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Meniscal Root Repair
John R Matthews1,2, Ryan W Paul3, Sommer Hammoud4
1Rothman Orthopedic Medicine Sports Fellow.
Background:
Meniscal root tears typically result from a hyperflexion/squatting injury or are in conjunction with ligamentous knee injury. Once a complete tear occurs, the meniscus is unable to convert axial loads to transverse hoop stresses which result in increased tibiofemoral contact pressure and osteoarthritis. The goal of a meniscal root repair is to anatomically reattach the meniscal root to the tibia plateau. Complete and partial healing occurs in over 93% of cases with retear rates ranging from 0% to 7%.
Indications:
We present a case of a highly active 21-year-old male collegiate soccer play that sustained a medial meniscal root tear after slipping on ice.
Technique:
An anatomic medial meniscal root repair was performed using a transtibial guide and 2 loop sutures tied over a button.
Results:
Full anatomic footprint coverage was able to be achieved intraoperatively and gentle range of motion from 0 to 90° of flexion did not result in gap formation.
Discussion/Conclusion:
Successful outcomes with full anatomic footprint coverage of the medial meniscal root can be achieved with 2-loop suture button configuration.
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