Summary: The presence of medial meniscus tear significantly altered knee kinematics in the context of ACL injury. The meniscal repair does not restore the tibial internal rotation of an isolated ACL reconstruction.

Purpose

The in-vivo biomechanical role of meniscal lesions in combination with Anterior Cruciate Ligament (ACL) injury has not been extensively investigated. The aim of the present study was to quantify the effect of medial meniscus injury and subsequent repair in the context of ACL injury and reconstruction on the in-vivo active knee kinematics.

Methods

Nineteen patients with ACL injury were included: 10 had intact menisci (IM group) and 9 had medial meniscus injury (meniscus repair – MR group). The ACL reconstruction was performed either with Anatomic Single Bundle or Over-the-top plus lateral plasty technique using hamstrings, while medial meniscus lesions were repaired with an all-inside technique. Active knee kinematics under weight-bearing conditions was evaluated using a dynamic biplane radiographical system (roentgen stereophotogrammetric analysis – RSA) during a single-leg squat, performed preoperatively and 18 months after ACL reconstruction. The General Linear Model was used to investigate the differences in terms of groups (IM vs MR) and time (preoperative vs follow-up) and their interactions (p<0.05).

Results

Tibial internal rotation was higher in the MR group with respect to the IM group both before and after surgery (p<0.007). Knee valgus was higher in the MR group preoperatively (p<0.001), while no differences were found at follow-up. Preoperatively, the IM group showed a more medial tibia compared to the MR group in the descendant phase (p<0.006).

Conclusion

The presence of medial meniscus tear significantly altered knee kinematics in the context of ACL injury. The meniscal repair does not restore the tibial internal rotation of an isolated ACL reconstruction.

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Bone Bridge Technique For Lateral Meniscal Allograft Transplantation – No Difference In Clinical Outcome Compared To The Soft Tissue Technique ePoster Presentation Rahul Bhattacharyya, MBCHB (Hons), MD (Res), FRCS (Orth), MSc, MRCS, UNITED KINGDOM Harry Krishnan, FRCS(Tr&Orth),MEd(ULT), MBBS, BSc (Hons), UNITED KINGDOM Nicole Bausch, MSc physiotherapy and education, UNITED KINGDOM Adam Richard Pilarski, MBBS, MRCS, MBA, BA (hons), UNITED KINGDOM Niall McGoldrick, MB MCh FRCS (Tr & Orth), IRELAND Peter Thompson, MBChB, UNITED KINGDOM Andrew Metcalfe, PhD, UNITED KINGDOM Tim Spalding, FRCS(Orth), UNITED KINGDOM
Etiology of Posterior Meniscus Root Tears: Medial vs. Lateral ePoster Presentation Katrin Karpinski, MD, GERMANY Philipp Forkel, MD, GERMANY Martin Häner, MD, GERMANY Wolf Petersen, MD, Prof, GERMANY
The Hidden Lesion of the Knee: Risk Factors Study ePoster Presentation Mohamed Amine Gharbi , MD, TUNISIA Anis Tebourbi, MD, TUNISIA Moatassem Belleh Jelassi, MD, TUNISIA Rami Triki, TUNISIA Ramzi Bouzidi, PhD, TUNISIA Khelil Ezzaouia, PhD, TUNISIA Mouadh Nefiss, MD, TUNISIA
Do All Meniscal Ramp Lesions Require Repair? A Prospective Study Of Ramp Lesions with Concomitant ACL Injury? ePoster Presentation Silvampatti Ramasamy Sundararajan, MS(Orth), INDIA Meet Mehta, MD orthopaedics, INDIA Terence Dsouza, MS, DNB, FNB, INDIA Ramakanth Rajagopalakrishnan, D.ortho, DNB(ortho).D.SICOT, INDIA S Rajasekaran, MS(Orth),DOrth,DNB,FRCS(Ed),FRCS(Lon),MCh(Liv),PhD, INDIA
Clinical Characteristics Of Isolated Meniscal Tears During Sports Activities Among Young Athletes ePoster Presentation Yuta Tachibana, M.D., Ph.D., JAPAN Kazutaka Kinugasa, MD, PhD, JAPAN Hiroshi Amano, MD, PhD, JAPAN Keisuke Kita, MD, PhD, JAPAN Yasukazu Yonetani, MD, PhD, JAPAN Shuji Horibe, MD, PhD, JAPAN Yoshinari Tanaka, MD, PhD, JAPAN
Biomechanics Of Different Surgical Techniques For Posterior Medial Meniscal Root Repair: A Porcine Model ePoster Presentation Nadhaporn Saengpetch, MD, THAILAND Sutip Noowan, Md, THAILAND Chaiyanun Vijittrakarnrung, MD, THAILAND
Comparing the Risk of Iatrogenic Peroneal Nerve Injury in All-inside Lateral Meniscus Repair between Preoperative and Real Arthroscopic Position MRIs ePoster Presentation Chaiwat Chuaychoosakoon, MD, THAILAND Wachiraphan Parinyakhup, MD, THAILAND Tanarat Boonriong, Principal, THAILAND
Accuracy of Magnetic Resonance Imaging for Detecting Meniscal Tears in Anterior Cruciate Ligament injuries. ePoster Presentation Artit Boonrod, MD, THAILAND Watcharapong Wongsawiang , MD, THAILAND Punthip Thammaroj , MD, THAILAND Sermsak Sumanont, THAILAND Punyawat Apiwatanakul, MD, THAILAND Arunnit Boonrod, MD, THAILAND
Meniscus Repair Augmentation Using Blood Clot ePoster Presentation Peter T. Myers, AM, MBBS, FRACS, FAOrthA, AUSTRALIA John Dabis, MBBS, MSc SEM, MRCS, FRCS(Tr&Orth), UNITED KINGDOM Michael Goldberg, MBBS, FRACS, AUSTRALIA Andrew Stillwell, MBBS(Hons), FRACS, FA(ortho)A, AUSTRALIA
The High Prevalence of Spin Reporting Bias in Meniscal Allograft Transplant Abstracts: A Qualitative Assessment Of Systematic Reviews and Meta-Analyses ePoster Presentation Matthew T Gulbrandsen, MD, UNITED STATES Mustafa Hashimi, BS, UNITED STATES Taha Taka, BS, UNITED STATES Trevor Gulbrandsen, MD, UNITED STATES Anthony Essilfie, MD, UNITED STATES Anikar Chhabra, MD, MS, UNITED STATES Seth L. Sherman, MD, 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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Medial Meniscus Repair only Partially Restores In-Vivo Knee Kinematics after ACL Reconstruction

Medial Meniscus Repair only Partially Restores In-Vivo Knee Kinematics after ACL Reconstruction

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Medial Meniscus Repair only Partially Restores In-Vivo Knee Kinematics after ACL Reconstruction

Medial Meniscus Repair only Partially Restores In-Vivo Knee Kinematics after ACL Reconstruction

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