Posterior root medial meniscus reconstruction: an option in chronic posterior root meniscal injury management. (20th June 2018)

• Record Type: Journal Article
• Authors: Prasetia, Renaldi; Chernchujit, Bancha
• Is Part Of: BMJ case reports. Volume 2018
• Publication Date: 2018-06-20
• Subjects: orthopaedics -- sports and exercise medicine -- knee injuries -- meniscal tears; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2017-223068
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Posterior root medial meniscus (PRMM) tears have shown to be biomechanically equivalent to complete meniscectomy. Drawbacks from PRMM tears repair are unsatisfactory healing rates. In this case report, we outlined a PRMM reconstruction with gracilis graft healing outcome in chronic PRMM tear case, based on clinical and MRI evaluation. A 60-year-old man reported a chief complaint of increasing pain on the right knee joint in the last 1 year after a deep-flexion injury. On MRI investigation, we confirmed the chronic PRMM tear as Osteoarthritis Kellgren-Lawrence grade II. Then, we planned to perform a PRMM reconstruction with gracilis graft per arthroscopy. At the 6-month MRI evaluation, we found healing of the attached PRMM on its footprints, with intact graft transition from the meniscus to the tibial bone tunnel.