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Open Medial Meniscus Centralization With Arthroscopic Root Repair.
Nicholas Newcomb1, Jared Sanderford1, Tyag Patel1
1University of New Mexico, Albuquerque, New Mexico, USA.
Video Journal of Sports Medicine
|May 1, 2025
Summary
Meniscal root repair with centralization effectively treats extruded tears, improving pain and function while preventing osteoarthritis progression. This technique restores the meniscus, preserving joint health.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Knee Biomechanics
Background:
- Medial meniscal root tears with extrusion can lead to cartilage loss if untreated.
- Meniscotibial ligament disruption is a precursor to these tears.
- Meniscal centralization aims to prevent further joint damage.
Purpose of the Study:
- To describe a case of medial meniscal root tear with extrusion.
- To detail the technique for meniscal centralization.
- To highlight the benefits of this surgical approach.
Main Methods:
- Arthroscopic repair of the medial meniscal root tear.
- Open submeniscal arthrotomy for meniscal centralization.
- Placement of two double-loaded anchors for suture fixation.
- Suture passage through the meniscal body and capsule for centralization.
Main Results:
- The described technique successfully centralized the extruded meniscus.
- Meniscal root repair with centralization shows significant improvements in pain and function.
- This approach is associated with no significant progression of osteoarthritis.
Conclusions:
- Medial meniscal centralization is a safe and effective open surgical technique.
- An open approach allows for precise anchor placement and near-anatomic repair.
- This procedure can restore meniscal function and preserve knee joint health.
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