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Corresponding Author

Abdelrhman Ali Radi

Document Type

Original Article

Abstract

Background: A meniscal root tear is a radial rupture that occurs within 1 cm of the insertion of the meniscal horn. Meniscal root injuries account for 10.1% of all meniscectomies performed arthroscopically. It has been established as an independent factor in the development and progression of osteoarthritis. The development of degenerative changes in articular cartilage has been linked to stresses that exceed physiological limits.

Objectives: This work evaluates the technique, results, and complications of Arthroscopic repair of meniscal root tears using the trans-osseous suturing technique.

Methods: This prospective case series study, conducted from January 2020 to November 2021, included 40 patients between the ages of 20 and 50 who were discovered to have a recent meniscal root tear.

Results: The most prevalent mode of trauma was twisting injury (50%), symptoms of duration were six months, follow-up duration was 18 months, and the most frequent tear type was IIa (60%) followed by IV (25%), the last one was IIb 15%. There was a statistically significant difference between the Lysholm score preoperatively and postoperatively (p-value <0.001).

Conclusion: Arthroscopic repair using trans osseous pull-out sutures effectively treats medial meniscus posterior root tears. It improves knee function scores and meniscal integrity. Proper tear bed and edge preparation, a 7 mm tibial tunnel, and a precise re-implantation point are essential for successful outcomes.

Keywords

Meniscal Root Tear; Osteoarthritis; Arthroscopic Repair; Trans-Osseous Repair; Meniscal Injuries

Subject Area

Orthopedics

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