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KMID : 1207720110030040332
Clinics in Orthopedic Surgery
2011 Volume.3 No. 4 p.332 ~ p.335
Arthroscopic Direct Repair for a Complete Radial Tear of the Posterior Root of the Medial Meniscus
Wang Kook-Hyun

Hwang Dae-Hee
Cho Jin-Ho
Changale Sachin D.
Woo Sung-Jong
Nha Kyung-Wook
Abstract
We report here on a new arthroscopic direct repair technique for a radial tear of the posterior root of the medial meniscus (PRMM) using a posterior trans-septal portal. Radial tears of the PRMM are commonly observed in the elderly population of Korea and Japan, and the life style of these people requires squatting and kneeling down in daily life. A radial tear of the PRMM results in the loss of hoop tension and this accelerates degenerative changes in the knee joint and causes early osteoarthritis. Several reports in the medical literature have focused on various repair techniques for these tears by using pull out sutures. These techniques result in nonanatomic fixation of the meniscus, which may lead to disturbed meniscal excursion and failure to restore hoop tension. Arthroscopic direct repair may contribute to restoring hoop tension and preventing accelerated degenerative changes in the knee joint of these patients.
KEYWORD
Radial tear, Medial meniscus posterior root, Direct repair, Arthroscopy
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MEDLINE ÇмúÁøÈïÀç´Ü(KCI) KoreaMed