Document Detail

Arthroscopic Suture Anchor Repair Versus Pullout Suture Repair in Posterior Root Tear of the Medial Meniscus: A Prospective Comparison Study.
MedLine Citation:
PMID:  21982389     Owner:  NLM     Status:  Publisher    
PURPOSE: To evaluate functional and radiographic results of arthroscopic suture anchor repair for posterior root tear of the medial meniscus (PRTMM) and compare with pullout suture repair. METHODS: From December 2006 to August 2008, 51 consecutive patients underwent arthroscopic repair of PRTMM at our hospital. The repair technique was switched over time from pullout suture repair (group 1) to suture anchor repair (group 2). Of the patients, 6 were lost to follow-up, leaving a study population of 45 patients, with 22 menisci (48.9%) in group 1 and 23 (51.1%) menisci in group 2. The mean follow-up duration was 25.9 months (range, 24 to 27 months) in group 1 and 26.8 months (range, 24 to 28 months) in group 2. Compared variables included International Knee Documentation Committee criteria, Kellgren-Lawrence grade, gap distance at PRTMM, structural healing, meniscal extrusion, and cartilage degeneration of the medial femoral condyle. RESULTS: At 2 years postoperatively, both groups showed significant improvements in function (P < .05) and did not show significant differences in Kellgren-Lawrence grade (P > .05) compared with preoperatively. On magnetic resonance imaging, the gap distance at PRTMM was 3.2 ± 1.1 mm in group 1 and 2.9 ± 0.9 mm in group 2 preoperatively (P > .05). Complete structural healing was seen in 11 cases in group 1 and 12 cases in group 2 (P > .05). Mean meniscal extrusion of 4.3 ± 0.9 mm (group 1) and 4.1 ± 1.0 mm (group 2) preoperatively was significantly decreased to 2.1 ± 1.0 mm (group 1) and 2.2 ± 0.8 mm (group 2) postoperatively (P < .05). Regardless of repair technique, incompletely healed cases showed progression of cartilage degeneration (4 cases in group 1 and 2 cases in group 2). CONCLUSIONS: For PRTMM, our results show significant functional improvement in both the suture anchor repair and pullout suture repair groups. Reduction of meniscal extrusion seems to be appropriate to preserve its protective role against progression of cartilage degeneration after complete healing at PRTMM. LEVEL OF EVIDENCE: Level III, prospective therapeutic comparative study.
Jae-Hwa Kim; Ju-Hwan Chung; Dong-Hoon Lee; Yoon-Seok Lee; Jung-Ryul Kim; Keun-Jung Ryu
Related Documents :
10685739 - Ultrasonographic evaluation of lansoprazole-induced improvement of submucosal injury in...
11116409 - Comparison of laparoscopic and open nissen fundoplication 2 years after operation. a pr...
9831269 - Speed of onset of oesophageal acid reduction with different proton-pump inhibitors in p...
15230849 - Partial esophagectomy with single layer closure for treatment of esophageal sarcomas in...
6468849 - Radiographic evaluation of the achalasic esophagus immediately following pneumatic dila...
2889259 - Once-daily administration of famotidine for reflux esophagitis.
23058029 - Amoxicillin and clavulanic acid vs ceftazidime in the surgical extraction of impacted t...
20667339 - Repair of rheumatic tricuspid valve disease: predictors of very long-term mortality and...
19996849 - Hemorrhagic cystitis induced by an herbal mixture.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-10-7
Journal Detail:
Title:  Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association     Volume:  -     ISSN:  1526-3231     ISO Abbreviation:  -     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-10-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8506498     Medline TA:  Arthroscopy     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
Center for Joint Disease, Department of Orthopaedic Surgery, School of Medicine, CHA Bundang Medical Center, Sung-Nam Si, South Korea.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  An Anatomic Study of the Posterior Septum of the Knee.
Next Document:  Hip Arthroscopy for Femoroacetabular Impingement in Patients Aged 50 Years or Older.