Arthroscopic Repair of Meniscal Root Injuries

Abstract

The menisci are fibrocartilaginous structures that help maintain the knee joint by absorbing shock, transferring loads, and stabilising the knee. If you want to transform axial loading pressures across your knee into circumferential hoop stresses, you need meniscus root integrity. By enhancing meniscal extrusion and diminishing its intrinsic load-sharing capability, meniscus root tears destabilise tibiofemoral contact mechanics. Accordingly, these injuries hasten the deterioration of the knee joint and have been compared to a total meniscectomy in terms of biomechanics and functionality. The clinical presentation determines the best course of treatment for meniscus root tears: nonoperative or surgical. Researchers have found that meniscus root restoration reduces the risk of osteoarthritis (OA) and slows the progression to arthroplasty compared to partial meniscectomy and nonsurgical treatment. With its biomechanical robustness, the transtibial pull-through repair technique provides surgeons with a safe and successful repair strategy that utilizes common arthroscopy ports. In an effort to improve upon current methods by decreasing postoperative meniscal extrusion, arthroscopic centralization has recently gained attention as a cutting-edge healing procedure.