Arthroscopic Centralization of the Extruded Meniscus With Posterior Root Tear: A Technique Using Meniscotibial Ligament Fixation

Aaron J. Krych; Fabien Meta; Louis Kang; Mario Hevesi; Patrick A. Smith

doi:10.1016/j.eats.2024.103274

journal article Open Access Oct 16, 2024

Arthroscopic Centralization of the Extruded Meniscus With Posterior Root Tear: A Technique Using Meniscotibial Ligament Fixation

Aaron J. Krych Fabien Meta Louis Kang Mario Hevesi

Patrick A. Smith

Arthroscopy Techniques Vol. 14 No. 3 · Wiley

View at Publisher Save 10.1016/j.eats.2024.103274

Abstract

Abstract

Meniscal root tears have been shown to significantly impact tibiofemoral mechanics and contribute to accelerated development of osteoarthritis. A common finding in conjunction with a meniscal root tear is extrusion of the meniscus. Meniscal extrusion is an independent risk factor for tibiofemoral cartilage loss and the progression of osteoarthritis. Meniscus centralization was first introduced to directly address extrusion alongside root repair techniques. To date, reported techniques for meniscus centralization generally involve anchoring the meniscus directly to the tibia in some fashion, which can limit the normal anatomic motion of the meniscus. We present a technique for meniscus centralization that aims to maintain natural meniscal motion by utilizing the meniscotibial ligaments.

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References

Details

Published: Oct 16, 2024
Vol/Issue: 14(3)
License: View

Authors

A

Aaron J. Krych

Department of Orthopedic Surgery Mayo Clinic Rochester Minnesota U.S.A.

F

Fabien Meta

Department of Orthopedic Surgery Mayo Clinic Rochester Minnesota U.S.A.

L

Louis Kang

Department of Orthopedic Surgery Mayo Clinic Rochester Minnesota U.S.A.

M

Mario Hevesi

Department of Orthopedic Surgery Mayo Clinic Rochester Minnesota U.S.A.

P

Patrick A. Smith

Columbia Orthopaedic Group Columbia Missouri U.S.A.

Cite This Article

Aaron J. Krych, Fabien Meta, Louis Kang, et al. (2024). Arthroscopic Centralization of the Extruded Meniscus With Posterior Root Tear: A Technique Using Meniscotibial Ligament Fixation. Arthroscopy Techniques, 14(3). https://doi.org/10.1016/j.eats.2024.103274

Arthroscopic Centralization of the Extruded Meniscus With Posterior Root Tear: A Technique Using Meniscotibial Ligament Fixation

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