20 Mar 2021 Transtibial pull-out repair is routinely performed to treat medial meniscal posterior root tear (MMPRT). However, data on the postoperative

Transtibial pullout repair is a new arthroscopic surgical technique to repair meniscal root tears and restore the circumferential hoop strength of the meniscus. 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. 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. Transtibial Pullout Repair Reduces Posterior Extrusion of the Medial Meniscus.

Transtibial pullout repair

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. 2019-02-01 · Transtibial pullout repair of medial meniscus posterior root tear restores physiological rotation of the tibia in the knee-flexed position In this video I share my expertise for repairing a posterior medial meniscus root tear with a double tunnel transtibial pull-out technique.Meniscal root tear 2016-10-11 · Transtibial pullout repair is a new arthroscopic surgical technique to repair meniscal root tears and restore the circumferential hoop strength of the meniscus. 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.

Indications for Surgery Patients who are poor surgical candidates (multiple comorbidities or advanced age) have severe osteoar-thritis (grade 3 or 4 chondromalacia of the ipsilateral compartment), or nonsymptomatic chronic meniscal root tears are excluded from surgical repair. Patients Repairing the meniscal root with a transtibial pullout repair has been reported to restore contact pressures to those of the intact states and allow for the dispersion of hoop stresses across the meniscus, although outcomes studies are still needed. Illustration of the transtibial pullout repair technique for a tear of the posteromedial meniscal root of the right knee.

A common treatment for posterior meniscal root tears is transtibial pull-out repair, which has been biomechanically reported to restore tibiofemoral contact mechanics to those of the intact knee. Biomechanical data suggest that there is significant

the transtibial pullout repair method, once the suture is passed into the MM posterior segment, the suture is pulled out from the bone in the posterior root anatom-ical attachment area of the MM [17,18], and is fixed to the anterior surface of the tibia [19,20]. Thus, after the pullout repair, the MM posterior segment is drawn to Orthopaedics & Traumatology: Surgery & Research - Vol. 106 - N° 3 - p. 469-473 - Transtibial pullout repair of the lateral meniscus posterior root tear combined with anterior cruciate ligament reconstruction reduces lateral meniscus extrusion: A retrospective study - EM consulte 2019-04-30 · Shown are the steps for completion of a transtibial pullout technique with a tensionable anchor for repair of meniscal root tears.

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. Zurück zum Zitat Feucht MJ, Kuhle J, Bode G, Mehl J, Schmal H, Sudkamp NP, Niemeyer P (2015) Arthroscopic transtibial pullout repair for posterior medial meniscus root tears: a systematic review of clinical, radiographic, and second-look arthroscopic results. transtibialの意味や使い方出典:『Wiktionary』 (2017/03/30 19:28 UTC 版)語源trans- +‎ tibial形容詞transtibial (not comparable)Through the - 約1173万語ある英和辞典・和英辞典。 Background:Current methods of the transtibial pull-out meniscal root repair significantly displace under cyclic loading in porcine models but have not been 30 Jul 2020 The arthroscopic transtibial pull-out repair of MMRT showed clinical improvement but did not prevent the progression of knee osteoarthritis, MME, 11 Oct 2016 Transtibial pullout repair is a new arthroscopic technique to repair meniscal root tears, and knowledge of the surgical technique and meniscal 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 PURPOSE: To systematically review the results of arthroscopic transtibial pullout repair (ATPR) for posterior medial meniscus root tears. METHODS: A Methods: Transtibial pullout repairs of the posteromedial meniscal root were performed in 16 cadaveric ovine knees.

2021-02-23 2018-02-06 2021-04-09 2021-03-23 There is no consensus on biomechanical superiority between transtibial pullout repair (TPR) and suture anchor repair. For TPR, there is no significant difference between 1 and 2 tibial tunnels. Survivorship Analysis and Clinical Outcomes of Transtibial Pullout Repair for Medial Meniscus Posterior Root Tears: A 5- to 10-Year Follow-up Study; clinical outcomes, medial meniscus, posterior root, survivorship analysis, follow up study, pullout repair A new aiming guide can create the tibial tunnel at a favorable position in transtibial pullout repair for the medial meniscus posterior root tear DOI: 10.1016/j.rcot.2017.09.313 Revue De … 2019-04-30 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 manuscript will undergo 2019-08-07 Furthermore, repair has recently been demonstrated to be beneficial not only at the level of the individual patient, but also in terms of overall societal healthcare costs. The following provides a description of the authors preferred method of medial meniscus root repair. 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.
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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. The 2018-02-06 · Transtibial pullout suture (TPS) repair of posterior medial meniscus root (PMMR) tears was shown to achieve good clinical outcomes.

9 found in a 5-year minimum follow-up that while PM of MMPR tears often lead to degenerative arthritis, refixation is effective in restoring hoop tension. Currently, the most commonly used technique for root repair is arthroscopic transtibial pullout repair (ATPR) [2,16,17].
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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

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).

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Outcomes of Meniscus Root Repair Using a Transtibial Pullout Technique. Villkor: Meniscus Tear. NCT02961530. Avslutad. Effect of Rehabilitation Programs

Illustration of the transtibial pullout repair technique for a tear of the posteromedial meniscal root of the right knee. 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. Tibialfixation is then performedby either tying the sutures over a suture button orwith a 4.75mm SwiveLock anchor (Arthrex) placed approximately 1 cm distal to the aperture of the tibial tunnel - "Arthroscopic transtibial pullout repair for posterior meniscus root tears" 2018-10-26 · Feucht, M.J., Izadpanah, K., Lacheta, L. et al. Arthroscopic transtibial pullout repair for posterior meniscus root tears.