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Meniscal root repair is the treatment of choice for reparable meniscal root tears; however, the complete healing rate is less than 60%. To improve healing outcomes, meniscal root reconstruction may serve as a viable alternative. We present an arthroscopic reconstructive technique using a gracilis graft through the anterior-medial collateral ligament portal. This approach offers the advantage of minimizing further meniscal tissue injury or cut-through.
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http://dx.doi.org/10.1016/j.eats.2025.103611 | DOI Listing |
Semin Arthritis Rheum
August 2025
Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States. Electronic address:
Objective: To estimate the prevalence of knee structural pathologies that may warrant exclusion from disease-modifying osteoarthritis drug (DMOAD) trials, based on MRI versus radiography, among participants who would otherwise be considered eligible for enrollment based on commonly used radiographic inclusionary criteria.
Methods: We selected participants from the baseline visit of the Osteoarthritis Initiative that met radiographic structural and clinical eligibility criteria for a DMOAD clinical trial: Radiographic OA (Kellgren-Lawrence grade 2 or 3 with medial minimum joint space width ≥ 1.5 mm); and WOMAC knee pain score between 8 and 18 (0-20 scale).
Am J Sports Med
September 2025
Twin Cities Orthopedics, Edina, Minnesota, USA.
Background: Meniscal extrusion has been reported to be present in >50% of knees after medial meniscus root repair. Meniscal extrusion has also been reported to be a risk factor for the progression of osteoarthritis and poorer patient-reported outcomes by impairing the ability of the meniscus to absorb hoop stress.
Purpose: To determine whether the addition of a centralization suture to 2-tunnel transtibial root repair reduces postoperative medial meniscal extrusion in patients with type 2 posterior medial meniscus root (PMMR) tears.
Cureus
July 2025
Division of Radiology, Keiju Medical Center, Nanao, JPN.
Introduction This study focuses on the tibial tunnel in the pull-out repair of medial meniscus posterior root tears (MMPRTs), with attention to the distal hole as the anatomical vector. Little research has explored this aspect, as previous studies have mainly emphasized the proximal hole as the attachment point. Methods The anatomical vector was identified by analyzing magnetic resonance images of 84 healthy knees.
View Article and Find Full Text PDFMalays Orthop J
July 2025
Department of Orthopaedic and Traumatology, Clinica El Rosario, Medellin, Colombia.
Different surgical techniques are used to preserve knee articular cartilage deterioration; however, combining these techniques can be challenging. This case study describes a 35-year-old man with bilateral genu varum malalignment and left knee pain, diagnosed with a grade IV chondral lesion in the lateral femur, a complex lateral meniscus lesion, and a radial tear in the medial meniscus. The patient underwent a valgus-producing tibial osteotomy, lateral osteochondral allograft transplantation, and lateral meniscal allograft transplantation using a 3D model of the proximal tibia.
View Article and Find Full Text PDFJ ISAKOS
August 2025
Division of Sports Shoulder & Elbow Surgery, Department of Orthopaedic Surgery, National University Hospital, 1E Kent Ridge Road, Singapore 119228, Singapore. Electronic address:
Introduction/objectives: Bouldering, a dynamic climbing discipline performed without ropes, is associated with high-energy ground falls. While most existing climbing injury literature has focused on the upper extremities, our data indicated an increasing number of complex knee injuries related to bouldering. This review was conducted to characterize the injury patterns sustained from bouldering ground falls, and to compare the relative burden of these injuries with those sustained in other high-participation sports.
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