このエントリーをはてなブックマークに追加
ID 58620
著者
Hiranaka, Takaaki Department of Orthopaedic Surgery, Okayama University Hospital
Furumatsu, Takayuki Department of Orthopaedic Surgery, Okayama University Hospital Kaken ID publons
Miyazawa, Shinichi Department of Orthopaedic Surgery, Okayama University Hospital ORCID
Okazaki, Yoshiki Department of Orthopaedic Surgery, Okayama University Hospital
Okazaki, Yuki Department of Orthopaedic Surgery, Okayama University Hospital
Takihira, Shota Department of Orthopaedic Surgery, Okayama University Hospital
Kodama, Yuya Department of Orthopaedic Surgery, National Hospital Organization Iwakuni Clinical Center
Kamatsuki, Yusuke Department of Orthopaedic Surgery, National Hospital Organization Iwakuni Clinical Center
Masuda, Shin Department of Orthopaedic Surgery, Chikamori Hospital
Saito, Taichi Department of Orthopaedic Surgery, Okayama University Hospital ORCID Kaken ID
Ozaki, Toshifumi Department of Orthopaedic Surgery, Okayama University Hospital Kaken ID publons researchmap
抄録
Background
Transtibial pullout repair of a medial meniscus posterior root tear (MMPRT) is a commonly used procedure, and several techniques have been reported. We hypothesised that pull-out repairs using two simple stitches (TSS) would have similar postoperative outcomes as those using the modified Mason-Allen suture with FasT-Fix (F-MMA). We aimed to investigate the clinical outcomes of these techniques, including the meniscal healing status and osteoarthritic change.
Methods
The data of 68 patients who underwent transtibial pull-out repair were retrospectively investigated. The patients were divided into two groups of 41 and 27 patients using F-MMA and TSS, respectively. The clinical outcomes were assessed preoperatively and at second-look arthroscopy (the mean period from surgery was one year) using the Knee injury and Osteoarthritis Outcome Score. The meniscal healing status, evaluated at second-look arthroscopy, was compared between the two groups. The cartilage damage was graded as per the classification of the International Cartilage Repair Society and compared at the primary surgery and second-look arthroscopy.
Results
Both groups showed significant improvement in each clinical score. No significant difference was seen in the clinical outcome scores and the meniscal healing status between the two groups at second-look arthroscopy. Moreover, no significant progression of cartilage damage was observed in both groups. Fourteen patients in the F-MMA group developed a complication of suture bar failures postoperatively; however, there were no complications in the TSS group.
Conclusions
The TSS and F-MMA techniques showed favourable clinical outcomes and would be established as clinically useful techniques for the MMPRT treatment.
キーワード
Medial meniscus posterior root tear
Transtibial pullout repair
Modified Mason-Allen suture
Two simple stitches
Clinical outcomes
備考
This fulltext is available in May 2021.
発行日
2020-05-11
出版物タイトル
The Knee
27巻
3号
出版者
Elsevier
開始ページ
701
終了ページ
708
ISSN
0968-0160
NCID
AA10996272
資料タイプ
学術雑誌論文
言語
English
OAI-PMH Set
岡山大学
著作権者
© 2020 Elsevier B.V.
論文のバージョン
author
PubMed ID
DOI
Web of Science KeyUT
関連URL
isVersionOf https://doi.org/10.1016/j.knee.2020.04.023
ライセンス
https://creativecommons.org/licenses/by-nc-nd/4.0/