL. The main results of the study were observed in the improvement of the IKDC score from 27.7% preoperatively to 69.8% in the postoperative period (p < 0.0001) and the Lysholm score of 44.4 points preoperatively to 88.4 points in the postoperative period (p < 0.0001). Significant clinical and subjective improvements were also reported. Conclusion: Medial meniscal root repair, associated or not with valgus tibial osteotomy (when indicated) and lateral meniscal root repair associated with ACL reconstruction, improved clinical, functional, and subjective results of the patients presented in this case series in the short term. Competing Interests: The authors report no conflicts of interest in this work. (© 2022 Rocha de Faria et al.)
Databáze:	MEDLINE
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