ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021
Placement of an anatomic tibial tunnel significantly improves the medial meniscus posterior extrusion at 90° of knee flexion following medial meniscus posterior root pullout repair.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 24 citations in OpenAlex.
- Posterior approach achieves more accurate replication of the posterior horn than anterior approach in transtibial pull-out repair of medial meniscus posterior root tear.Knee surgery & related research · 2026Article
- Arthroscopic all-in technique combined with high tibial osteotomy for osteoarthritis with posterior root tear of the medial meniscus: a short-term study with second-look arthroscopy.Journal of orthopaedic surgery and research · 2026Article
- Medial Meniscal Extrusion: A Narrative Review of Etiology, Diagnosis, and Therapeutic Strategies.Orthopedic research and reviews · 2026Review
- Article
- Evaluating the Outcome of Meniscus Root Repair Surgery in Patients with Degenerative Meniscus Posterior Root Tears.The archives of bone and joint surgery · 2025Article
- Predictive factors for coronal and sagittal graft extrusion length after using tendon autograft for medial meniscus reconstruction.World journal of orthopedics · 2024Article
- Fast rehabilitation does not worsen clinical, radiological, and arthroscopic outcomes after medial meniscus posterior root repair: A retrospective comparative study.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2024Article
- Anterior bone tunnel position increases meniscus migration in medial meniscus posterior root repair: A cadaveric study of suture length changes.Journal of experimental orthopaedics · 2024Article
- Meniscus Reconstruction Using Autologous Tendon Combined With Open-Wedge High Tibial Osteotomy: A Technique to Achieve Rigid Fixation and Avoid Interference Between Locking Screws and Tibial Bone Tunnel.Arthroscopy techniques · 2024Article
- The clinical and radiographic outcomes of type 2 medial meniscus posterior root tears following transtibial pullout repair.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Accuracy of the newly developed Zimmer Biomet Root Aiming guide in tibial tunnel creation compared with that of conventional guides.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2023Article
- Postoperative external tibial rotation is correlated with inferior meniscal healing following pullout repair of a medial meniscus posterior root tear.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Greater medial meniscus extrusion seen on ultrasonography indicates the risk of MRI-detected complete medial meniscus posterior root tear in a Japanese population with knee pain.Scientific reports · 2022Article
- Accurate placement of a tibial tunnel significantly improves meniscal healing and clinical outcomes at 1 year after medial meniscus posterior root repair.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Postoperative clinical outcomes of unicompartmental knee arthroplasty in patients with isolated medial compartmental osteoarthritis following medial meniscus posterior root tear.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2021Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to evaluate the influence of tibial tunnel position in pullout repair for a medial meniscus (MM) posterior root tear (MMPRT) on postoperative MM extrusion.
methodsThirty patients (median age 63 years, range 35-72 years) who underwent transtibial pullout repairs for MMPRTs were included. Three-dimensional computed tomography images of the tibial surface were evaluated using a rectangular measurement grid for assessment of tibial tunnel position and MM posterior root attachment. Preoperative and postoperative MM medial extrusion (MMME) and posterior extrusion (MMPE) at 10° and 90° knee flexion were measured using open magnetic resonance imaging.
resultsTibial tunnel centers were located more anteriorly and more medially than the anatomic center (median distance 5.8 mm, range 0-9.3 mm). The postoperative MMPE at 90° knee flexion was significantly reduced after pullout repair, although there was no significant reduction in MMME or MMPE at 10° knee flexion after surgery. In the correlation analysis of the displacement between the anatomic center to the tibial tunnel center and improvements in MMME, and MMPE at 10° and 90° knee flexion, there was a significant positive correlation between percentage distance and improvement of MMPE at 90° knee flexion.
conclusionThis study demonstrated that the nearer the tibial tunnel position to the anatomic attachment of the MM posterior root, the more effective the reduction in MMPE at 90° knee flexion. Our results emphasize that an anatomic tibial tunnel should be created in the MM posterior root to improve the postoperative MMPE and protect the articular cartilage in a knee flexion position. Placement of an anatomic tibial tunnel significantly improves the MMPE at 90° of knee flexion after MM posterior root pullout repair. LEVEL OF EVIDENCE: IV.
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