Clinical application of arthroscopic automatic reverse guide wire passer in posterior meniscus root reconstruction_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 LIU Shoudong , XIE Hongbin , SHAN Sen , LIU Nanbo

The Second Department of Orthopedics, the Second Hospital of Chifeng City, Chifeng Inner Mongolia, 024000, P. R. China;

Corresponding author：

LIU Shoudong, Email: doctorlsd@126.com

Keywords：

Meniscus; posterior root tear; arthroscopy; wire passer

DOI：

10.7507/1002-1892.202110021

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the application value and operation skills of arthroscopic automatic reverse guide wire passer (hereinafter referred to as wire passer) in the posterior meniscus root reconstruction. Methods Between August 2015 and December 2020, 36 patients with posterior meniscus root tears were admitted. There were 16 males and 20 females, with an average age of 46 years (range, 26-66 years). There were 15 cases of sports injury and 21 cases of degenerative injury. The disease duration was 3-180 days, with a median of 28 days. The posterior root of the medial meniscus was injured in 29 cases, and the posterior root of the lateral meniscus was injured in 7 cases. The preoperative Lysholm score of the knee joint was 47.6±3.9, and the International Knee Score Committee (IKDC) score was 39.3±3.0. The meniscus was sutured by using wire passer under arthroscopy. During operation, the suture operation was evaluated according to the self-defined evaluation standard. Lysholm score and IKDC score were used to evaluate knee joint function. Results All meniscuses were sutured successfully by using wire passer. The operation time of suture was 5-15 minutes, with an average of 10 minutes. According to the self-defined evaluation standard, the suture operation was scored as 0-10, with an average of 5. After operation, except for 2 cases of incision fat liquefaction, the incisions of the other patients healed by first intention. All patients were followed up 1-3 years, with an average of 1.5 years. The Lysholm score was 88.2±2.1 and the IKDC score was 51.7±2.3 at 1 year after operation, showing significant difference when compared with preoperative ones (P<0.001). Fifteen cases underwent MRI re-examination, the results showed that the continuity and integrity of the posterior root had been restored. Conclusion Under arthroscopy, the wire passer for the posterior meniscus root reconstruction has the advantages of simple operation, reliable suture quality, and shorter operation time.

Citation： LIU Shoudong, XIE Hongbin, SHAN Sen, LIU Nanbo. Clinical application of arthroscopic automatic reverse guide wire passer in posterior meniscus root reconstruction. Chinese Journal of Reparative and Reconstructive Surgery, 2022, 36(3): 291-295. doi: 10.7507/1002-1892.202110021 Copy

1.	Koenig JH, Ranawat AS, Umans HR, et al. Meniscal root tears: diagnosis and treatment. Arthroscopy, 2009, 25(9): 1025-1032.
2.	Bonasia DE, Pellegrino P, D’Amelio A, et al. Meniscal root tear repair: why, when and how? Orthop Rev (Pavia), 2015, 7(2): 5792. doi: 10.4081/or.2015.5792.
3.	Pache S, Aman ZS, Kennedy M, et al. Meniscal root tears: current concepts review. Arch Bone Jt Surg, 2018, 6(4): 250-259.
4.	彭晨健, 袁滨, 束昊, 等. 经胫骨隧道悬吊固定治疗半月板后根部撕脱损伤. 中华关节外科杂志(电子版), 2020, 14(3): 296-302.
5.	Zhong Z, Zhang P, Duan H, et al. A comparison between X-ray imaging and an innovative computer-aided design method based on weightbearing CT scan images for assessing hallux valgus. J Foot Ankle Surg, 2021, 60(1): 6-10.
6.	苏家荣, 孙铁铮. 内侧半月板后根撕裂研究进展. 中国运动医学杂志, 2021, 40(9): 721-728.
7.	LaPrade CM, Jansson KS, Dornan G, et al. Altered tibiofemoral contact mechanics due to lateral meniscus posterior horn root avulsions and radial tears can be restored with in situ pull-out suture repairs. J Bone Joint Surg (Am), 2014, 96(6): 471-479.
8.	Feucht MJ, Grande E, Brunhuber J, et al. Biomechanical comparison between suture anchor and transtibial pull-out repair for posterior medial meniscus root tears. Am J Sports Med, 2014, 42(1): 187-193.
9.	Kim JH, Chung JH, Lee DH, et al. Arthroscopic suture anchor repair versus pullout suture repair in posterior root tear of the medial meniscus: a prospective comparison study. Arthroscopy, 2011, 27(12): 1644-1653.
10.	Seo HS, Lee SC, Jung KA. Second-look arthroscopic findings after repairs of posterior root tears of the medial meniscus. Am J Sports Med, 2011, 39(1): 99-107.
11.	Jing L, Liu K, Wang X, et al. Second-look arthroscopic findings after medial open-wedge high tibial osteotomy combined with all-inside repair of medial meniscus posterior root tears. J Orthop Surg (Hong Kong), 2020, 28(1): 2309499019888836. doi: 10.1177/2309499019888836.
12.	Okazaki Y, Furumatsu T, Okazaki Y, et al. Medial meniscus posterior root repair decreases posteromedial extrusion of the medial meniscus during knee flexion. The Knee, 2020, 27(1): 132-139.

1. Koenig JH, Ranawat AS, Umans HR, et al. Meniscal root tears: diagnosis and treatment. Arthroscopy, 2009, 25(9): 1025-1032.
2. Bonasia DE, Pellegrino P, D’Amelio A, et al. Meniscal root tear repair: why, when and how? Orthop Rev (Pavia), 2015, 7(2): 5792. doi: 10.4081/or.2015.5792.
3. Pache S, Aman ZS, Kennedy M, et al. Meniscal root tears: current concepts review. Arch Bone Jt Surg, 2018, 6(4): 250-259.
4. 彭晨健, 袁滨, 束昊, 等. 经胫骨隧道悬吊固定治疗半月板后根部撕脱损伤. 中华关节外科杂志(电子版), 2020, 14(3): 296-302.
5. Zhong Z, Zhang P, Duan H, et al. A comparison between X-ray imaging and an innovative computer-aided design method based on weightbearing CT scan images for assessing hallux valgus. J Foot Ankle Surg, 2021, 60(1): 6-10.
6. 苏家荣, 孙铁铮. 内侧半月板后根撕裂研究进展. 中国运动医学杂志, 2021, 40(9): 721-728.
7. LaPrade CM, Jansson KS, Dornan G, et al. Altered tibiofemoral contact mechanics due to lateral meniscus posterior horn root avulsions and radial tears can be restored with in situ pull-out suture repairs. J Bone Joint Surg (Am), 2014, 96(6): 471-479.
8. Feucht MJ, Grande E, Brunhuber J, et al. Biomechanical comparison between suture anchor and transtibial pull-out repair for posterior medial meniscus root tears. Am J Sports Med, 2014, 42(1): 187-193.
9. Kim JH, Chung JH, Lee DH, et al. Arthroscopic suture anchor repair versus pullout suture repair in posterior root tear of the medial meniscus: a prospective comparison study. Arthroscopy, 2011, 27(12): 1644-1653.
10. Seo HS, Lee SC, Jung KA. Second-look arthroscopic findings after repairs of posterior root tears of the medial meniscus. Am J Sports Med, 2011, 39(1): 99-107.
11. Jing L, Liu K, Wang X, et al. Second-look arthroscopic findings after medial open-wedge high tibial osteotomy combined with all-inside repair of medial meniscus posterior root tears. J Orthop Surg (Hong Kong), 2020, 28(1): 2309499019888836. doi: 10.1177/2309499019888836.
12. Okazaki Y, Furumatsu T, Okazaki Y, et al. Medial meniscus posterior root repair decreases posteromedial extrusion of the medial meniscus during knee flexion. The Knee, 2020, 27(1): 132-139.

Chinese Journal of Reparative and Reconstructive Surgery

Clinical application of arthroscopic automatic reverse guide wire passer in posterior meniscus root reconstruction

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content