Hybrid Repair of a Medial Meniscus Mid-Body Radial Tear.

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Abstract

Conflict of interest statement: One or more of the authors has declared the following potential conflict of interest or source of funding: C.E.F. has received educational support from Smith + Nephew. M.S.K. has received educational support from Johnson & Johnson. M.V.L. has received educational support from Johnson & Johnson and Zimmer Biomet. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto. 13. Indian J Orthop. 2021 Apr 3;55(2):237-251. doi: 10.1007/s43465-021-00352-2. eCollection 2021 Apr. Meniscal Root Repair Along with Auxiliary Procedures for Joint Preservation: Current Concepts. Sundararajan SR(1), Ramakanth R(1), Rajasekaran S(1). Author information: (1)Ganga Hospital, 313, Mettupalayam Road, Coimbatore, 641043 India. Meniscal root repair and joint preservation surgeries have gained increased interest in the last decade, from a better interpretation of the role of meniscal functions, from the biomechanical studies. Several published results from both biomechanical and clinical studies has proven the effectiveness of meniscal root repairs and has led to a unanimous international consensus for the need for root repair surgery. Meniscal repair by suture pull-out technique is widely followed around the world and leads to adequate healing and good clinical outcome. There are auxiliary procedures like centralization sutures (to reduce the meniscal extrusion), high tibial osteotomy, cartilage repair procedures, meniscal root reconstruction and ligament reconstructions are performed along with meniscal root repair, especially in the younger patients and recently sub-chondroplasty for the bone marrow lesions (BMLs) are also executed. This review article discusses the anatomy, types of root tears, evaluation, treatment, outcomes of root repair, and the need for additional procedures, which are imperative for joint preservation and restoration of the biomechanics of the knee. © Indian Orthopaedics Association 2021. DOI: 10.1007/s43465-021-00352-2 PMCID: PMC8046868