Clinical Outcome of Medial Meniscus Root Reconstruction Versus Root Repair in Managing Medial Meniscus Posterior Root Tear
DOI:
https://doi.org/10.31282/joti.v7n1.124Keywords:
Meniscus tear , Medial meniscus posterior root tear, Transtibial pull-out repair , Meniscus root reconstruction , Gracilis autograftAbstract
Introduction: Optimal treatment of a medial meniscus posterior root tear (MMPRT) is essential for restoring joint kinematics, and contact pressures, and preventing the progression of knee osteoarthritis (OA). Recently, transtibial pull-out repair has been the preferred treatment for MMPR tear. However, the repair techniques do not provide any biological structure to enhance biological healing. Reconstruction of the meniscus root with gracilis autograft may reproduce the ligamentous structure resembling the original root. The objective of this study is to assess and compare the clinical effectiveness of medial meniscus root reconstruction and root repair.
Method: Patients who received arthroscopic surgical treatment for MMPRT were included in this study. Twenty patients who had been diagnosed with MMPR tear were divided into two groups: those who underwent transtibial pull-out repair (10 cases) and those who underwent meniscus root reconstruction with gracilis autograft (10 cases). Each patient then underwent a surgical procedure according to their
respective group. Clinical outcomes were assessed using visual analog score (VAS) and KOOS score in 3 months follow-up.
Result: Both groups had no significant differences in the baseline characteristics. Compared to the repair group, the reconstruction group demonstrated significant mean VAS reduction (p= 0,001) at 3 months. However, there was no significant difference in the mean KOOS score at 3 months (p=0.481).
Conclusion: The meniscus root reconstruction using gracilis autograft offers significant benefits with superior outcomes in VAS score compared to transtibial pull-out repair, however, there were no differences on clinical outcome at 3 months follow-up
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