Mid-Term Clinical Outcomes of Pullout Repair Combined with Osteochondral Autograft Transplantation for Medial Meniscus Posterior Root Tears with Focal Cartilage Defects: A Treatment-Stratified Cohort Study.

Naoki Akura, Koki Kawada, Yuki Okazaki, Keisuke Kintaka, Yuya Kodama, Toshiki Kohara, Takayuki Furumatsu

Abstract read

In one paragraph

Article in Bioengineering (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Naoki AkuraDepartment of Orthopaedic Surgery, Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-cho, Kita-ku, Okayama City 700-8558, Okayama, Japan.

Koki KawadaDepartment of Orthopaedic Surgery, Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-cho, Kita-ku, Okayama City 700-8558, Okayama, Japan.ORCID 0000-0001-8209-1927

Yuki OkazakiDepartment of Orthopaedic Surgery, Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-cho, Kita-ku, Okayama City 700-8558, Okayama, Japan.ORCID 0000-0002-6591-5100

Keisuke KintakaDepartment of Orthopaedic Surgery, Kochi Health Sciences Center, 2125-1 Ike, Kochi City 781-8555, Kochi, Japan.

Yuya KodamaDepartment of Orthopaedic Surgery, Mizushima Central Hospital, 4-5 Mizushima Aobacho, Kurashiki City 712-8064, Okayama, Japan.

Toshiki KoharaDepartment of Orthopaedic Surgery, Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-cho, Kita-ku, Okayama City 700-8558, Okayama, Japan.

Takayuki FurumatsuDepartment of Orthopaedic Surgery, Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-cho, Kita-ku, Okayama City 700-8558, Okayama, Japan.ORCID 0000-0001-5094-813X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medial meniscus posterior root tears (MMPRTs) with focal cartilage defects present a therapeutic challenge, even in neutral-to-mild varus knees. Although transtibial pullout repair is standard for MMPRTs without advanced osteoarthritis, coexisting cartilage lesions may compromise outcomes and prompt unicompartmental knee arthroplasty (UKA). Combining pullout repair with osteochondral autograft transplantation (OAT) may offer a joint-preserving alternative by restoring meniscal hoop stress and reconstructing focal osteochondral defects. However, supporting evidence is limited. We retrospectively analyzed 150 patients treated surgically for MMPRT between 2015 and 2019, divided into three groups: pullout repair with OAT (Group O,

Indexed as

cartilage lesionjoint preservationmedial meniscus posterior root tearosteochondral autograft transplantationpullout repairunicompartmental knee arthroplasty

Identifiers

PMID41899874

DOI10.3390/bioengineering13030343

PMCPMC13024123

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.