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KMID : 0828620050090010040
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Journal of Korean Arthroscopy Society
2005 Volume.9 No. 1 p.40 ~ p.45
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Pull-out repair for root tear of medial meniscus
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Kim Deuk-Won
Moon Jeong-Seok
Kim Min-Gun
Kim Jin-Goo
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Abstract
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Purpose: This study is to evaluate the clinical findings of medial 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 osteromedial 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; 58~97) in group 1 and 81.4(range; 72~94) (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.
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KEYWORD
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Medial Meniscus Root Tear, Circumferential Hoop Tension, Pull-out Repair
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