PurposeMedial meniscus posterior root tears (MMPRT) induce medial meniscus extrusion (MME). However, the time-dependent extent of MME in patients suffering from the MMPRT remains unclear. This study evaluated the extent of MME after painful popping events that occurred at the onset of the MMPRT.Materials and MethodsThirty-five patients who had an episode of posteromedial painful popping were investigated. All the patients were diagnosed as having an MMPRT by magnetic resonance imaging (MRI) within 12 months after painful popping. Medial meniscus body width (MMBW), absolute MME, and relative MME (100×absolute MME/MMBW) were assessed among three groups divided according to the time after painful popping events: early period (<1 month), subacute period (1–3 months), and chronic period (4–12 months).ResultsIn the early period, absolute and relative MMEs were 3.0 mm and 32.7%, respectively. Absolute MME increased up to 4.2 mm and 5.8 mm during the subacute and chronic periods, respectively. Relative MME also progressed to 49.2% and 60.3% in the subacute and chronic periods, respectively.ConclusionsThis study demonstrated that absolute and relative MMEs increased progressively within the short period after the onset of symptomatic MMPRT. Our results suggest that early diagnosis of an MMPRT may be important to prevent progression of MME following the MMPRT.

The simulation of viscous free-surface water flow is a subject that has reached a certain maturity and is nowadays used in industrial applications, like the simulation of the flow around ships. While almost all methods used are based on the Navier-Stokes equations, the discretisation methods for the water surface differ widely. Many of these highly different methods are being used with success.We review three of these methods, by describing in detail their implementation in one particular code that is being used in industrial practice. The descriptions concern the principle of the method, numerical details, and the method's strengths and limitations. For each code, examples are given of its use. Finally, the methods are compared to determine the best field of application for each.The following surface descretisation methods are reviewed. First, surface fitting/mesh deformation in PARNAS-SOS, developed by MARIN; the description focuses on the efficient steady-state solution method of this code. Then surface capturing with Volume-of-Fluid in ISIS-CFD, developed by CNRS/Ecole Centrale de Nantes; the main topic of this review are the compressive flux discretisation schemes for the volume fraction that are used in this code. And finally, the Level Set method in SURF, developed by NMRI;

Medial meniscus posterior root has an important role in the maintenance of knee articular cartilage. Although pullout repair of the medial meniscus posterior root tear has become a gold standard, it has several difficulties for suturing. We have developed a modified Mason-Allen suture technique using the FasT-Fix all-inside suture device combined with Ultrabraid. The present suture technique allows a strong grasping of the medial meniscus posterior horn for arthroscopic pullout repair.

IV: retrospective cohort study.