Transtibial Pullout Repair of Lateral Meniscus Posterior Root Tear with Tissue Loss: A Case with Anterior Cruciate Ligament Injury and Medial Meniscus Tear
Lateral meniscus (LM) posterior root tear (LMPRT) is mainly caused by trauma, especially trauma associated with anterior cruciate ligament (ACL) injuries. Although a transtibial pullout repair or a side-to-side repair is commonly performed for LMPRT, to the best of our knowledge, there is no clinica...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-01-01
|
| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2022/9776388 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832553008266739712 |
|---|---|
| author | Masanori Tamura Takayuki Furumatsu Takaaki Hiranaka Keisuke Kintaka Naohiro Higashihara Yusuke Kamatsuki Eiji Nakata Toshifumi Ozaki |
| author_facet | Masanori Tamura Takayuki Furumatsu Takaaki Hiranaka Keisuke Kintaka Naohiro Higashihara Yusuke Kamatsuki Eiji Nakata Toshifumi Ozaki |
| author_sort | Masanori Tamura |
| collection | DOAJ |
| description | Lateral meniscus (LM) posterior root tear (LMPRT) is mainly caused by trauma, especially trauma associated with anterior cruciate ligament (ACL) injuries. Although a transtibial pullout repair or a side-to-side repair is commonly performed for LMPRT, to the best of our knowledge, there is no clinical report of LMPRT with tissue loss using the pullout technique. Thus, the purpose of this report was to describe a clinical, radiographic, and arthroscopic outcome after pullout repair for a case of LMPRT with a large defect with a chronic ACL tear and complex medial meniscus (MM) tears. A 31-year-old man complained of knee pain and restricted range of motion after twisting his knee when he stepped on an iron pipe. The patient had a football-related injury to his right knee 14 years before presentation, and since then, the patient’s knee has given out more than 10 times but was left unassessed. Magnetic resonance imaging showed LMPRT with tissue loss, ACL tears, and complex MM tears. Transtibial pullout repair of the LMPRT with ACL reconstruction and MM repairs were performed. Following the pullout repair of the LMPRT, an approximately 6 mm gap remained between the LM posterior root and root insertion. However, magnetic resonance imaging and second-look arthroscopy at 1 year postoperatively revealed meniscal healing, gap filling with some regeneration tissue, of the LM posterior root. Furthermore, the lateral meniscus extrusion in the coronal plane improved from 3.1 mm (preoperative) to 1.6 mm (1 year postoperatively). Transtibial pullout repair with the remaining gap could be a viable treatment option for LMPRT with tissue loss, combined with ACL reconstruction. |
| format | Article |
| id | doaj-art-bdfde163688247f093b97208d3d13da1 |
| institution | Kabale University |
| issn | 2090-6757 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-bdfde163688247f093b97208d3d13da12025-02-03T05:57:23ZengWileyCase Reports in Orthopedics2090-67572022-01-01202210.1155/2022/9776388Transtibial Pullout Repair of Lateral Meniscus Posterior Root Tear with Tissue Loss: A Case with Anterior Cruciate Ligament Injury and Medial Meniscus TearMasanori Tamura0Takayuki Furumatsu1Takaaki Hiranaka2Keisuke Kintaka3Naohiro Higashihara4Yusuke Kamatsuki5Eiji Nakata6Toshifumi Ozaki7Department of Orthopaedic SurgeryDepartment of Orthopaedic SurgeryDepartment of Orthopaedic SurgeryDepartment of Orthopaedic SurgeryDepartment of Orthopaedic SurgeryDepartment of Orthopaedic SurgeryDepartment of Orthopaedic SurgeryDepartment of Orthopaedic SurgeryLateral meniscus (LM) posterior root tear (LMPRT) is mainly caused by trauma, especially trauma associated with anterior cruciate ligament (ACL) injuries. Although a transtibial pullout repair or a side-to-side repair is commonly performed for LMPRT, to the best of our knowledge, there is no clinical report of LMPRT with tissue loss using the pullout technique. Thus, the purpose of this report was to describe a clinical, radiographic, and arthroscopic outcome after pullout repair for a case of LMPRT with a large defect with a chronic ACL tear and complex medial meniscus (MM) tears. A 31-year-old man complained of knee pain and restricted range of motion after twisting his knee when he stepped on an iron pipe. The patient had a football-related injury to his right knee 14 years before presentation, and since then, the patient’s knee has given out more than 10 times but was left unassessed. Magnetic resonance imaging showed LMPRT with tissue loss, ACL tears, and complex MM tears. Transtibial pullout repair of the LMPRT with ACL reconstruction and MM repairs were performed. Following the pullout repair of the LMPRT, an approximately 6 mm gap remained between the LM posterior root and root insertion. However, magnetic resonance imaging and second-look arthroscopy at 1 year postoperatively revealed meniscal healing, gap filling with some regeneration tissue, of the LM posterior root. Furthermore, the lateral meniscus extrusion in the coronal plane improved from 3.1 mm (preoperative) to 1.6 mm (1 year postoperatively). Transtibial pullout repair with the remaining gap could be a viable treatment option for LMPRT with tissue loss, combined with ACL reconstruction.http://dx.doi.org/10.1155/2022/9776388 |
| spellingShingle | Masanori Tamura Takayuki Furumatsu Takaaki Hiranaka Keisuke Kintaka Naohiro Higashihara Yusuke Kamatsuki Eiji Nakata Toshifumi Ozaki Transtibial Pullout Repair of Lateral Meniscus Posterior Root Tear with Tissue Loss: A Case with Anterior Cruciate Ligament Injury and Medial Meniscus Tear Case Reports in Orthopedics |
| title | Transtibial Pullout Repair of Lateral Meniscus Posterior Root Tear with Tissue Loss: A Case with Anterior Cruciate Ligament Injury and Medial Meniscus Tear |
| title_full | Transtibial Pullout Repair of Lateral Meniscus Posterior Root Tear with Tissue Loss: A Case with Anterior Cruciate Ligament Injury and Medial Meniscus Tear |
| title_fullStr | Transtibial Pullout Repair of Lateral Meniscus Posterior Root Tear with Tissue Loss: A Case with Anterior Cruciate Ligament Injury and Medial Meniscus Tear |
| title_full_unstemmed | Transtibial Pullout Repair of Lateral Meniscus Posterior Root Tear with Tissue Loss: A Case with Anterior Cruciate Ligament Injury and Medial Meniscus Tear |
| title_short | Transtibial Pullout Repair of Lateral Meniscus Posterior Root Tear with Tissue Loss: A Case with Anterior Cruciate Ligament Injury and Medial Meniscus Tear |
| title_sort | transtibial pullout repair of lateral meniscus posterior root tear with tissue loss a case with anterior cruciate ligament injury and medial meniscus tear |
| url | http://dx.doi.org/10.1155/2022/9776388 |
| work_keys_str_mv | AT masanoritamura transtibialpulloutrepairoflateralmeniscusposteriorroottearwithtissuelossacasewithanteriorcruciateligamentinjuryandmedialmeniscustear AT takayukifurumatsu transtibialpulloutrepairoflateralmeniscusposteriorroottearwithtissuelossacasewithanteriorcruciateligamentinjuryandmedialmeniscustear AT takaakihiranaka transtibialpulloutrepairoflateralmeniscusposteriorroottearwithtissuelossacasewithanteriorcruciateligamentinjuryandmedialmeniscustear AT keisukekintaka transtibialpulloutrepairoflateralmeniscusposteriorroottearwithtissuelossacasewithanteriorcruciateligamentinjuryandmedialmeniscustear AT naohirohigashihara transtibialpulloutrepairoflateralmeniscusposteriorroottearwithtissuelossacasewithanteriorcruciateligamentinjuryandmedialmeniscustear AT yusukekamatsuki transtibialpulloutrepairoflateralmeniscusposteriorroottearwithtissuelossacasewithanteriorcruciateligamentinjuryandmedialmeniscustear AT eijinakata transtibialpulloutrepairoflateralmeniscusposteriorroottearwithtissuelossacasewithanteriorcruciateligamentinjuryandmedialmeniscustear AT toshifumiozaki transtibialpulloutrepairoflateralmeniscusposteriorroottearwithtissuelossacasewithanteriorcruciateligamentinjuryandmedialmeniscustear |