Summary: This novel fixation technique of posterior lateral meniscus root in acute lesions can be performed safely in the same surgical time with anterior cruciate ligament reconstruction with satisfactory results.

Introduction

Lesions of posterior lateral meniscus root (PLMR) affect the transfer of the axial load of the knee, due to the inability of the meniscus to dissipate the loads, which generates an overload with the subsequent deterioration of the articular cartilage. Several surgical techniques have been described for its treatment, but still, none has demonstrated superiority. Consequently, there are controversies about which technique is indicated for these injuries, especially when there are concomitant injuries such as anterior cruciate ligament (ACL) injury. The aim is to describe the clinical follow-up of patients operated with transtibial fixation of PLMR and medial portal technique for ACL reconstruction.

Materials & Methods

Retrospective case series. Patients with PLMR and ACL injuries were included, who were operated with a novel transtibial technique for PLMR injuries and medial portal technique for anatomical single-bundle ACL reconstruction in a specialized hospital in Medellín city (Colombia). The fixation of the PLMR consists in repairing it with an all-inside meniscal technique, later the strand of this suture is recovered and fixed transtibial, without it interfering with the ACL fixation tunnel. To determine the knee function, Lysholm and subjective International Knee Documentation Committee (IKDC) scores were performed before and after the operation. The data were analyzed in GraphPad software version 7.02.

Results

Eighteen patients with acute lesions of PLMR were followed, they present a mean age of 30 years; 12 patients were male. The time between trauma and surgery was on average two and a half months and the follow-up period of 12 months. Statistically significant differences were found when comparing both scores before and after the operation. Moreover, no additional surgical procedures were required in the patients during follow-up, and all patients were satisfied with the outcomes of the procedure.

Conclusion

Posterior lateral meniscus root fixation can be safely and satisfactorily performed in the same surgical time with anterior cruciate ligament reconstruction. This novel technique provides an improvement in the symptoms, sports activities level, function, and level of daily activity of the patients.

Five Year Results of a Prospective Randomized Controlled Trail: ACL Repair vs. ACL Reconstruction. ePoster Presentation Johannes Glasbrenner, MD, GERMANY Christoph Kittl, MD, MD(res), GERMANY Michael J. Raschke, MD, Prof., GERMANY Elmar Herbst, MD, PhD, GERMANY Thorben Briese, MD, GERMANY Christian Peez, MD, GERMANY Mirco Herbort, MD, Prof., GERMANY Clemens Kösters, PD Dr. med., GERMANY Benedikt Schliemann, MD, GERMANY
Short Term Results After Missouri Osteochondral Preservation System For Symptomatic Chondral Lesions ePoster Presentation Deryk G. Jones, MD, UNITED STATES Bhumit Desai, MD, UNITED STATES Emmanuel Koli, MD, UNITED STATES Gerard Karl Williams Jr., MD, UNITED STATES
10-year outcomes of the Journey-Deuce bicompartmental knee arthroplasty ePoster Presentation Randeep Singh Aujla, MBChB ChM FRCS (Tr&Orth) MFSEM, UNITED KINGDOM Jennifer Woodhouse, Msc, AUSTRALIA Michael Andreas Finsterwald, MD, AUSTRALIA Jay R. Ebert, PhD, AUSTRALIA Christopher W. Jones, FAOrthA FRACS PhD MBBS(Hons) BEng(Hons) BCom, AUSTRALIA Piers Yates, MBBS(Hons) BSc(Hons) MRCS(Eng) FRCS(Tr & Orth) FRA, AUSTRALIA Peter Alberto D'Alessandro, MBBS Hons. (UWA) FRACS FAOrthA, AUSTRALIA David J. Wood, MBBS, FRACS, AUSTRALIA
Biological Subchondral Bone Treatment with Osteo Core Plasty: Preliminary Results ePoster Presentation Ignacio Dallo, MD, SPAIN Macarena Morales, MD, ITALY Gabriel Azzini, MD, ITALY Alberto Gobbi, MD, FRACS, ITALY
Clinical and Magnetic Resonance Imaging Outcomes of Repaired Longitudinal Tears of Medial Meniscus in Anterior Cruciate Ligament Reconstruction Knee ePoster Presentation Sang Hak Lee, MD, PhD, KOREA, REPUBLIC OF Seong-Hwan Kim, MD,Ph.D, MStat, KOREA, REPUBLIC OF Joong Won Lee, MD, KOREA, REPUBLIC OF Min Gyu Kim, MD, KOREA, REPUBLIC OF
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Targeting Rule Implementation Decreases Concussions In High School Football: A National Concussion Surveillance Study ePoster Presentation Kyle Kosei Obana, BA, UNITED STATES John D Mueller, MD, UNITED STATES Bryan M. Saltzman, BA, UNITED STATES Thomas S Bottiglieri, DO, UNITED STATES Christopher S. Ahmad, MD, UNITED STATES Robert L Parisien, MD, UNITED STATES David P Trofa, MD, UNITED STATES
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Patella Alta, Thochlear Dysplasia and Age are Risk Factors for Recurrent Patellofemoral Dislocation after a First Episode ePoster Presentation Juan Pablo Martinez-Cano, MD, MSc, PhD, COLOMBIA Julian Chica, MD, COLOMBIA Alfredo Martinez Rondanelli, MD, COLOMBIA Erika Rincón, MD, COLOMBIA Martin Eduardo Renjifo, MD, COLOMBIA Laura Zamudio, MD, COLOMBIA Juan José Martinez Arboleda, MD, COLOMBIA
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Injury Patterns In Collegiate Gymnasts: An Analysis Of The Pac-12 Sports Injury Research Archive ePoster Presentation Danielle Greig, MD, UNITED STATES Rishi Trikha, MD, UNITED STATES Thomas J. Kremen, MD, UNITED STATES
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Lateral Extra-Articular Tenodesis Provides Supraphysiological Restraint To Internal Tibial Rotation Abstract Presentation 6 minutes Ronak M. Patel, MD, UNITED STATES Zahab Ahsan, MD, UNITED STATES Niv Marom, MD, ISRAEL Hamid Jahandar, BS, UNITED STATES Erin Berube, MS, BS, UNITED STATES thomas fraychineaud, MD, UNITED STATES Zaid Zayyad, MD, MS, UNITED STATES Thomas L. Wickiewicz, MD, UNITED STATES Danyal H. Nawabi, MD, FRCS(Orth), UNITED STATES Andrew D. Pearle, MD, UNITED STATES Carl W Imhauser, PhD, UNITED STATES
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Outcomes After Axial Alignment Correction For Patellofemoral Instability ePoster Presentation Kristen I Barton, MD, PhD, CANADA Nicholas Steiner, BSc, CANADA Kevin R Boldt, PhD, CANADA Olawale A Sogbein, MD, MSc, CANADA Gilbert Moatshe, MD, PhD, NORWAY Elizabeth A. Arendt, MD, UNITED STATES Alan Getgood, MD, FRCS(Tr&Orth), DipSEM, CANADA
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Comparison Study Between Mobile Bearing And Medial Pivot Total Implants In Total Knee Arthroplasty In Management Of Osteoarthritis Of The Knee ePoster Presentation Dicky Mulyadi, MD, PhD, INDONESIA Naufal Chairulfatah, MD, INDONESIA Muhammad Eka Putra, MD, INDONESIA Nicolaas C. Budhiparama, MD, PhD (LUMC, NL), PhD (UGM, ID), FICS, Prof., INDONESIA
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Application Of BMAC And PRF Combined With Microfracture For The Treatment Of Symptomatic Cartilage Defects In The Knee ePoster Presentation Tahsin Beyzadeoglu, MD, Prof., TURKEY Kerem Yildirim, MD, TURKEY
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High Mid-Term Survival Of Condyle Resurfacing Implants In The Knee – A Nation-Wide Cohort Study On 379 Observations From The Danish Knee Arthroplasty Registry Abstract Presentation 6 minutes Bjørn Borsøe Christensen, MD, PhD, DENMARK Anders El-Galaly, MD, PhD, DENMARK Jens Ole Laursen, Consultant, DENMARK Martin Lind, MD, PhD, Prof., DENMARK
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Management Of Acute Knee Dislocations: A Global Survey Of Orthopaedic Surgeons’ Strategies Abstract Presentation 6 minutes Santa-Marie Venter, MMED(Ortho), MSc, MBChB, LLB, BA, SOUTH AFRICA Roopam Dey, PhD, SOUTH AFRICA Vikas Khanduja, MA(Cantab), MBBS, MSc, FRCS, FRCS(Orth), PhD, UNITED KINGDOM Richard P. von Bormann, MD, SOUTH AFRICA Michael Held, MD, PhD, SOUTH AFRICA
Outcomes for Primary versus Revision Medial Patellofemoral Ligament Reconstruction with Concomitant Tibial Tubercle Osteotomy ePoster Present

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Satisfactory Results Using A Novel Technique For The Fixation Of Posterior Lateral Meniscus Root In Acute Lesions With Concomitant Anterior Cruciate Ligament Injuries.

Satisfactory Results Using A Novel Technique For The Fixation Of Posterior Lateral Meniscus Root In Acute Lesions With Concomitant Anterior Cruciate Ligament Injuries.

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Satisfactory Results Using A Novel Technique For The Fixation Of Posterior Lateral Meniscus Root In Acute Lesions With Concomitant Anterior Cruciate Ligament Injuries.

Satisfactory Results Using A Novel Technique For The Fixation Of Posterior Lateral Meniscus Root In Acute Lesions With Concomitant Anterior Cruciate Ligament Injuries.

Introduction

Results

Conclusion