Our repair method involves converting the radial tear to a root tear. The root is then refixed to the meniscus using a pull-out repair through a transtibial tunnel. In 2015, Chung et al.9 found in a 5-year minimum follow-up that while PM of MMPR tears often lead to degen-erative arthritis, refixation is effective in restoring hoop tension.
2 Feb 2018 Tape, with a meniscus-suture contact area larger than thread, produced higher ultimate load. Keywords Meniscal root tear . Transtibial pullout
Transtibial pullout repair reduces posterior extrusion of the medial meniscus Shin Masuda, Takayuki Furumatsu , Yoshiki Okazaki, Yusuke Kamatsuki, Yuki Okazaki, Yuya Kodama, Takaaki Hiranaka, Eiji Nakata , Toshifumi Ozaki 2018-09-01 · Recently, long-term results have also been reported by Chung et al. utilizing the transtibial pullout repair technique. 14 In 91 patients with an average age of 59, only 4 failures were reported at an average 7-year follow-up (1 knee replacement, 3 failures defined as low clinical scores). PURPOSE To systematically review the results of arthroscopic transtibial pullout repair (ATPR) for posterior medial meniscus root tears.
Transtibial Pullout Repair Reduces Posterior Extrusion of the Medial Meniscus. Masuda S(1), Furumatsu T(2), Okazaki Y(1), Kamatsuki Y(1), Okazaki Y(1), Kodama Y(1), Hiranaka T(1), Nakata E(1), Ozaki T(1). CONCLUSIONS: Among patients with MMPRTs, transtibial pullout repair demonstrated a high clinical survival rate and the patients demonstrated clinical improvement, based on mid- and long-term follow-up examinations. LEVEL OF EVIDENCE: Level IV, retrospective uncontrolled case series.
https://gumroad Transtibial pullout repair for posterior meniscus root tear is widely performed to restore meniscal function. However, it is sometimes technically difficult to pass the suture through the posterior medial meniscus root in narrow joint space. To address this limitation, a new suture technique using an all-inside meniscal suture device through the tibial tunnel was proposed.
Currently, the most commonly used technique for root repair is arthroscopic transtibial pullout repair (ATPR) [2,16,17]. Several techniques for ATPR have been described thus far and the
Shin Masuda, Takayuki Furumatsu, Yoshiki Okazaki, Yusuke Kamatsuki, Yuki Okazaki, Yuya Kodama, Takaaki Hiranaka, Eiji Nakata, Toshifumi Ozaki. Graduate School of Medicine Dentistry and Pharmaceutical Sciences; Transtibial pullout repair of medial meniscus posterior root tear restores physiological rotation of the tibia in the knee-flexed position By Yuki Okazaki, Takayuki Furumatsu, Yuya Kodama, Tomohito Hino, Yusuke Kamatsuki, Yoshiki Okazaki, Shin Masuda, Shinichi Miyazawa, Hirosuke Endo, Tomonori Tetsunaga, Kazuki Yamada and Toshifumi Ozaki PURPOSE To systematically review the results of arthroscopic transtibial pullout repair (ATPR) for posterior medial meniscus root tears. METHODS A systematic electronic search of the PubMed database and the Cochrane Library was performed in September 2014 to identify studies that reported clinical, radiographic, or second-look arthroscopic outcomes of ATPR for posterior medial meniscus root tears.
) reported improved outcomes of arthroscopic transtibial pullout repair for posterior medial meniscus root tears. Lysholm score improved from 52 preoperatively to
2018-09-01 2019-05-17 Our repair method involves converting the radial tear to a root tear.
It has been
26 Mar 2021 meniscal root attachment is correlated with meniscal healing status following transtibial pullout repair for medial meniscus posterior root tear”. 1 Jan 2018 Medial Meniscus Root Repair: A Transtibial Pull-Out Surgical Technique. Mario Hevesi, Michael J. Stuart, Aaron Krych · Orthopedic Surgery. Indications for a transtibial pullout repair include a meniscal root tear that extends from the tibial insertion and no prior placement of a tibial bone tunnel through. » Two main approaches for meniscal root repair have evolved.
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https://doi.org/10.1007/s00064-018-0574-4. Download citation. Received: 14 February 2018. Revised: 08 May 2018. Accepted: 18 May 2018.
Transtibial pullout repairs have been developed for arthroscopic treatments of MMPRT, and favorable clinical outcomes have been reported. However, a standard repair technique for the MMPHT has not yet been established.
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Surgeons will be able to determine if MRR (meniscus root repair) with transtibial pullout technique is an effective treatment and will identify potential risk factors for poor clinical outcomes. In addition, investigators will determine if MRR is successful in delaying the radiographic progression of arthritis in the involved compartment.
A complete radial tear is located 3 mm from the bony attachment. The two-simple-stitches (TSS) method of suture fixation is shown. The anterior and posterior sutures are shuttled down their respective tunnels. 2021-03-23 · Fig. 129 The meniscus root is reduced into the socket or tunnel by tensioning the free ends of the sutures.
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PURPOSE To systematically review the results of arthroscopic transtibial pullout repair (ATPR) for posterior medial meniscus root tears. METHODS A systematic electronic search of the PubMed database and the Cochrane Library was performed in September 2014 to identify studies that reported clinical, radiographic, or second-look arthroscopic outcomes of ATPR for posterior medial meniscus root tears.
The anatomic reattachment of the MM posterior root is considered to be critical in a transtibial pullout repair. However, tibial tunnel creation at the anatomic attachment is technically difficult. We hypothesized that a newly Meniscus Root Repair: A Transtibial Pull-out Surgical Technique, The End-to-end Journal (2018), doi: 10.1053/j.otsm.2018.06.005 This is a PDF Þle of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript.
The overall Kaplan-Meier probabilities of survival after repair were 99% at 5 years, 98% at 6 years, 95% at 7 years, and 92% at 8 years. Conclusion. Among patients with MMPRTs, transtibial pullout repair demonstrated a high clinical survival rate and the patients demonstrated clinical improvement, based on mid- and long-term follow-up examinations.
Knowledge of the surgical technique and recent MR imaging and arthroscopic classifications of meniscal root tears can aid the radiologist in reporting of the findings at preoperative and postoperative imaging. crucial because new arthroscopic surgical techniques (transtibial pullout repair) have been developed to repair meniscal root tears and preserve the tibiofemoral cartilage of the knee. An MR imag-ing classification of posterior medial meniscal root ligament lesions has been recently described that is dedicated to the posterior root Repair Techniques Transtibial Pullout Repair The use of transtibial pullout repair for the medial and lateral posterior meniscal roots has been described, withside-to-sidevariationsinsurgical technique. For repair of either poste-rior root, the patient is positioned withthekneein90!offlexion.Medial and lateral parapatellar arthroscopic portals Youtube 자료를 PDF노트로 만들었습니다. https://youtu.be/XEDl-iAdzuQ 여기에 제가 사용법을 동영상으로 올려두었습니다. https://gumroad 2019-05-17 · We present a transtibial pullout technique with a tibial anchor that allows for precise reduction and tensioning of the meniscal root repair under direct arthroscopic visualization. Figure 1.
Among patients with MMPRTs, transtibial pullout repair demonstrated a high clinical survival rate and the patients demonstrated clinical improvement, based on mid- and long-term follow-up examinations.