Author/Authors :
MOATSHE, Gilbert The Steadman Philippon Research Institute, Vail, CO, USA , CHAHLA, Jorge The Steadman Philippon Research Institute, Vail, CO, USA , SLETTE, Erik The Steadman Philippon Research Institute, Vail, CO, USA , ENGEBRETSEN, Lars Orthopedic Department - Oslo University Hospital, Oslo, Norway , LAPRADE, Robert F The Steadman Philippon Research Institute, Vail, CO, USA
Abstract :
Meniscal root tears (MRTs) are defi ned as radial
tears within 1 cm of the meniscal root insertion, or an avulsion of
the insertion of the meniscus. These injuries change joint load-
ing due to failure of the meniscus to convert axial loads into hoop
stresses, resulting in joint overloading and degenerative changes
in the knee. Meniscal root repair is recommended in patients
without advanced osteoarthritis (Outerbridge 3–4), in order to
restore joint congruence and loading and therefore to avoid the
long-term effect of joint overloading. Several techniques have
been described. Improved knee function has been reported after
meniscal root repair, but there are still confl icting reports on
whether surgical treatment can prevent osteoarthritis.