본문 바로가기
KERD
논문KCI 등재

Medial Meniscus Posterior Root Tear: A Comprehensive Review

하정구|김진구|이동원
대한슬관절학회 (Korean Knee Society)|2014.09|Knee Surgery and Related Research|제26권 제3호|pp. 125-134

2

조회

0

다운로드

10

인용

0

참고문헌

키워드

KneeSuture techniquesRoot tearMedial meniscus

초록

Damage to the medial meniscus root, for example by a complete radial tear, destroys the ability of the knee to withstand hoop strain, resulting in contact pressure increases and kinematic alterations. For these reasons, several techniques have been developed to repair the medial meniscus posterior root tear (MMPRT), many of which have shown complete healing of the repaired MMPRT. However, efforts to standardize or optimize the treatment for MMPRT are much needed. When planning a surgical intervention for an MMPRT, strict surgical indications regarding the effect of pullout strength on the refixed root, bony degenerative changes, mechanical alignment, and the Kellgren-Lawrence grade should be considered. Although there are several treatment options and controversies, the current trend is to repair the MMPRT using various techniques including suture anchors and pullout sutures if the patient meets the indications. However, there are still debates on the restoration of hoop tension and prevention of arthritis after repair and further biomechanical and clinical studies should be conducted in the future. The aim of this article was to review and summarize the recent literature regarding various diagnosis and treatment strategies of MMPRT, especially focusing on conflict issues including whether repair techniques can restore the main function of normal meniscus and which is the best suture technique to repair the MMPRT. The authors attempted to provide a comprehensive review of previous studies ranging from basic science to current surgical techniques.

Abstract

Damage to the medial meniscus root, for example by a complete radial tear, destroys the ability of the knee to withstand hoop strain, resulting in contact pressure increases and kinematic alterations. For these reasons, several techniques have been developed to repair the medial meniscus posterior root tear (MMPRT), many of which have shown complete healing of the repaired MMPRT. However, efforts to standardize or optimize the treatment for MMPRT are much needed. When planning a surgical intervention for an MMPRT, strict surgical indications regarding the effect of pullout strength on the refixed root, bony degenerative changes, mechanical alignment, and the Kellgren-Lawrence grade should be considered. Although there are several treatment options and controversies, the current trend is to repair the MMPRT using various techniques including suture anchors and pullout sutures if the patient meets the indications. However, there are still debates on the restoration of hoop tension and prevention of arthritis after repair and further biomechanical and clinical studies should be conducted in the future. The aim of this article was to review and summarize the recent literature regarding various diagnosis and treatment strategies of MMPRT, especially focusing on conflict issues including whether repair techniques can restore the main function of normal meniscus and which is the best suture technique to repair the MMPRT. The authors attempted to provide a comprehensive review of previous studies ranging from basic science to current surgical techniques.

참고문헌 (54)

  1. Villegas DF, "A quantitative study of the microstructure and biochemistry of the medial meniscal horn attachments", Ann Biomed Eng, 36, pp.123~131 (2008)
  2. Ozkoc G, "Radial tears in the root of the posterior horn of the medial meniscus", Knee Surg Sports Traumatol Arthrosc, 16, pp.849~854 (2008)
  3. Kan A, "Anatomical significance of a posterior horn of medial meniscus : the relationship between its radial tear and cartilage degradation of joint surface", Sports Med Arthrosc Rehabil Ther Technol, 2, pp.1~ (2010)
  4. Vedi V, "Meniscal movement. An in-vivo study using dynamic MRI", J Bone Joint Surg Br, 81, pp.37~41 (1999)
  5. Allaire R, "Biomechanical consequences of a tear of the posterior root of the medial meniscus. Similar to total meniscectomy", J Bone Joint Surg Am, 90, pp.1922~1931 (2008)
  6. Harner CD, "Biomechanical consequences of a tear of the posterior root of the medial meniscus: surgical technique", J Bone Joint Surg Am, 91(2), pp.257~270 (2009)
  7. Vyas D, "Meniscus root repair", Sports Med Arthrosc, 20, pp.86~94 (2012)
  8. Kim SB, "Medial meniscus root tear refixation : comparison of clinical, radiologic, and arthroscopic findings with medial meniscectomy", Arthroscopy, 27, pp.346~354 (2011)
  9. Lee JH, "Arthroscopic pullout suture repair of posterior root tear of the medial meniscus : radiographic and clinical results with a 2-year follow-up", Arthroscopy, 25, pp.951~958 (2009)
  10. Pagnani MJ, "Extrusion of the medial meniscus", Arthroscopy, 7, pp.297~300 (1991)
  11. Bin SI, "Radial tears of the posterior horn of the medial meniscus", Arthroscopy, 20, pp.373~378 (2004)
  12. Nha KW, "MR findings of the radial tear of medial meniscus", J Korean Knee Soc, 17, pp.147~152 (2005)
  13. Moon JS, "MRI findings of root tear of medial meniscus", J Korean Knee Soc, 17, pp.160~164 (2005)
  14. Habata T, "Clinical features of the posterior horn tear in the medial meniscus", Arch Orthop Trauma Surg, 124, pp.642~645 (2004)
  15. Thompson WO, "Tibial meniscal dynamics using three-dimensional reconstruction of magnetic resonance images", Am J Sports Med, 19, pp.210~215 (1991)
  16. Bae JH, "Predictive value of painful popping for a posterior root tear of the medial meniscus in middle-aged to older Asian patients", Arthroscopy, 29, pp.545~549 (2013)
  17. Henry S, "Medial meniscus tear morphology and chondral degeneration of the knee: is there a relationship?", Arthroscopy, 28, pp.1124~1134 (2012)
  18. Sung JH, "Meniscal extrusion and spontaneous osteonecrosis with root tear of medial meniscus : comparison with horizontal tear", Arthroscopy, 29, pp.726~732 (2013)
  19. Guermazi A, "Medial posterior meniscal root tears are associated with development or worsening of medial tibiofemoral cartilage damage : the multicenter osteoarthritis study", Radiology, 268, pp.814~821 (2013)
  20. Hwang BY, "Risk factors for medial meniscus posterior root tear", Am J Sports Med, 40, pp.1606~1610 (2012)
  21. Kim JG, "Tibiofemoral contact mechanics following posterior root of medial meniscus tear, repair, meniscectomy, and allograft transplantation", Knee Surg Sports Traumatol Arthrosc, 21, pp.2121~2125 (2013)
  22. Seo JH, "Effect of repair of radial tears at the root of the posterior horn of the medial meniscus with the pullout suture technique : a biomechanical study using porcine knees", Arthroscopy, 25, pp.1281~1287 (2009)
  23. Nha KW, "Clinical results of the radial tear of posterior root of medial meniscus", J Korean Arthrosc Soc, 11, pp.128~133 (2007)
  24. Kim YM, "Role of the mechanical axis of lower limb and body weight in the horizontal tear and root ligament tear of the posterior horn of the medial meniscus", Int Orthop, 36, pp.1849~1855 (2012)
  25. Shelbourne KD, "Digital radiographic evaluation of medial joint space narrowing after partial meniscectomy of bucket-handle medial meniscus tears in anterior cruciate ligament-intact knees", Am J Sports Med, 34, pp.1648~1655 (2006)
  26. Moon HK, "Prognostic factors of arthroscopic pull-out repair for a posterior root tear of the medial meniscus", Am J Sports Med, 40, pp.1138~1143 (2012)
  27. Choi CJ, "Magnetic resonance imaging evidence of meniscal extrusion in medial meniscus posterior root tear", Arthroscopy, 26, pp.1602~1606 (2010)
  28. Lee SY, "Radial tear of the medial meniscal root : reliability and accuracy of MRI for diagnosis", AJR Am J Roentgenol, 191, pp.81~85 (2008)
  29. Choi SH, "The MRI findings of meniscal root tear of the medial meniscus : emphasis on coronal, sagittal and axial images", Knee Surg Sports Traumatol Arthrosc, 20, pp.2098~2103 (2012)
  30. De Smet AA, "MR diagnosis of posterior root tears of the lateral meniscus using arthroscopy as the reference standard", AJR Am J Roentgenol, 192, pp.480~486 (2009)
  31. Lee YG, "Magnetic resonance imaging findings of surgically proven medial meniscus root tear : tear configuration and associated knee abnormalities", J Comput Assist Tomogr, 32, pp.452~457 (2008)
  32. Piscaer TM, "Real-time assessment of bone metabolism in small animal models for osteoarthritis using multi pinhole-SPECT", CT, 2013, pp.21, 882~888
  33. Lim HC, "Non-operative treatment of degenerative posterior root tear of the medial meniscus", Knee Surg Sports Traumatol Arthrosc, 18, pp.535~539 (2010)
  34. Neogi DS, "Role of nonoperative treatment in managing degenerative tears of the medial meniscus posterior root", J Orthop Traumatol, 14, pp.193~199 (2013)
  35. Magee T, "Prevalence of meniscal radial tears of the knee revealed by MRI after surgery", AJR Am J Roentgenol, 182, pp.931~936 (2004)
  36. Han SB, "Unfavorable results of partial meniscectomy for complete posterior medial meniscus root tear with early osteoarthritis : a 5-to 8-year follow-up study", Arthroscopy, 26, pp.1326~1332 (2010)
  37. Arnoczky SP, "Microvasculature of the human meniscus", Am J Sports Med, 10, pp.90~95 (1982)
  38. Petersen W, "Collagenous fibril texture of the human knee joint menisci", Anat Embryol(Berl), 197, pp.317~324 (1998)
  39. Kim YM, "Pullout failure strength of the posterior horn of the medial meniscus with root ligament tear", Knee Surg Sports Traumatol Arthrosc, 21, pp.1546~1552 (2013)
  40. Seo HS, "Second-look arthroscopic findings after repairs of posterior root tears of the medial meniscus", Am J Sports Med, 39, pp.99~107 (2011)
  41. Park YS, "Arthroscopic pullout repair of posterior root tear of the medial meniscus : the anterior approach using medial collateral ligament pie-crusting release", Knee Surg Sports Traumatol Arthrosc, 19, pp.1334~1336 (2011)
  42. Shino K, "Arthroscopic repair for a flap tear of the posterior horn of the lateral meniscus adjacent to its tibial insertion", Arthroscopy, 11, pp.495~498 (1995)
  43. Raustol OA, "The meniscal ossicle revisited : etiology and an arthroscopic technique for treatment", Arthroscopy, 22, pp.687~ (2006)
  44. Kim YM, "Arthroscopic pullout repair of a complete radial tear of the tibial attachment site of the medial meniscus posterior horn", Arthroscopy, 22, pp.795~ (2006)
  45. Choi NH, "Arthroscopic all-inside repair for a tear of posterior root of the medial meniscus: a technical note", Knee Surg Sports Traumatol Arthrosc, 16, pp.891~893 (2008)
  46. Ahn JH, "Double transosseous pull out suture technique for transection of posterior horn of medial meniscus", Arch Orthop Trauma Surg, 129, pp.387~392 (2009)
  47. Kim YJ, "Posterior root tear of the medial meniscus in multiple knee ligament injuries", Knee, 17, pp.324~328 (2010)
  48. Kim JH, "Arthroscopic suture anchor repair versus pullout suture repair in posterior root tear of the medial meniscus : a prospective comparison study", Arthroscopy, 27, pp.1644~1653 (2011)
  49. Jung YH, "All-inside repair for a root tear of the medial meniscus using a suture anchor", Am J Sports Med, 40, pp.1406~1411 (2012)
  50. Ma CB, "Biomechanical evaluation of arthroscopic rotator cuff stitches", J Bone Joint Surg Am, 86, pp.1211~1216 (2004)
  51. Baleani M, "Comparative study of different tendon grasping techniques for arthroscopic repair of the rotator cuff", Clin Biomech(Bristol, Avon), 21, pp.799~803 (2006)
  52. Gerber C, "Mechanical strength of repairs of the rotator cuff", J Bone Joint Surg Br, 76, pp.371~380 (1994)
  53. Lee DW, "Meniscus root refixation technique using a modified Mason-Allen stitch", Knee Surg Sports Traumatol Arthrosc, 21, pp.654~657 (2013)
  54. Nha KW, "Second-look arthroscopic findings after open-wedge high tibia osteotomy focusing on the posterior root tears of the medial meniscus", Arthroscopy, 29, pp.226~231 (2013)

관련 논문AI추천

Superior outcomes of pullout repairs for medial meniscus posterior root tears in partial tear compared to complete radial tearKoki Kawada, Masanori Tamura, Naohiro Higashihara, Takayuki Furumatsu, Toshifumi Ozaki, Yusuke Yokoyama대한슬관절학회 · Knee Surgery and Related Research2024 · 제36권 Second-Look Arthroscopic Assessment and Clinical Results of Modified Pull-Out Suture for Posterior Root Tear of the Medial Meniscus송재광, 조진호대한슬관절학회 · Knee Surgery and Related Research2014 · 제26권 제2호Meniscal Extrusion Progresses Shortly after the Medial Meniscus Posterior Root TearTakayuki Furumatsu, Tomohito Hino, Toshifumi Ozaki, Yoshiki Okazaki, Yusuke Kamatsuki, Yuya Kodama대한슬관절학회 · Knee Surgery and Related Research2017 · 제29권 제4호Modified Pull-out Suture in Posterior Root Tear of the Medial Meniscus: Using a Posteromedial Portal조진호대한슬관절학회 · Knee Surgery and Related Research2012 · 제24권 제2호Meniscus extrusion is a predisposing factor for determining arthroscopic treatments in partial medial meniscus posterior root tearsFurumatsu Takayuki, Higashihara Naohiro, Kintaka Keisuke, Koki Kawada, Ozaki Toshifumi, Tamura Masanori, Xue Haowei대한슬관절학회 · Knee Surgery and Related Research2023 · 제35권 The accuracy of a newly developed guide system in medial meniscus posterior root repair: a comparison between two aiming guidesShin Masuda, Takaaki Hiranaka, Takayuki Furumatsu, Toshifumi Ozaki, Yoshiki Okazaki, Yuki Okazaki, Yusuke Kamatsuki, Yuya Kodama대한슬관절학회 · Knee Surgery and Related Research2019 · 제31권 제1호

이 간행물의 다른 논문 (9건)

Total Knee Arthroplasty Using a Posterior Cruciate Ligament Sacrificing Medial Pivot Knee: Minimum 5-year Follow-up Results조성도, 염윤식, Hye-Yong Cho, 이신호pp. 135-140Time-Dependent Clinical Results of Rotating-Platform Total Knee Arthroplasty According to Mechanical Axis Deviation김성환, 정호중, 이한준, 고영봉, 정영복, 송민구pp. 141-148Minimum 5-year Follow-up Results of Minimally Invasive Total Knee Arthroplasty Using Mini-Keel Modular Tibial Implant유주형, 박병규, 오현철, 박상훈, 한창동pp. 149-154Biomechanical Properties of a New Anatomical Locking Metal Block Plate for Opening Wedge High Tibial Osteotomy: Uniplane Osteotomy배지훈, 이성재, 김강희, 한승범, 권재호, 나경욱, 정태곤pp. 155-161Short-Term Results of Total Knee Arthroplasty with Anterior-Posterior Glide LCS Mobile-Bearing System왕립, 박진우, 임영훈, 김경택, 상민수pp. 162-167
원문 보기