Posterior meniscal root tears: 
A new arthroscopic repair technique. 
Yathiraj BR 
Rohan Vakta 
Dinshaw Pardiwala
Meniscal Root Tears
NATURAL HISTORY IF NEGLECTED
Posterior meniscal root tears 
FIXATION 
Suture Anchor Pull-out Suture
LATERAL MENISCUS POSTERIOR ROOT AVULSION
LATERAL MENISCUS POSTERIOR ROOT AVULSION
1 year postoperative MRI
1 year postoperative MRI
Medial Meniscus Posterior Root Avulsion
Medial Meniscus Radial Tear Posterior Horn
Medial Meniscus Posterior Root Avulsion
Medial Meniscus Posterior Root Avulsion
Thank You

Posterior Meniscal Root Tear Repair Technique-Dr. Yathiraj BR et al

Editor's Notes

  • #3 Its only relatively recent that we have recogonised Root tears as a distinct clinical entity. Since then, various reports have been published regarding its troubling clinical course disruption of the circumferential fibers of the meniscus prohibits the generation of hoop stress cartilage of the knee is exposed to pathologic loads Menical extrusion > 3mm Gap distance(C. Hein)
  • #4 4 years later- grade IV changes. Varus Lat sub Extrusion Joint space loss osteophytosis
  • #5 There is no lack of consensus that meniscus root tear should be repaired. Suture Anchor(Kim, Chung) High PM portal For POS(Raustol) Trans-septal portal(Ahn) Posterior portal(Kim) We describe a technique for meniscal root repair using POS with strong self reinforcing suture config throughAnterior portal.
  • #9 Reduction maintained, no extrusion. Compartment changes are absent.
  • #10 Position of the tunnel can be noted.
  • #11 “Meniscal Root tears” are defined as avulsion injuries of the meniscal attachments to the tibial plateau or radial tears occurring within 1 cm of the bony insertion. (Forkel)
  • #12 Radial tear of the posterior horn of the meniscus is included in the extended definition of root tears
  • #16 POS-Anteriorportals- self reinforcing suture. Safe, reliable, reproducible