PMID- 38328534
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240210
IS  - 2666-061X (Electronic)
IS  - 2666-061X (Linking)
VI  - 6
IP  - 2
DP  - 2024 Apr
TI  - Steep Posterior Tibial Slope and Excessive Anterior Tibial Translation Are 
      Associated With Increased Sagittal Meniscal Extrusion After Posterior Lateral 
      Meniscus Root Repair Combined With Anterior Cruciate Ligament Reconstruction.
PG  - 100881
LID - 10.1016/j.asmr.2023.100881 [doi]
LID - 100881
AB  - PURPOSE: To (1) evaluate the clinical and radiographic outcomes of patients with 
      primary anterior cruciate ligament reconstruction (ACLR) with type II posterior 
      lateral meniscus root tear (PLMRT) repair and (2) identify whether increased 
      anterior tibial subluxation of the lateral compartment (ATSLC) and steeper 
      posterior tibial slope (PTS) are associated with sagittal lateral meniscal 
      extrusion (LME). METHODS: Patients who underwent primary anatomic ACLR with 
      concomitant type II PLMRTs using the all-inside side-to-side repair technique 
      between November 2014 and September 2020 were identified. To be included, 
      patients must have had a minimum of 2 years follow-up. All patients, including 
      those with ATSLC and PTS and sagittal and coronal LME, were retrospectively 
      reviewed clinically and radiologically. The patients were divided into 2 
      subgroups according to the occurrence of sagittal LME. RESULTS: Forty patients 
      were included in this study with a mean follow-up of 44 months (range, 24-94 
      months). In general, the postoperative parameters, including grade of pivot 
      shift, side-to-side difference, ATSLC, Lysholm score, and International Knee 
      Documentation Committee (IKDC) score, were significantly improved compared with 
      the preoperative ones. However, postoperative sagittal LME was detected to be 
      significantly larger than the preoperative one. Minimal clinically important 
      difference (MCID) analysis for postoperative outcomes showed that the rate of 
      patients who achieved MCID thresholds was 100% for Lysholm, 95% for IKDC, 42.50% 
      for coronal LME, 62.50% for sagittal LME, 40% for ATSLC, and 100% for 
      side-to-side difference. Further comparisons, where patients were divided into 2 
      subgroups according to the occurrence of sagittal LME, showed significant 
      differences in PTS, ATSLC, and coronal LME. CONCLUSIONS: Clinical outcomes after 
      type II PLMRT repair with primary ACLR were significantly improved, except for 
      LME, at the 2-year postoperative follow-up. After repair of type II PLMRT 
      injuries, the presence of sagittal LME was associated with increased PTS and 
      ATSLC. LEVEL OF EVIDENCE: Level III, retrospective cohort study.
CI  - (c) 2024 The Authors.
FAU - Zhang, Zheng-Zheng
AU  - Zhang ZZ
AD  - Department of Orthopedics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 
      Guangzhou, P. R. China.
FAU - Zhang, Hao-Zhi
AU  - Zhang HZ
AD  - Department of Orthopedics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 
      Guangzhou, P. R. China.
AD  - Musculoskeletal Research Laboratory, Department of Orthopaedics & Traumatology, 
      The Chinese University of Hong Kong, Hong Kong, China.
FAU - Jiang, Chuan
AU  - Jiang C
AD  - Department of Orthopedics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 
      Guangzhou, P. R. China.
FAU - Yang, Rui
AU  - Yang R
AD  - Department of Orthopedics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 
      Guangzhou, P. R. China.
FAU - Chen, Zhong
AU  - Chen Z
AD  - Department of Orthopedics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 
      Guangzhou, P. R. China.
FAU - Song, Bin
AU  - Song B
AD  - Department of Orthopedics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 
      Guangzhou, P. R. China.
FAU - Li, Wei-Ping
AU  - Li WP
AD  - Department of Orthopedics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 
      Guangzhou, P. R. China.
LA  - eng
PT  - Journal Article
DEP - 20240201
PL  - United States
TA  - Arthrosc Sports Med Rehabil
JT  - Arthroscopy, sports medicine, and rehabilitation
JID - 101765256
PMC - PMC10847029
COIS- The authors report the following potential conflicts of interest or sources of 
      funding: This study was supported by 10.13039/501100001809National Natural 
      Science Foundation of China (82022046, 82172416) and Guangdong Basic and Applied 
      Basic Research Foundation (2020B1515020014). Full ICMJE author disclosure forms 
      are available for this article online, as supplementary material.
EDAT- 2024/02/08 06:42
MHDA- 2024/02/08 06:43
PMCR- 2024/02/01
CRDT- 2024/02/08 04:21
PHST- 2023/02/22 00:00 [received]
PHST- 2023/12/26 00:00 [accepted]
PHST- 2024/02/08 06:43 [medline]
PHST- 2024/02/08 06:42 [pubmed]
PHST- 2024/02/08 04:21 [entrez]
PHST- 2024/02/01 00:00 [pmc-release]
AID - S2666-061X(23)00232-8 [pii]
AID - 100881 [pii]
AID - 10.1016/j.asmr.2023.100881 [doi]
PST - epublish
SO  - Arthrosc Sports Med Rehabil. 2024 Feb 1;6(2):100881. doi: 
      10.1016/j.asmr.2023.100881. eCollection 2024 Apr.