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Articles linked to this work by shared authors, journal, and citation graph.

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Restoration of Anterior Tibial Translation Is Achievable With an Anterior Cruciate Ligament Reconstruction and Ramp Repair With Increasing Posterior Tibial Slope While Medial Meniscus Deficiency Requires Concomitant Slope-Correcting Osteotomy.

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Delayed Surgical Treatment of Pediatric and Adolescent Medial Meniscus Posterior Root Tears Is Associated With Increased Odds of Medial Tibiofemoral Compartment Cartilage Injury: A Multicenter Study.

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Editorial Commentary: Root Cause of Failure: Surgeons and Patients Must Take Medial Meniscus Root Repair Seriously.

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Residual Midbody Meniscal Widths >13 mm Immediately After Surgery Decreased Faster and Had Greater Complication Rates in Discoid Lateral Menisci Treated With Saucerization and Repair.

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Editorial Commentary: Managing Posterior Tibial Slope in Knee Ligament Surgery: What Is All the Fuss?

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Increased Medial Posterior Tibial Slope Is Associated With Worse Patient-Reported Outcomes After Bicruciate Ligament Reconstruction.

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Athletes Undergoing Staged Bilateral Hip Arthroscopy Show Favorable Midterm Outcomes and Return to Sport: A Propensity-Matched Study.

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Editorial Commentary: A Call for Clarity-Standardizing Return-to-Sport Definitions Is Essential for Interpreting Hip Arthroscopy Outcomes.

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Editorial Commentary: Results From Anterior Cruciate Ligament Repair Remain Inferior to Anterior Cruciate Ligament Reconstruction.

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Editorial Commentary: Meniscal Extrusion.

Robert F LaPrade1, Christopher M LaPrade2, Nicholas I Kennedy1

  • 1Twin Cities Orthopedics.

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|November 19, 2023
PubMed
Summary
This summary is machine-generated.

Meniscal root repair is crucial for preventing osteoarthritis progression and delaying knee replacement surgery. Anatomic repair techniques restore normal joint biomechanics, improving patient outcomes and preventing further meniscal extrusion.

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Sports Medicine

Background:

  • Meniscal root tears are increasingly recognized as a significant cause of knee osteoarthritis.
  • Root repair is indicated to prevent further osteoarthritis progression and delay total knee arthroplasty.
  • Previous studies show root repairs are cost-beneficial and improve patient-reported outcomes.

Discussion:

  • Nonanatomic repair techniques disrupt tibiofemoral biomechanics, leading to increased meniscal extrusion.
  • Anatomic repair, within 1 cm of the native attachment site, restores joint loading to near-normal levels.
  • Further clinical outcome studies and surgical technique refinement are necessary.

Key Insights:

  • Anatomic meniscal root repair is essential for restoring normal joint biomechanics.
  • Improved patient-reported outcomes are observed following root repair procedures.
  • Preventing recurrent meniscal extrusion post-repair is a critical area for future research.

Outlook:

  • Focus on refining surgical techniques for precise anatomic meniscal root repair.
  • Investigate methods to prevent recurrent meniscal extrusion after root repair.
  • Long-term clinical outcome studies will further validate the benefits of root repair.