The outcome of all-inside meniscal repair with relation to previous anterior cruciate ligament reconstruction

Walter, Richard; Dhadwal, Anil Singh; Schranz, Peter; Mandalia, Vipul

doi:10.1016/j.knee.2014.08.014

Cited by 15 publications

(10 citation statements)

References 24 publications

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“…Eleven studies met inclusion and exclusion criteria and were analysed 14–23. The studies assessed outcome via several different methods.…”

Section: Resultsmentioning

confidence: 99%

“…One study defined failure as persistent effusions, mechanical symptoms or joint line tenderness 20. The remaining five papers defined failure as repeat surgery on the index meniscus 18 21–23. Various patient-reported outcome tools were used in seven papers, with only two studies commenting on differences in patient-reported outcomes based on patient sex 20 21.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Meniscus repair failure risk does not differ by sex: a systematic review

et al. 2020

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“…Eleven studies met inclusion and exclusion criteria and were analysed 14–23. The studies assessed outcome via several different methods.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Meniscus repair failure risk does not differ by sex: a systematic review

et al. 2020

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“… 9 Past history of ACLR is associated with a more than three-fold increased risk of re-operation for meniscal repair (p < 0.016), which may be a result of inadequate ACLR graft, but this hypothesis requires further confirmation. 58 Complications following ramp repair are rare and there are not many different types. Most common complications include symptoms related to inflammatory processes such as swelling, pain, nerve irritation, etc.…”

Section: Post-operative Periodmentioning

confidence: 99%

Ramp lesion of the medial meniscus

et al. 2021

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Ramp lesion of the medial meniscus used to be completely disregarded in the past. Ramp lesion has been now put under the spotlight by orthopaedic and sport medicine surgeons and requires attention. It is closely associated with anterior cruciate ligament injury. Major risk factors include chronic laxity, lateral meniscal lesion, anterior cruciate ligament reconstruction revision, anterolateral ligament tear concomitant with anterior cruciate ligament injury, time from injury, pre-operative side-to-side laxity > 6 mm, age < 30 years old, male sex, etc. Radiologists attempt to create diagnostic criteria for ramp lesion using magnetic resonance imaging. However, the only definite method to diagnose ramp lesion is still arthroscopy. Various techniques exist, among which posteromedial approach is the most highly recommended. Various treatment options are available. The success rate of ramp repair is very high. Major complications are uncommon. Cite this article: EFORT Open Rev 2021;6:372-379. DOI: 10.1302/2058-5241.6.200126

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“…18 Meniscal repair after ACLR has a significantly higher failure rate. 19 There are strategies currently employed to prevent the intraoperative tibiofemoral translation. First, the assistant can externally rotate the foot, preventing internal tibial rotation; however, this does not prevent anterior tibial translation.…”

Section: Fig 11mentioning

confidence: 99%

A Technique of Improved Medial Meniscus Visualization by Anterior Cruciate Ligament Graft Placement in Chronic Anterior Cruciate Deficient Knees

Vertullo

Wijenayake

Grayson

2016

Arthroscopy Techniques

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Abstract:It is customary to perform medial meniscus repair before anterior cruciate ligament (ACL) graft placement when undertaken as a combined procedure. However, in chronic ACL-deficient knees, intraoperative anterior tibiofemoral translation can cause the medial meniscus repair to be more technically challenging. Intraoperative anterior tibiofemoral translation can both reduce the visualization of the medial meniscus and make its reduction unstable. An operative sequence alteration of ACL graft placement and tensioning before medial meniscal repair improves medial meniscus visualization in chronically ACL-deficient knees by using the ACL graft's ability to prevent anterior tibiofemoral translation. The technique sequence is as follows: (a) the medial meniscus is reduced, (b) ACL reconstruction is undertaken using a hamstring graft without final tibia fixation, (c) distal graft tension is manually applied to distal graft sutures by the surgeon to prevent tibiofemoral subluxation, (d) the medial meniscus is repaired while graft tension is applied, and (e) the graft is then fixed to the tibia using an interference screw or another device.

show abstract

The outcome of all-inside meniscal repair with relation to previous anterior cruciate ligament reconstruction

Cited by 15 publications

References 24 publications

Meniscus repair failure risk does not differ by sex: a systematic review

Meniscus repair failure risk does not differ by sex: a systematic review

Ramp lesion of the medial meniscus

A Technique of Improved Medial Meniscus Visualization by Anterior Cruciate Ligament Graft Placement in Chronic Anterior Cruciate Deficient Knees

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