PMID- 35299712
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220319
IS  - 2325-9671 (Print)
IS  - 2325-9671 (Electronic)
IS  - 2325-9671 (Linking)
VI  - 10
IP  - 3
DP  - 2022 Mar
TI  - Outcomes of Combined Lateral Meniscus Posterior Root Repair and Anterior Cruciate 
      Ligament Reconstruction.
PG  - 23259671221083318
LID - 10.1177/23259671221083318 [doi]
LID - 23259671221083318
AB  - BACKGROUND: Lateral meniscus posterior root tears (LMPRTs) almost always occur in 
      association with anterior cruciate ligament (ACL) tears. Their repair is 
      advocated to restore the stabilizing and load-sharing functions of the meniscus. 
      PURPOSE: To study the functional outcomes of combined arthroscopic repair of 
      LMPRTs and ACL reconstruction (ACLR). STUDY DESIGN: Case series; Level of 
      evidence, 4. METHODS: The authors evaluated patients who underwent simultaneous 
      arthroscopic ACLR and LMPRT repair. All patients had chronic injuries, with a 
      mean time since ACL rupture of 7.9 months. Patient characteristics, Lachman and 
      pivot-shift test results, type of LMPRT, associated injuries, and surgery details 
      were documented. Pre- and postoperative functional status was assessed using the 
      International Knee Documentation Committee (IKDC) score, Knee injury and 
      Osteoarthritis Outcome Score (KOOS), and Lysholm score. An independent 
      single-tunnel transtibial repair using 2 SutureTapes was performed for Forkel 
      type 1 and 3 tear root avulsions, while side-to-side suture repair was performed 
      for type 2 radial/oblique tears. The Wilcoxon signed rank test and minimal 
      clinically important difference (MCID) of the IKDC score were used for 
      statistical analysis. RESULTS: Included were 25 patients with a mean age of 29.6 
      +/- 6.5 years. Of these, 22 patients (88%; 95% CI, 73.1%-100%) had a high-grade 
      (grade 2 or 3) preoperative pivot shift. Diagnosis of the LMPRT on magnetic 
      resonance imaging (MRI) scans was possible only in 5 patients (20%). At final 
      evaluation, performed at 37.4 +/- 7.1 months postoperatively, all functional scores 
      had improved significantly from preoperatively: IKDC score, from 47.6 +/- 9.5 to 
      81.8 +/- 11.5; KOOS, from 45.5 +/- 10.9 to 86.5 +/- 10.3, and Lysholm score, from 49.0 
      +/- 11.5 to 88.8 +/- 7.6 (P < .001 for all). Twenty-four patients (96%) achieved the 
      MCID for the IKDC score. All knees had a negative pivot shift at final analysis, 
      and no patient underwent revision ACLR or LMPRT repair. CONCLUSION: LMPRT repair 
      combined with ACLR led to good short-term clinical outcomes in this study. An 
      LMPRT may frequently go undetected on preoperative MRI scans, but a high-grade 
      pivot shift is present in a large majority of these patients.
CI  - (c) The Author(s) 2022.
FAU - Shekhar, Anshu
AU  - Shekhar A
AD  - The Orthopaedic Speciality Clinic, Pune, India.
FAU - Tapasvi, Sachin
AU  - Tapasvi S
AD  - The Orthopaedic Speciality Clinic, Pune, India.
FAU - Williams, Andy
AU  - Williams A
AD  - Fortius Clinic, London, UK.
LA  - eng
PT  - Journal Article
DEP - 20220311
PL  - United States
TA  - Orthop J Sports Med
JT  - Orthopaedic journal of sports medicine
JID - 101620522
PMC - PMC8921756
OTO - NOTNLM
OT  - anterior cruciate ligament tear
OT  - knee
OT  - lateral meniscus root tear
OT  - meniscus
OT  - meniscus root repair
OT  - pivot-shift test
OT  - transtibial pull-out suture
COIS- One or more of the authors has declared the following potential conflict of 
      interest or source of funding: S.T. has received grants from Zimmer Biomet and 
      personal fees from Arthrex, ConMed, Smith & Nephew, Stryker, and Zimmer Biomet. 
      A.W. has received grants and personal fees from Smith & Nephew and has shares in 
      Innovate Orthopaedics. 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.
EDAT- 2022/03/19 06:00
MHDA- 2022/03/19 06:01
PMCR- 2022/03/11
CRDT- 2022/03/18 05:08
PHST- 2021/11/18 00:00 [received]
PHST- 2021/12/08 00:00 [accepted]
PHST- 2022/03/18 05:08 [entrez]
PHST- 2022/03/19 06:00 [pubmed]
PHST- 2022/03/19 06:01 [medline]
PHST- 2022/03/11 00:00 [pmc-release]
AID - 10.1177_23259671221083318 [pii]
AID - 10.1177/23259671221083318 [doi]
PST - epublish
SO  - Orthop J Sports Med. 2022 Mar 11;10(3):23259671221083318. doi: 
      10.1177/23259671221083318. eCollection 2022 Mar.