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Biomechanics Of Different Surgical Techniques For Posterior Medial Meniscal Root Repair: A Porcine Model

Nadhaporn Saengpetch, MD
THAILAND

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Biomechanics Of Different Surgical Techniques For Posterior Medial Meniscal Root Repair: A Porcine Model

Nadhaporn Saengpetch, MD, THAILAND Sutip Noowan, Md, THAILAND Chaiyanun Vijittrakarnrung, MD, THAILAND

Faculty of Medicine Ramathibodi Hospital Mahidol University, Ratchathewi, Bangkok, THAILAND

2023 Congress ePoster Presentation 2023 Congress Not yet rated

Anatomic Location

Knee

Anatomic Structure

Meniscus Medial

Treatment / Technique

Repair / Reconstruction

Sports Medicine

Biomechanics

Summary: All-suture anchor was another technique for posterior medial meniscal root repair that could be restored contact area, contact pressure and peak pressure comparable with intact condition better than transtibial pullout suture and reduced gap distance in all knee flexion angle.

Background

The posterior medial meniscal root tear (PMMRT) has a serious consequence on tibiofemoral joint biomechanics. Two available techniques for PMMRT repair include transtibial pull-out (TP) repair and all-suture anchor (ASA) repair technique. These techniques have not been compared biomechanically. The purpose of this study was to compare the tibiofemoral contact mechanics between TP technique and ASA techniques for PMMRT repair in an in vitro porcine model.

Methods

A total of twenty fresh porcine cadaveric knee specimens were used. All twenty knees were randomly and evenly distributed to one of four groups: (1) intact posterior meniscal root, (2) PMMRT, (3) TP repair technique of PMMRT, and (4) ASA repair techniques for PMMRT, (five specimens per group). The tibiofemoral contact mechanics were investigated in each knee specimen utilizing a pressure sensor. All knee specimens were tested by being loaded with 600 N axial compressive force at three different flexion angles (0o,45o, and 90o). The contact surface area, contact pressure, peak pressure, and time-zero displacement were recorded.

Results

The PMMRT caused a significant decrease in contact surface area, an increase in contact pressure and peak pressure from the reference values observed in the intact meniscus group (P = 0.003, 0.002, <0.001 respectively). After fixation, there was no significant difference observed between the ASA and intact group. Meanwhile, significant differences were found between the TP and intact group in terms of contact surface area, contact pressure, and peak pressure. In the comparison between the two techniques, the ASA group demonstrated higher contact surface area than the TP group at averaged knee flexion angle (p = 0.007).

Conclusion

For most testing conditions, the ASA technique demonstrated superior biomechanical property in terms of contact surface area compared with the TP technique under compressive loading conditions. ASA technique could also restore the tibiofemoral contact mechanics compared with the native intact knee. Meanwhile, the significant difference in tibiofemoral mechanics compared with the intact knee could be observed in the TP technique.
LEVEL OF EVIDENCE:
Level III, Controlled laboratory Study
KEYWORDS:
meniscus root; root tear; meniscus tear; meniscus root repair; transtibial pull-out repair, all-suture anchor repair

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Popliteomeniscal Fascicles Tears with Lateral Meniscus Instability: Outcomes of Arthroscopic Surgical Technique at Mid-Term Follow-Up ePoster Presentation Simone Cerciello , DR, ITALY Gianluca Ciolli, MD, ITALY Fabrizio Mocini, MD, ITALY Dario Candura, ITALY Lorenzo Proietti, MD, ITALY Roberto Simonetta, ITALY Katia Corona, MD, ITALY Gianni Di Vico, MD, ITALY
Lateral Meniscus Root Tear in ACL-Injured Patients Results In High-Grade Rotatory Knee Laxity: A Quantitative Pivot Shift Analysis ePoster Presentation Bálint Zsidai, MD, SWEDEN Gian Andrea Lucidi, MD, ITALY Ryosuke Kuroda, MD, PhD, JAPAN James J. Irrgang, PT, PhD, FAPTA, UNITED STATES Kristian Samuelsson, Prof, MD, PhD, MSc, SWEDEN Stefano Zaffagnini, MD, Prof., ITALY Volker Musahl, MD, Prof., UNITED STATES
Strength-Based Rehabilitation On Clinical Outcomes In Patients Post-Meniscectomy: A Systematic Review and Meta-Analysis ePoster Presentation Prushoth Vivekanantha, MD, CANADA Yi (David) Diao, BMSc, CANADA Dan Cohen, MD, CANADA Ben Murphy, DPT, CANADA Darren L. de SA, MD MBA FRCSC, CANADA

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Biomechanics Of Different Surgical Techniques For Posterior Medial Meniscal Root Repair: A Porcine Model

Biomechanics Of Different Surgical Techniques For Posterior Medial Meniscal Root Repair: A Porcine Model

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Biomechanics Of Different Surgical Techniques For Posterior Medial Meniscal Root Repair: A Porcine Model

Biomechanics Of Different Surgical Techniques For Posterior Medial Meniscal Root Repair: A Porcine Model

Background

Methods

Results

Conclusion

More 2023 ISAKOS Congress Content