OUTCOMES OF MENISCAL ROOT REPAIR USING TRANSTIBIAL PULLOUT TECHNIQUE A PROSPECTIVE MULTICENTER STUDY.
Main Article Content
Keywords
Menisci root repair, Transtibial pullout technique, Clinical outcomes
Abstract
Background: Tears which involve the root of menisci rob the meniscus of its hoop stress capacity, the result being overload of the joint, rapid cartilage breakdown down and early onset of osteoarthritis. Trans trans-tibial pull-out repair procedure is used to achieve restoration of the functionality of the menisci and to postpone degenerative processes. Irrespective of its increasing popularity, multicentre prospective data monitoring of clinical results is insufficient, and further studies should be dedicated to its effectiveness.
Objectives: To assess clinical and functional outcomes of transtibial pullout repair of meniscal root tears in several centres and to consider its effectiveness in the restoration of knee function and prevention of degeneration.
Study design: A Prospective Multicenter Study.
Place and duration of study: Department of Orthopaedics Nowshera Medical College
From Dec 2023 To March 2024.
Methods: 100 patients with medial or lateral tears in the meniscus roots that were treated through the technique of transtibial pullout were recruited. Clinical scoring (pre- and post-operative) (IKDC and Lysol) was standardised. The 12-month MRI evaluation was carried out. The outcome was followed up on for at less 18 months. The paired t-tests were used to provide statistical analysis, and significance was garnered at a value of p < 0.05.
Results: One hundred patients (60 male, 40 female) were involved, with a mean age of 45.7 +/- 9.6 years. IKDC (pre-op: 46.3 \(\pm\) 7.4; post-op: 78.2 \(\pm\) 6.1) and Lysol scores (pre-op: 51.8 \(\pm\) 8.2; post-op: 82.4 \(\pm\) 7.6) showed vast improvements on final follow-up (p \(\langle\nuoreʀificiaziana stella MRI revealed less menisci extrusion in 78 percent of the patients. There was no significant variation present between medial and lateral root repairs and their clinical outcome scores (p = 0.37). Low rate of complication (5.6%).
Conclusion: Trans Tibia drawback Fixation versus root tear menisci results in considerable patient-reported outcomes and MRI alterations in various centres. The procedure has proved very successfully in restoring the function of the knee with few complications. The findings confirm its effectiveness in continuing to use it as a treatment for meniscal root injury. Additional long-term study is necessitated to prove its durability and effects on osteoarthritis development.
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Afaq Uddin
Assistant Professor Orthopedic surgeon Nowshera Medical college ,Nowshera
Yaqoob Ur Rehman
Assistant Professor Nowshera Medical College
Afsar Khan
Assistant Professor Orthopedic Department KMU-IMS/DHQ Teaching
Hospital KDA Kohat KPK Pakistan
Riaz Muhammad
Specialist Registrar Orthopedics Nowshera Medical College