Familiari Filippo, Palco Michelangelo, Russo Raffaella, Moatshe Gilbert, Simonetta Roberto
Department of Orthopaedics and Trauma Surgery, Magna Graecia University, Catanzaro, Italy.
Department of Biomedical, Dental and Morphological and Functional Images, Section of Orthopaedic and Traumatology, University of Messina, Messina, Italy.
Arthrosc Tech. 2022 Apr 22;11(5):e781-e787. doi: 10.1016/j.eats.2021.12.037. eCollection 2022 May.
Meniscus root tears are increasingly being recognized and treated because of improved awareness and diagnostics. These injuries commonly occur in combination with knee ligament injuries. Untreated posterior meniscus root teats have been demonstrated to increase contact pressure and decrease contact area, ultimately leading to unfavorable joint loading and development of early osteoarthritis. Posterior lateral meniscus root tears (PLMRTs) also have been reported to increase anterior tibial translation and pivot shift in anterior cruciate ligament-deficient knees. Therefore, it is crucial to repair meniscal root tears when possible to restore knee joint loading and kinematics. Several techniques for repair of the PLMRT have been described. In this Technical Note, we describe our preferred technique for repair of PLMRT using an all-suture anchor. This technique is reproducible, does not need a tunnel, mitigates bungee effect of transtibial technique, and the anchor can easily be inserted on the footprint without a need for a guide.
由于认识和诊断水平的提高，半月板根部撕裂越来越多地被识别和治疗。这些损伤通常与膝关节韧带损伤同时发生。未经治疗的后半月板根部撕裂已被证明会增加接触压力并减小接触面积，最终导致不利的关节负荷和早期骨关节炎的发展。据报道，外侧后半月板根部撕裂（PLMRTs）还会增加前交叉韧带损伤膝关节的胫骨前移和轴移。因此，尽可能修复半月板根部撕裂对于恢复膝关节负荷和运动学至关重要。已经描述了几种修复PLMRT的技术。在本技术说明中，我们描述了使用全缝线锚钉修复PLMRT的首选技术。该技术具有可重复性，无需隧道，减轻了经胫骨技术的橡皮筋效应，并且锚钉无需导向即可轻松插入足迹部位。
