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[Arthroscopically assisted suture osteosynthesis of tibial eminence fractures in children and adolescents].
Oper Orthop Traumatol
November 2024
Klinik für Kinderchirurgie, Klinikum Dritter Orden, München, Deutschland.
Objective: The surgical goal is the arthroscopically assisted, closed reduction, and suture osteosynthesis of fractures of the tibial eminence in children and adolescents.
Indications: Fractures of the tibial eminence type (II)-III according to Meyers & McKeever or type IV according to Zaricznyj.
Contraindications: Fracture of the tibial eminence type I, conservatively treatable fracture type II according to Meyers & McKeever and ligamentous rupture of the anterior cruciate ligament.
Reinsertion of Posterior Meniscal Root for Management of Hypermobile Lateral Meniscus: Description of a Surgical Technique.
Arthrosc Tech
February 2024
Instituto Arthros, Quito, Ecuador.
Lateral meniscus hypermobility is a special condition in which the posterior horn of the lateral meniscus exhibits excessive mobility. This condition can cause pain and locking in the knee, especially during kneeling, deep flexion, or squatting. In this article, we present a surgical technique for the reinsertion of the posterior root of the external meniscus in cases of hypermobility without detachment.
View Article and Find Full Text PDFHow To Avoid Suture Damage in Simultaneous Anterior Cruciate Ligament Reconstruction and Lateral Meniscal Posterior Root Reinsertion With the Transtibial Pullout Technique: A Technical Note.
Arthrosc Tech
February 2024
Centre Orthopédique Santy, FIFA Medical Centre of Excellence, Groupe Ramsay-Générale de Santé, Hopital Privé Jean Mermoz, Lyon, France.
Lateral meniscus posterior root tears (LMPRTs) are estimated to occur in 7% to 12% of anterior cruciate ligament (ACL)-injured knees. This topic is of great interest because of their biomechanical consequences in terms of interruption of hoop stress distribution. If left unrepaired, the corresponding compartment is exposed to unfavorable contact dynamics, similar to those resulting from a total meniscectomy.
View Article and Find Full Text PDFImproved tibiofemoral contact restoration after transtibial reinsertion of the anterior root of the lateral meniscus compared to in situ repair: a biomechanical study.
Int Orthop
October 2023
Laboratory of Clinical Biomechanics of Andalusia, Escuela de Ingenierías Industriales, Universidad de Málaga, Pedro Ortiz Ramos, s/n., 29071, Málaga, Spain.
Purpose: To compare biomechanical behaviour of the anterior root of the lateral meniscus (ARLM) after a transtibial repair (TTR) and after an in situ repair (ISR), discussing the reasons for the efficacy of the more advantageous technique.
Methods: Eight cadaveric human knees were tested at flexion angles from 0° to 90° in four conditions of their ARLM: intact, detached, reinserted using TTR, and reinserted using ISR. Specimens were subjected to 1000 N of compression, and the contact area (CA), mean pressure (MP), and peak pressure (PP) on the tibial cartilage were computed.
Anatomy of lateral meniscus.
Ann Jt
April 2022
Institut Català de Traumatologia i Medicina de l'Esport (ICATME)-Hospital Universitari Dexeus, Universitat Autònoma de Barcelona, Barcelona, Spain.
The anatomy of the lateral meniscus underlies the understanding of its unique biomechanics. Moreover, the knowledge of its microscopic structure, its vascularization and its ligament insertions can make us understand the rationale for its surgical treatment. It is well known as the respect of the anatomy leads to better results in reconstructive surgery.
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