Table of Contents
Advances in Orthopedic Surgery
Volume 2017, Article ID 6514654, 7 pages
https://doi.org/10.1155/2017/6514654
Clinical Study

Transosseous Repair of Root Tears of the Lateral Meniscus: Operative Technique and Short-Term Clinical Follow-Up of 28 Patients

1Department of Orthopaedic Surgery, RWTH Aachen University, Pauwelsstrasse 30, 52074 Aachen, Germany
2Sportsclinic Cologne, Cologne-Merheim Medical Centre (CMMC), Witten/Herdecke University, Campus Cologne-Merheim, Ostmerheimerstr. 200, 51109 Köln, Germany
3Department of Trauma and Orthopaedic Surgery, Chelsea and Westminster Hospital, NHS Foundation Trust, 369 Fulham Road, London SW10 9NH, UK
4Department of Orthopaedic Surgery, Traumatology and Sports Traumatology, Cologne-Merheim Medical Centre (CMMC), Witten/Herdecke University, Campus Cologne-Merheim, Ostmerheimerstr. 200, 51109 Cologne, Germany

Correspondence should be addressed to Jürgen Höher; ed.enilno-t@reheohj

Received 16 October 2016; Revised 11 February 2017; Accepted 1 March 2017; Published 31 May 2017

Academic Editor: Christoph Castellani

Copyright © 2017 Arne Driessen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

An avulsion of the posterior tibial insertion of the lateral meniscus occurs during rotational distortion of the knee and can be associated with a tear of the anterior cruciate ligament (ACL). We performed a follow-up of 28 patients who, following anatomical ACL reconstruction using the ipsilateral semitendinosus graft, underwent either transosseous repair of the posterior lateral meniscus root () or no intervention (). The meniscus root tears were classified as Forkel I lesions. All patients were examined 6 months after surgery and undertook scoring using International Knee Documentation Committee Score (IKDC). Comparing the repair group with the no repair group the subjective IKDC 6 months after surgery was 75,72% (±1,019) and 75,56 (±1,058). Regarding the objective IKDC 8 × A (57,1%) and 6 × B (42,9%) could be ascertained in the repair group whereas 6 × A (42,9%), 6 × B (42,9%), and 2 × C (14,3%) scoring could be ascertained in the no repair group. It remains unclear if surgery on type Forkel I PLMRT provides benefits compared to the nonsurgical procedures as in both groups stability might occur. The purpose of this article was to report the outcome of surgical repair of lateral meniscus root tears.