1. Comparison of the clinical outcomes of transtibial pull-out repair for medial meniscus posterior root tear: Two simple stitches versus modified Mason-Allen suture
- Author
-
Taichi Saito, Takayuki Furumatsu, Yuki Okazaki, Yuya Kodama, Takaaki Hiranaka, Shin Masuda, Shota Takihira, Shinichi Miyazawa, Yusuke Kamatsuki, Yoshiki Okazaki, and Toshifumi Ozaki
- Subjects
Male ,medicine.medical_specialty ,Osteoarthritis ,Transtibial pullout repair ,Menisci, Tibial ,03 medical and health sciences ,Arthroscopy ,0302 clinical medicine ,Clinical outcomes ,medicine ,Humans ,Orthopedics and Sports Medicine ,Medial meniscus posterior root tear ,030212 general & internal medicine ,Postoperative Period ,Cartilage repair ,Aged ,Retrospective Studies ,Fibrous joint ,Rupture ,030222 orthopedics ,medicine.diagnostic_test ,Sutures ,business.industry ,Significant difference ,Suture Techniques ,Middle Aged ,medicine.disease ,Surgery ,Tibial Meniscus Injuries ,Two simple stitches ,medicine.anatomical_structure ,Second-Look Surgery ,Female ,Complication ,business ,Modified Mason-Allen suture ,Posterior root ,Medial meniscus - Abstract
Background Transtibial pullout repair of a medial meniscus posterior root tear (MMPRT) is a commonly used procedure, and several techniques have been reported. We hypothesised that pull-out repairs using two simple stitches (TSS) would have similar postoperative outcomes as those using the modified Mason-Allen suture with FasT-Fix (F-MMA). We aimed to investigate the clinical outcomes of these techniques, including the meniscal healing status and osteoarthritic change. Methods The data of 68 patients who underwent transtibial pull-out repair were retrospectively investigated. The patients were divided into two groups of 41 and 27 patients using F-MMA and TSS, respectively. The clinical outcomes were assessed preoperatively and at second-look arthroscopy (the mean period from surgery was one year) using the Knee injury and Osteoarthritis Outcome Score. The meniscal healing status, evaluated at second-look arthroscopy, was compared between the two groups. The cartilage damage was graded as per the classification of the International Cartilage Repair Society and compared at the primary surgery and second-look arthroscopy. Results Both groups showed significant improvement in each clinical score. No significant difference was seen in the clinical outcome scores and the meniscal healing status between the two groups at second-look arthroscopy. Moreover, no significant progression of cartilage damage was observed in both groups. Fourteen patients in the F-MMA group developed a complication of suture bar failures postoperatively; however, there were no complications in the TSS group. Conclusions The TSS and F-MMA techniques showed favourable clinical outcomes and would be established as clinically useful techniques for the MMPRT treatment.
- Published
- 2019