Meniscal Root Injuries

Aaron J. Krych, Mario Hevesi, Devin P. Leland, Michael J. Stuart

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Meniscal root tears are an increasingly recognized injury leading to notable functional limitations, potential rapid cartilage deterioration of the affected compartment, and subsequent risk of total knee arthroplasty if left untreated. Repair of these tears is advised when articular cartilage remains intact because both medial and lateral meniscus root repairs have demonstrated favorable results. Recent literature demonstrates decreased rates of osteoarthritis and arthroplasty after medial meniscus root repair compared with partial meniscectomy and nonsurgical management. The transtibial pull-out repair technique is most commonly used and provides a biomechanically strong suture construct with standard and familiar knee arthroscopy portals. Furthermore, repair has recently been shown to be economically effective by decreasing overall societal healthcare costs when compared with more conservative management strategies. This review outlines the evaluation, treatment, and documented outcomes of meniscal root repair, which is imperative to the preservation of knee function and maintaining quality of life.

Original languageEnglish (US)
Pages (from-to)491-499
Number of pages9
JournalThe Journal of the American Academy of Orthopaedic Surgeons
Volume28
Issue number12
DOIs
StatePublished - Jun 15 2020

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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