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Failed transtibial pullout repair of the medial meniscus posterior root
Gabrielle Wasilewski1, Hamidou Drammeh1, Mohamed Belal1
1Loyola University Chicago and Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153, USA.
Abstract:
Transtibial pullout repair is increasingly being utilized for repair of meniscal root tears. Loosening and suture pullout may occur after such a repair but has not been reported in the radiology literature. We present a case of a transtibial pullout repair complicated by suture pullout, recognized on MRI and confirmed on subsequent arthroscopy. This complication may occur in the immediate postoperative period and is important to recognize as it requires surgical management.
Insights
Suture pullout is a complication of transtibial pullout repair for meniscal root tears. This issue was identified using MRI and confirmed with arthroscopy, requiring surgical intervention.
Area of Science:
- Orthopedic Surgery
- Radiology
- Sports Medicine
Background:
- Transtibial pullout repair is a common technique for meniscal root tears.
- Potential complications like loosening and suture pullout exist but are underreported in radiology literature.
Observation:
- A case of transtibial pullout repair complicated by suture pullout is presented.
- The complication was initially identified using Magnetic Resonance Imaging (MRI).
- Confirmation of suture pullout was achieved through arthroscopy.
Findings:
- Suture pullout is a potential complication following transtibial pullout meniscal root repair.
- This complication can manifest in the immediate postoperative period.
- Radiological diagnosis using MRI is feasible.
Implications:
- Radiologists and orthopedic surgeons should be aware of this potential complication.
- Early MRI detection can guide prompt surgical management.
- Recognizing suture pullout is essential to avoid delayed treatment for meniscal root tears.
