Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 26, Issue 3 , Pages 358-365 , March 2010

The Effect of a Nonanatomic Repair of the Meniscal Horn Attachment on Meniscal Tension: A Biomechanical Study

  • Christian Stärke, M.D.

      Affiliations

    • Department of Orthopaedic Surgery, Otto-von-Guericke University, Magdeburg, Germany
    • Corresponding Author InformationAddress correspondence and reprint requests to Christian Stärke, Department of Orthopaedic Surgery, Otto-von-Guericke University Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany
    • ,
  • Sebastian Kopf, M.D.

      Affiliations

    • Department of Orthopaedic Surgery, Otto-von-Guericke University, Magdeburg, Germany
    • ,
  • Karl-Heinz Gröbel, M.S.

      Affiliations

    • Institute of Mechanics, Otto-von-Guericke University, Magdeburg, Germany
    • ,
  • Roland Becker, M.D.

      Affiliations

    • Department for Orthopaedic and Trauma Surgery, City Hospital, Brandenburg, Germany

Received 25 February 2009 ,Accepted 15 August 2009.

References 

  1. Ahn JH, Wang JH, Yoo JC, Noh HK, Park JH. A pull out suture for transection of the posterior horn of the medial meniscus: Using a posterior trans-septal portal. Knee Surg Sports Traumatol Arthrosc. 2007;15:1510–1513
  2. Allaire R, Muriuki M, Gilbertson L, Harner CD. Biomechanical consequences of a tear of the posterior root of the medial meniscus (Similar to total meniscectomy). J Bone Joint Surg Am. 2008;90:1922–1931
  3. Fithian DC, Kelly MA, Mow VC. Material properties and structure-function relationships in the menisci. Clin Orthop Relat Res. 1990;19–31
  4. Messner K, Gao J. The menisci of the knee joint (Anatomical and functional characteristics, and a rationale for clinical treatment). J Anat. 1998;193(Pt 2):161–178
  5. Alhalki MM, Howell SM, Hull ML. How three methods for fixing a medial meniscal autograft affect tibial contact mechanics. Am J Sports Med. 1999;27:320–328
  6. Martens TA, Hull ML, Howell SM. An in vitro osteotomy method to expose the medial compartment of the human knee. J Biomech Eng. 1997;119:379–385
  7. Choi N, Son K, Victoroff BN. Arthroscopic all-inside repair for a tear of posterior root of the medial meniscus: A technical note. Knee Surg Sports Traumatol Arthrosc. 2008;16:891–893
  8. Alhalki MM, Hull ML, Howell SM. Contact mechanics of the medial tibial plateau after implantation of a medial meniscal allograft (A human cadaveric study). Am J Sports Med. 2000;28:370–376
  9. Chen MI, Branch TP, Hutton WC. Is it important to secure the horns during lateral meniscal transplantation? (A cadaveric study). Arthroscopy. 1996;12:174–181
  10. Sekaran SV, Hull ML, Howell SM. Nonanatomic location of the posterior horn of a medial meniscal autograft implanted in a cadaveric knee adversely affects the pressure distribution on the tibial plateau. Am J Sports Med. 2002;30:74–82
  11. Markolf KL, Gorek JF, Kabo JM, Shapiro MS. Direct measurement of resultant forces in the anterior cruciate ligament (An in vitro study performed with a new experimental technique). J Bone Joint Surg Am. 1990;72:557–567
  12. Fuss FK. Anatomy and function of the cruciate ligaments of the domestic pig (Sus scrofa domestica): A comparison with human cruciates. J Anat. 1991;178:11–20
  13. Marzo JM, Gurske-DePerio J. Effects of medial meniscus posterior horn avulsion and repair on tibiofemoral contact area and peak contact pressure with clinical implications. Am J Sports Med. 2009;37:124–129
  14. Jones RS, Keene GC, Learmonth DJ, et al. Direct measurement of hoop strains in the intact and torn human medial meniscus. Clin Biomech (Bristol, Avon). 1996;11:295–300
  15. Dye SF. An evolutionary perspective of the knee. J Bone Joint Surg Am. 1987;69:976–983
  16. Fukuda Y, Takai S, Yoshino N, et al. Impact load transmission of the knee joint-influence of leg alignment and the role of meniscus and articular cartilage. Clin Biomech (Bristol, Avon). 2000;15:516–521
  17. Hoshino A, Wallace WA. Impact-absorbing properties of the human knee. J Bone Joint Surg Br. 1987;69:807–811
  18. Sweigart MA, Zhu CF, Burt DM, et al. Intraspecies and interspecies comparison of the compressive properties of the medial meniscus. Ann Biomed Eng. 2004;32:1569–1579
  19. Fukuta S, Masaki K, Korai F. Prevalence of abnormal findings in magnetic resonance images of asymptomatic knees. J Orthop Sci. 2002;7:287–291
  20. Escamilla RF, Fleisig GS, Zheng N, Barrentine SW, Wilk KE, Andrews JR. Biomechanics of the knee during closed kinetic chain and open kinetic chain exercises. Med Sci Sports Exerc. 1998;30:556–569

 The authors report no conflict of interest.

PII: S0749-8063(09)00735-X

doi: 10.1016/j.arthro.2009.08.013

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 26, Issue 3 , Pages 358-365 , March 2010

Article Tools

* Image Usage & Resolution