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Meniscal Root Tear Repair: Why, When and How?

Bonasia DE, Pellegrino P, D'Amelio A, Cottino U, Rossi R - Orthop Rev (Pavia) (2015)

Bottom Line: Although the treatment of meniscal root tears is still controversial, many different techniques have been described for root repair.The goal of this review is to summarize the existing knowledge regarding meniscal root tears, including anatomy, biomechanics and imaging.In addition, the most common surgical techniques, together with the clinical outcomes, are described.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics and Traumatology, CTO Hospital, University of Turin , Italy.

ABSTRACT
The integrity of the meniscal root insertions is fundamental to preserve correct knee kinematics and avoid degenerative changes of the knee. Injuries to the meniscal attachments can lead to meniscal extrusion, decreased contact surface, increased cartilage stress, and ultimately articular degeneration. Recent and well designed studies have clarified the anatomy and biomechanics of the medial and lateral meniscal roots. Although the treatment of meniscal root tears is still controversial, many different techniques have been described for root repair. The goal of this review is to summarize the existing knowledge regarding meniscal root tears, including anatomy, biomechanics and imaging. In addition, the most common surgical techniques, together with the clinical outcomes, are described.

No MeSH data available.


Related in: MedlinePlus

Authors’ decision making algorithm for meniscal root avulsions.
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fig003: Authors’ decision making algorithm for meniscal root avulsions.

Mentions: The treatment options for meniscal root avulsions include conservative management, meniscectomy and repair. Factors determining the decision making process include: age of the patient, overall condition of the cartilage, symptoms, and chronicity of the lesion. According to the existing literature,12 the authors’ decision making algorithm is as described in Figure 3. It has to be mentioned here that all studies available regarding the treatment of meniscal root tears are level III or IV studies, and therefore the grade of recommendation (A-D) of the proposed treatments is C or D, according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE). The level of evidence of the most relevant papers reporting on the outcomes of the different treatments has been reported in the results section.


Meniscal Root Tear Repair: Why, When and How?

Bonasia DE, Pellegrino P, D'Amelio A, Cottino U, Rossi R - Orthop Rev (Pavia) (2015)

Authors’ decision making algorithm for meniscal root avulsions.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4508558&req=5

fig003: Authors’ decision making algorithm for meniscal root avulsions.
Mentions: The treatment options for meniscal root avulsions include conservative management, meniscectomy and repair. Factors determining the decision making process include: age of the patient, overall condition of the cartilage, symptoms, and chronicity of the lesion. According to the existing literature,12 the authors’ decision making algorithm is as described in Figure 3. It has to be mentioned here that all studies available regarding the treatment of meniscal root tears are level III or IV studies, and therefore the grade of recommendation (A-D) of the proposed treatments is C or D, according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE). The level of evidence of the most relevant papers reporting on the outcomes of the different treatments has been reported in the results section.

Bottom Line: Although the treatment of meniscal root tears is still controversial, many different techniques have been described for root repair.The goal of this review is to summarize the existing knowledge regarding meniscal root tears, including anatomy, biomechanics and imaging.In addition, the most common surgical techniques, together with the clinical outcomes, are described.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics and Traumatology, CTO Hospital, University of Turin , Italy.

ABSTRACT
The integrity of the meniscal root insertions is fundamental to preserve correct knee kinematics and avoid degenerative changes of the knee. Injuries to the meniscal attachments can lead to meniscal extrusion, decreased contact surface, increased cartilage stress, and ultimately articular degeneration. Recent and well designed studies have clarified the anatomy and biomechanics of the medial and lateral meniscal roots. Although the treatment of meniscal root tears is still controversial, many different techniques have been described for root repair. The goal of this review is to summarize the existing knowledge regarding meniscal root tears, including anatomy, biomechanics and imaging. In addition, the most common surgical techniques, together with the clinical outcomes, are described.

No MeSH data available.


Related in: MedlinePlus