La réparation par fixation transtibiale de la rupture de la racine postérieure du ménisque latéral associée à la reconstruction du ligament croisé antérieur réduit l’extrusion du ménisque latéral : Étude rétrospective avec évaluation par IRM - 04/05/20
Transtibial pullout repair of the lateral meniscus posterior root tear combined with anterior cruciate ligament reconstruction reduces lateral meniscus extrusion: A retrospective study
, Yusuke Kamatsuki, Yoshiki Okazaki, Shin Masuda, Takaaki Hiranaka, Yuya Kodama, Shinichi Miyazawa, Toshifumi OzakiAbstract |
Background |
Lateral meniscus (LM) posterior root tears (PRT) are often associated with anterior cruciate ligament (ACL) injury and can result in rotational instability, joint overloading, and degenerative changes in the knee. Improved rotational stability and kinematics have been reported after LMPRT repair. However, it is unclear which repair technique can achieve the greatest reduction in lateral meniscus extrusion (LME).
Hypothesis |
We hypothesized that transtibial pullout repair would decrease LME to a greater extent than other repair techniques.
Patients and methods |
Seventeen patients with ACL injury but complete LM posterior root were evaluated. Nine underwent ACL reconstruction (ACLR) and transtibial pullout repair, and eight underwent ACLR and other repairs such as inside-out suturing. Double-bundle ACLR was performed using hamstring tendons, and LMPRT pullout was performed through the bone tunnel for the PL bundle. Magnetic resonance imaging was performed immediately preoperatively and at >6months postoperatively, and LME was measured from coronal images only.
Results |
A significantly greater decrease in the size of LME from pre- to postoperative measurement was observed in the transtibial pullout repair group (−0,5±0,7mm) than in the other-repair group (1,0±0,9mm, p<0,01). Pre- and postoperative LME measurements were not significantly different between the two groups.
Discussion |
The most important finding of this study is that transtibial pullout repair results in a greater decrease in LME than other repair techniques in patients with ACL injury and LMPRT. This technique might be useful for restoring hoop tension by decreasing LME.
Level of evidence |
III comparative retrospective study.
Le texte complet de cet article est disponible en PDF.Keywords : Anterior cruciate ligament, Lateral meniscus, Posterior root tear, Transtibial pullout repair, Meniscus extrusion
| ☆ | Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology : Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus. |
Vol 106 - N° 3
P. 238 - mai 2020 Retour au numéro
Article précédent
- Facteurs de risque de translation antérieure spontanée passive du genou à l’IRM dans les ruptures complètes du ligament croisé antérieur
- Guillaume Sigonney, Shahnaz Klouche, Virgile Chevance, Thomas Bauer, Benoit Rousselin, Olivia Judet, Philippe Hardy
- Réparation cartilagineuse après implantation d’une membrane collagénique pour large perte de substance ostéochondrale condylienne au genou. Résultats à plus de deux ans
- Gilles Guérin, Nicolas Pujol
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?