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Reparación de la raíz posterior del menisco medial versus centralización de doble túnel en desgarros de la raíz
Yaşar Samet Gökçeoğlu1, Muhammed Furkan Darılmaz2
1Department of Orthopedics, Sanliurfa Mehmet Akif Inan Training and Research Hospital, Sanliurfa, Turkey.
Journal of orthopaedic surgery (Hong Kong)
|February 28, 2026
Resumen
La centralización del segundo túnel para los desgarros de la raíz posterior del menisco medial mejora significativamente la función del paciente y la calidad de vida. Esta técnica ofrece beneficios, especialmente para pacientes con alineación en varo, sin empeorar la extrusión estática por RM.
Sus antecedentes:
- Los desgarros de la raíz posterior del menisco medial a menudo conducen a una extrusión persistente y a una alteración de la mecánica articular después de la reparación.
- Las técnicas de reparación estándar pueden no restaurar completamente la función normal de la rodilla y la mecánica articular.
Conclusiones:
- La centralización por segundo túnel mejora significativamente la probabilidad de lograr una mejora funcional clínicamente significativa en pacientes con desgarros de la raíz posterior del menisco medial.
- Este beneficio se observa a pesar de no haber cambios significativos en la extrusión estática medida por RM, lo que sugiere una mejora en el reparto dinámico de cargas.
- La centralización es un complemento recomendado, especialmente para pacientes con alineación en varo, en lugar de una necesidad rutinaria.
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