2016-12-05
2018-06-11
Shin Masuda, Takayuki Furumatsu, Yoshiki Okazaki, Yusuke Kamatsuki, Yuki Okazaki, Yuya Kodama, Takaaki Hiranaka, Eiji Nakata, Toshifumi Ozaki. Graduate School of Medicine Dentistry and Pharmaceutical Sciences; Transtibial pullout repair of medial meniscus posterior root tear restores physiological rotation of the tibia in the knee-flexed position By Yuki Okazaki, Takayuki Furumatsu, Yuya Kodama, Tomohito Hino, Yusuke Kamatsuki, Yoshiki Okazaki, Shin Masuda, Shinichi Miyazawa, Hirosuke Endo, Tomonori Tetsunaga, Kazuki Yamada and Toshifumi Ozaki PURPOSE To systematically review the results of arthroscopic transtibial pullout repair (ATPR) for posterior medial meniscus root tears. METHODS A systematic electronic search of the PubMed database and the Cochrane Library was performed in September 2014 to identify studies that reported clinical, radiographic, or second-look arthroscopic outcomes of ATPR for posterior medial meniscus root tears. A common treatment for posterior meniscal root tears is transtibial pull-out repair, which has been biomechanically reported to restore tibiofemoral contact mechanics to those of the intact knee. Biomechanical data suggest that there is significant Transtibial pullout repair of medial meniscus posterior root tears: effects on the meniscus healing score and ICRS grade among patients with mild osteoarthritis of the knee. Yuya Kodama, Takayuki Furumatsu, Yuki Okazaki, Shota Takihira, Takaaki Hiranaka, Shinichi Miyazawa, Yusuke Kamatsuki, Toshifumi Ozaki.
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Feucht MJ, Kühle J, Bode G, Mehl J, Schmal H, Südkamp NP, Niemeyer P. Arthroscopy, 31(9):1808-1816, 13 May 2015 2021-04-09 · Surgeons will be able to determine if MRR (meniscus root repair) with transtibial pullout technique is an effective treatment and will identify potential risk factors for poor clinical outcomes. In addition, investigators will determine if MRR is successful in delaying the radiographic progression of arthritis in the involved compartment. Anterior Knee Pain; Chondral Defect of the Knee; Effects of a Partial Meniscectomy on Articular Cartilage; Knee Arthritis; Osteochondritis Dissecans of the Knee Transtibial double-tunnel pull-out meniscal root repair provided improvement in function, pain, and activity level, which may aid in delayed progression of knee osteoarthritis. Keywords posterior meniscus root, root repair, transtibial pull-out repair, medial meniscus, lateral meniscus, outcomes. Access Options. Background Transtibial pullout repair for posterior meniscus root tear is widely performed to restore meniscal function. However, it is sometimes technically difficult to pass the suture through the posterior medial meniscus root in narrow joint space.
Studies have evaluated After a meniscal transtibial pullout root repair, patients should remain non-weight-bearing for 6 weeks. Physical therapy should start as soon as possible after surgery, which should include early passive range of motion exercises in a safe zone of 0° to 90° of flexion for the initial 2 weeks.
Orthopaedics & Traumatology: Surgery & Research - Vol. 106 - N° 3 - p. 469-473 - Transtibial pullout repair of the lateral meniscus posterior root tear combined with anterior cruciate ligament reconstruction reduces lateral meniscus extrusion: A retrospective study - EM consulte
During this procedure, your physician inserts stitches into your gastric outlet On April 16, 2019, the FDA ordered all manufacturers of surgical mesh intended for transvaginal repair of anterior compartment prolapse (cystocele) to stop 2 Feb 2018 Tape, with a meniscus-suture contact area larger than thread, produced higher ultimate load. Keywords Meniscal root tear . Transtibial pullout 6 Feb 2018 Transtibial pullout suture (TPS) repair of posterior medial meniscus root (PMMR) tears was shown to achieve good clinical outcomes.
Arthroscopic Transtibial Pullout Repair for Posterior Medial Meniscus Root. Tears : A Systematic Review of Clinical,. Radiographic, and Second-Look.
14 In 91 patients with an average age of 59, only 4 failures were reported at an average 7-year follow-up (1 knee replacement, 3 failures defined as low clinical scores). PURPOSE To systematically review the results of arthroscopic transtibial pullout repair (ATPR) for posterior medial meniscus root tears. METHODS A systematic electronic search of the PubMed database and the Cochrane Library was performed in September 2014 to identify studies that reported clinical, radiographic, or second-look arthroscopic outcomes of ATPR for posterior medial meniscus root tears. Transtibial pullout repair of medial meniscus posterior root tear restores physiological rotation of the tibia in the knee-flexed position By Yuki Okazaki, Takayuki Furumatsu, Yuya Kodama, Tomohito Hino, Yusuke Kamatsuki, Yoshiki Okazaki, Shin Masuda, Shinichi Miyazawa, Hirosuke Endo, Tomonori Tetsunaga, Kazuki Yamada and Toshifumi Ozaki Conclusion. Transtibial pullout repair of MMPRTs among patients with mild osteoarthritic knees improved the clinical outcomes and showed a negative correlation between high meniscus healing scores and ICRS grades in the medial compartment loading area. repair using a transtibial double tunnel pullout technique. Indications for Surgery Patients who are poor surgical candidates (multiple comorbidities or advanced age) have severe osteoar-thritis (grade 3 or 4 chondromalacia of the ipsilateral compartment), or nonsymptomatic chronic meniscal root tears are excluded from surgical repair.
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Transtibial pullout repair of the lateral meniscus posterior root tear combined with anterior cruciate ligament reconstruction reduces lateral meniscus extrusion: A retrospective study Orthop Traumatol Surg Res . Arthroscopic transtibial pullout repair for posterior meniscus root tears. For medial root tears, pullout repair significantly improves functional outcome scores and seems to prevent the progression of osteoarthritis in the short-term. Complete healing observed in only 60% of patients.
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LEVEL OF EVIDENCE: Level IV, retrospective uncontrolled case series. 2016-04-01 transtibial pullout repair f or posterior medial. meniscus root tears: a syste matic review of clinical, radiographic, and s econd-look arthroscopic. results.
One potential explanation for the displacement is that a single transtibial tunnel may not fully restore the attachment of the entire posterior medial meniscal root.
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Meniscus Root Repair: A Transtibial Pull-out Surgical Technique, The End-to-end Journal (2018), doi: 10.1053/j.otsm.2018.06.005 This is a PDF Þle of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo
CONCLUSIONS: Among patients with MMPRTs, transtibial pullout repair demonstrated a high clinical survival rate and the patients demonstrated clinical improvement, based on mid- and long-term follow-up examinations. LEVEL OF EVIDENCE: Level IV, retrospective uncontrolled case series. 2019-02-01 · Transtibial pullout repair of medial meniscus posterior root tear restores physiological rotation of the tibia in the knee-flexed position In this video I share my expertise for repairing a posterior medial meniscus root tear with a double tunnel transtibial pull-out technique.Meniscal root tear 2016-10-11 · Transtibial pullout repair is a new arthroscopic surgical technique to repair meniscal root tears and restore the circumferential hoop strength of the meniscus.
20 Mar 2021 Transtibial pull-out repair is routinely performed to treat medial meniscal posterior root tear (MMPRT). However, data on the postoperative
Purpose/Hypothesis: The purpose of this study was to compare patient-centered outcomes after transtibial pull-out repair for posterior root tears in patients \50 and 50 years of age. We hypothesized that improvement in function and activity level at minimum 2-year follow-up would be similar among patients \50 years of age compared The use of transtibial pullout repair for the medial and lateral posterior meniscal roots has been described, with side-to-side variations in surgical technique. For repair of either posterior root, the patient is positioned with the knee in 90° of flexion. Medial and lateral parapatellar arthroscopic portals are created. Transtibial pullout repair is a new arthroscopic surgical technique to repair meniscal root tears and restore the circumferential hoop strength of the meniscus. Knowledge of the surgical technique and recent MR imaging and arthroscopic classifications of meniscal root tears can aid the radiologist in reporting of the findings at preoperative and postoperative imaging.
14 In 91 patients with an average age of 59, only 4 failures were reported at an average 7-year follow-up (1 knee replacement, 3 failures defined as low clinical scores). In addition, Lysholm scores improved from 52.8 to 83.0 Background: Outcomes after transtibial pull-out repair for posterior meniscal root tears remain underreported, and factors that may affect outcomes are unknown. Purpose/Hypothesis: The purpose of this study was to compare patient-centered outcomes after transtibial pull-out repair for posterior root tears in patients \50 and 50 years of age.