Posterior Lateral Meniscal Root Repair Through Lateral Tunnel and Anterior Cruciate Ligament Revision: How to Avoid Tunnel Overlapping

Autor: Fabrizio Matassi, M.D., Zyad A. Taha, M.D., Alessandro Civinini, M.D., Andrea Di Muro, M.D., Jacopo Corti, M.D., Roberto Civinini, M.D.
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Arthroscopy Techniques, Vol 13, Iss 10, Pp 103089- (2024)
Druh dokumentu: article
ISSN: 2212-6287
DOI: 10.1016/j.eats.2024.103089
Popis: Posterior lateral meniscal root (PLMR) tears are commonly observed in conjunction with anterior cruciate ligament (ACL) injuries. The presence of PLMR tears exacerbates knee instability, increasing stress on ACL grafts and accelerating joint degeneration if left untreated. Anatomical repair of PLMR tears is therefore crucial for restoring native knee kinematics and reducing tibiofemoral contact pressures, thereby safeguarding the ACL graft. However, the standard use of a single medial tunnel approach for concomitant PLMR and revision ACL reconstruction may require reconsideration to prevent the potential risks of tunnel overlapping, which could undermine graft anatomical integrity. This article, to prevent the risk of tunnel overlapping, introduces a surgical approach that employs an additional lateral tibial tunnel for PLMR repair, instead of the typically used single medial one, for PLMR repair during simultaneous revision ACL reconstruction.
Databáze: Directory of Open Access Journals