Pull-out repair for root tear of medial meniscus

내측 반월상 연골 후방 골 기시부 파열의 수술적 봉합술

  • Kim, Deok-Weon (Department of Orthopedic Surgery, Seoul Paik Hospital, Inje University) ;
  • Moon, Jeong-Seok (Department of Orthopedic Surgery, Seoul Paik Hospital, Inje University) ;
  • Kim, Min-Gun (Department of Orthopedic Surgery, Seoul Paik Hospital, Inje University) ;
  • Kim, Jin-Goo (Department of Orthopedic Surgery, Seoul Paik Hospital, Inje University)
  • 김덕원 (인제대학교 의과대학 서울백병원 정형외과학교실) ;
  • 문정석 (인제대학교 의과대학 서울백병원 정형외과학교실) ;
  • 김민건 (인제대학교 의과대학 서울백병원 정형외과학교실) ;
  • 김진구 (인제대학교 의과대학 서울백병원 정형외과학교실)
  • Published : 2005.06.30

Abstract

Purpose: This study is to evaluate the clinical findings of media] meniscus root tear, pull-out repair technique and it's short term results. Materials and Methods: From September 2003 to August 2004, 23 cases of total 27 medial meniscus root tears were treated by pull-out repair technique. Mean age was 60.2 years old. The pull-out technique was divided into 2 groups In group 1(14/23 cases), anterolateral portal was used and in group 2(9/23 cases), anterolateral and posteromedial portals were used for bed preparation. Concomitant cartilage lesions were documented as ICRS mapping system. The clinical outcomes were evaluated according to Lysholm Knee Score. Results: The postoperative Lysholm Knee Score was 77.1(range; $58{\sim}97$) in group 1 and 81.4(range; $72{\sim}94$) (p>0.05). The failure rate was 3 of 14 cases(21.4%) in group 1 and 1 of 9 cases(11.1%) in group 2. Twenty of 22 cases(90.9%) showed cartilage lesions in weight bearing portion of medial femoral condyle which were 8 grade III and 5 grade IV according to the Outerbridge classification. Conclusion: Pull-out repair seems to be a useful treatment of the medial meniscus root tear for preservation of circumferential hoop tension of meniscus.