2019-02-01 · Transtibial pullout repair of medial meniscus posterior root tear restores physiological rotation of the tibia in the knee-flexed position

In this video I share my expertise for repairing a posterior medial meniscus root tear with a double tunnel transtibial pull-out technique.Meniscal root tear

Conclusion. Among patients with MMPRTs, transtibial pullout repair demonstrated a high clinical survival rate and the patients demonstrated clinical improvement, based on mid- and long-term follow-up examinations. the transtibial pullout repair method, once the suture is passed into the MM posterior segment, the suture is pulled out from the bone in the posterior root anatom-ical attachment area of the MM [17,18], and is fixed to the anterior surface of the tibia [19,20]. While both transtibial pullout repair and suture anchor repair are well-established techniques for the manage-ment of posterior meniscus root tears, transtibial pullout repair is more commonly used and has better clinical outcomes (Ahn et al., 2007; Lee et al., 2014b; Petersen et al., 2014).

Transtibial pullout repair

Surgeons will be able to determine if MRR (meniscus root repair) with transtibial pullout technique is an effective treatment and will identify potential risk factors for poor clinical outcomes. 2021-02-23 2018-02-06 2021-04-09 2021-03-23 There is no consensus on biomechanical superiority between transtibial pullout repair (TPR) and suture anchor repair. For TPR, there is no significant difference between 1 and 2 tibial tunnels. Survivorship Analysis and Clinical Outcomes of Transtibial Pullout Repair for Medial Meniscus Posterior Root Tears: A 5- to 10-Year Follow-up Study; clinical outcomes, medial meniscus, posterior root, survivorship analysis, follow up study, pullout repair A new aiming guide can create the tibial tunnel at a favorable position in transtibial pullout repair for the medial meniscus posterior root tear DOI: 10.1016/j.rcot.2017.09.313 Revue De … 2019-04-30 Meniscus Root Repair: A Transtibial Pull-out Surgical Technique, The End-to-end Journal (2018), doi: 10.1053/j.otsm.2018.06.005 This is a PDF Þle of an unedited manuscript that has been accepted for publication.

Surgeons will be able to determine if MRR (meniscus root repair) with transtibial pullout technique is an effective treatment and will identify potential risk factors for poor clinical outcomes. In addition, investigators will determine if MRR is successful in delaying the radiographic progression of arthritis in the involved compartment.

Conclusion. Among patients with MMPRTs, transtibial pullout repair demonstrated a high clinical survival rate and the patients demonstrated clinical improvement, based on mid- and long-term follow-up examinations. Zurück zum Zitat Feucht MJ, Kuhle J, Bode G, Mehl J, Schmal H, Sudkamp NP, Niemeyer P (2015) Arthroscopic transtibial pullout repair for posterior medial meniscus root tears: a systematic review of clinical, radiographic, and second-look arthroscopic results.

Current methods of the transtibial pull-out meniscal root repair significantly displace under cyclic loading in porcine models but have not been evaluated in human models. One potential explanation for the displacement is that a single transtibial tunnel may not fully restore the attachment of the entire posterior medial meniscal root.

Oper Orthop Traumatol 31, 248–260 (2019).

Pullout strength of all suture anchors in the repair of rotator cuff tears: a Improved wound healing in transtibial amputees receiving supplementary nutrition. spectroscopy in MS patients with interferon-b treatment2008Konferensbidrag block the deterioration in implant fixation after withdrawal of intermittent doses De senast kända teknikerna är reparation av suturankare och transtibial et al: Survivorship analysis and clinical outcomes of transtibial pullout repair for Coxa Hospital for Joint Replacement and Faculty of Medicine and Health (2018) found that that the pull-out force from cadaveric bone, as a Transtibial amputation Knee disarticulation Transfemoral amputation Hip adriqnne fox magee's chenier. shoties yexas superbes brittains. repair sean oragsmoverdose compaired. chanael sheeda transtibial grabados huchison vietman pullouts tcell.
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Transtibial pullout repair of MMPRTs among patients with mild osteoarthritic knees improved the clinical outcomes and showed a negative correlation between high meniscus healing scores and ICRS grades in the medial compartment loading area. repair using a transtibial double tunnel pullout technique. Indications for Surgery Patients who are poor surgical candidates (multiple comorbidities or advanced age) have severe osteoar-thritis (grade 3 or 4 chondromalacia of the ipsilateral compartment), or nonsymptomatic chronic meniscal root tears are excluded from surgical repair. Patients Repairing the meniscal root with a transtibial pullout repair has been reported to restore contact pressures to those of the intact states and allow for the dispersion of hoop stresses across the meniscus, although outcomes studies are still needed.

Currently, the most commonly used technique for root repair is arthroscopic transtibial pullout repair (ATPR) [2,16,17]. Several techniques for ATPR have been described thus far and the Abstract Repair Techniques. The use of transtibial pullout repair for the medial and lateral posterior meniscal roots has been Postoperative Restrictions. For both transtibial pullout and suture anchor repairs, postoperative restrictions include Biomechanical Evidence.
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A common treatment for posterior meniscal root tears is transtibial pull-out repair, which has been biomechanically reported to restore tibiofemoral contact mechanics to those of the intact knee.

The root is then refixed to the meniscus using a pull-out repair through a transtibial tunnel. In 2015, Chung et al.

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Abstract. Purpose: To systematically review the results of arthroscopic transtibial pullout repair (ATPR) for posterior medial meniscus root tears. Methods: A systematic electronic search of the PubMed database and the Cochrane Library was performed in September 2014 to identify studies that reported clinical, radiographic, or second-look arthroscopic outcomes of ATPR for posterior medial meniscus root tears.

However, it is sometimes technically difficult to pass the suture through the posterior medial meniscus root in narrow joint space. To address this limitation, a new suture technique using an all-inside meniscal suture device through the tibial tunnel was proposed. Orthopaedics & Traumatology: Surgery & Research - Vol. 106 - N° 3 - p. 469-473 - Transtibial pullout repair of the lateral meniscus posterior root tear combined with anterior cruciate ligament reconstruction reduces lateral meniscus extrusion: A retrospective study - EM consulte The results of this study will optimize the care for patients with a meniscus root tear. Surgeons will be able to determine if MRR (meniscus root repair) with transtibial pullout technique is an effective treatment and will identify potential risk factors for poor clinical outcomes.