| Popis: |
José Leonardo Rocha de Faria,1,2 Raphael Serra Cruz,1,3,4 André Luiz Siqueira Campos,1,5 Gabriel Garcez Araújo Souza,1 Yuri Sampaio Di Cavalcanti,1 Rodrigo Araujo Goes1 1Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brazil; 2Albert Sabin Hospital, Juiz de Fora, MG, Brazil; 3Instituto Brasil de Tecnologias da Saúde, Rio de Janeiro, RJ, Brazil; 4Hospital São Vicente de Paulo, Rio de Janeiro, RJ, Brazil; 5Hospital Federal dos Servidores do Estado, Rio de Janeiro, RJ, BrazilCorrespondence: Raphael Serra Cruz, Tel +55 21 972347474, Email dr.serracruz@gmail.comPurpose: 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.Keywords: meniscus, meniscus root tear, root repair, outcomes |
