Abstract

Nonanatomic placement of posteromedial meniscal root repairs alters knee mechanics; however, little is known about how the position and magnitude of misplacement affect knee mechanics. Finite element knee models were developed to assess changes in cartilage and meniscus mechanics for anatomic and various nonanatomic repairs with respect to intact. In total, 25 different repair locations were assessed at loads of 500 N and 1000 N. The two-simple-suture method was represented within the models to simulate posteromedial meniscal root repairs. Anatomic repairs nearly restored total contact area; however, meniscal hoop stress decreased, meniscal extrusion increased, and cartilage–cartilage contact area increased. Repairs positioned further posterior altered knee mechanics the most and repairs positioned further anterior restored knee mechanics for posteromedial root repairs. Despite this, repair tension increased with further anterior placement. Anterior placement of repairs results in more restorative contact mechanics than posterior placement; however, anterior placement also increased the risk of suture cut-out or failure following repairs. Anatomic placement of repairs remains the best option because of the risks involved with anterior placement; however, suture methods need to be improved to better restore the strength of repairs to that of the native insertion. Proper placement of repairs is important to consider with meniscal root repairs because misplacement may negatively affect cartilage and meniscus mechanics in patients.

References

References
1.
Krych
,
A. J.
,
Johnson
,
N. R.
,
Mohan
,
R.
,
Hevesi
,
M.
,
Stuart
,
M. J.
,
Littrell
,
L. A.
, and
Collins
,
M. S.
,
2018
, “
Arthritis Progression on Serial MRIs Following Diagnosis of Medial Meniscal Posterior Horn Root Tear
,”
J. Knee Surg.
,
31
(
7
), pp.
698
704
.10.1055/s-0037-1607038
2.
Krych
,
A. J.
,
Reardon
,
P. J.
,
Johnson
,
N. R.
,
Mohan
,
R.
,
Peter
,
L.
,
Levy
,
B. A.
, and
Stuart
,
M. J.
,
2017
, “
Non-Operative Management of Medial Meniscus Posterior Horn Root Tears is Associated With Worsening Arthritis and Poor Clinical Outcome at 5-Year Follow-Up
,”
Knee Surg. Sports Traumatol. Arthroscopy
,
25
(
2
), pp.
383
389
.10.1007/s00167-016-4359-8
3.
Ozkoc
,
G.
,
Circi
,
E.
,
Gonc
,
U.
,
Irgit
,
K.
,
Pourbagher
,
A.
, and
Tandogan
,
R. N.
,
2008
, “
Radial Tears in the Root of the Posterior Horn of the Medial Meniscus
,”
Knee Surg. Sports Traumatol. Arthroscopy
,
16
(
9
), pp.
849
854
.10.1007/s00167-008-0569-z
4.
Choi
,
N. H.
,
Son
,
K. M.
, and
Victoroff
,
B. N.
,
2008
, “
Arthroscopic All-Inside Repair for a Tear of Posterior Root of the Medial Meniscus: A Technical Note
,”
Knee Surg. Sports Traumatol. Arthroscopy
,
16
(
9
), pp.
891
893
.10.1007/s00167-008-0581-3
5.
Engelsohn
,
E.
,
Umans
,
H.
, and
DiFelice
,
G. S.
,
2007
, “
Marginal Fractures of the Medial Tibial Plateau: Possible Association With Medial Meniscal Root Tear
,”
Skeletal Radiol.
,
36
(
1
), pp.
73
76
.10.1007/s00256-006-0089-1
6.
Ahn
,
J. H.
,
Wang
,
J. H.
,
Lim
,
H. C.
,
Bae
,
J. H.
,
Park
,
J. S.
,
Yoo
,
J. C.
, and
Shyam
,
A. K.
,
2009
, “
Double Transosseous Pull Out Suture Technique for Transection of Posterior Horn of Medial Meniscus
,”
Arch. Orthop. Trauma Surg.
,
129
(
3
), pp.
387
392
.10.1007/s00402-008-0639-1
7.
Ahn
,
J. H.
,
Wang
,
J. H.
,
Yoo
,
J. C.
,
Noh
,
H. K.
, and
Park
,
J. H.
,
2007
, “
A Pull-Out Suture for Transection of the Posterior Horn of the Medial Meniscus: Using a Posterior Trans-Septal Portal
,”
Knee Surg. Sports Traumatol. Arthroscopy
,
15
(
12
), pp.
1510
1513
.10.1007/s00167-007-0310-3
8.
LaPrade
,
C. M.
,
Foad
,
A.
,
Smith
,
S. D.
,
Turnbull
,
T. L.
,
Dornan
,
G. J.
,
Engebretsen
,
L.
,
Wijdicks
,
C. A.
, and
LaPrade
,
R. F.
,
2015
, “
Biomechanical Consequences of a Nonanatomic Posterior Medial Meniscal Root Repair
,”
Am. J. Sports Med.
,
43
(
4
), pp.
912
920
.10.1177/0363546514566191
9.
Padalecki
,
J. R.
,
Jansson
,
K. S.
,
Smith
,
S. D.
,
Dornan
,
G. J.
,
Pierce
,
C. M.
,
Wijdicks
,
C. A.
, and
LaPrade
,
R. F.
,
2014
, “
Biomechanical Consequences of a Complete Radial Tear Adjacent to the Medial Meniscus Posterior Root Attachment Site: In Situ Pull-Out Repair Restores Derangement of Joint Mechanics
,”
Am. J. Sports Med.
,
42
(
3
), pp.
699
707
.10.1177/0363546513499314
10.
Feucht
,
M. J.
,
Kühle
,
J.
,
Bode
,
G.
,
Mehl
,
J.
,
Schmal
,
H.
,
Südkamp
,
N. P.
, and
Niemeyer
,
P.
,
2015
, “
Arthroscopic Transtibial Pullout Repair for Posterior Medial Meniscus Root Tears: A Systematic Review of Clinical, Radiographic, and Second-Look Arthroscopic Results
,”
Arthroscopy
,
31
(
9
), pp.
1808
1816
.10.1016/j.arthro.2015.03.022
11.
Stärke
,
C.
,
Kopf
,
S.
,
Gröbel
,
K. H.
, and
Becker
,
R.
,
2010
, “
The Effect of a Nonanatomic Repair of the Meniscal Horn Attachment on Meniscal Tension: A Biomechanical Study
,”
Arthroscopy
,
26
(
3
), pp.
358
365
.10.1016/j.arthro.2009.08.013
12.
Furumatsu
,
T.
,
Kodama
,
Y.
,
Fujii
,
M.
,
Tanaka
,
T.
,
Hino
,
T.
,
Kamatsuki
,
Y.
,
Yamada
,
K.
,
Miyazawa
,
S.
, and
Ozaki
,
T.
,
2017
, “
A New Aiming Guide Can Create the Tibial Tunnel at Favorable Position in Transtibial Pullout Repair for the Medial Meniscus Posterior Root Tear
,”
Orthop. Traumatol.: Surg. Res.
,
103
(
3
), pp.
367
371
.10.1016/j.otsr.2017.01.005
13.
Yue
,
B.
,
Varadarajan
,
K. M.
,
Ai
,
S.
,
Tang
,
T.
,
Rubash
,
H. E.
, and
Li
,
G.
,
2011
, “
Differences of Knee Anthropometry Between Chinese and White Men and Women
,”
J. Arthroplasty
,
26
(
1
), pp.
124
130
.10.1016/j.arth.2009.11.020
14.
Bennetts
,
C. J.
,
Chokhandre
,
S.
,
Donnola
,
S. B.
,
Flask
,
C. A.
,
Bonner
,
T. F.
,
Colbrunn
,
R. W.
, and
Erdemir
,
A.
,
2015
, “
Open Knee(s): Magnetic Resonance Imaging for Specimen-Specific Next Generation Knee Models
,”
Summer Biomechanics, Bioengineering and Biotransport Conference (SB3C2015)
, Snowbird Resort, UT, June 17–20.
15.
Bonner
,
T. F.
,
Colbrunn
,
R. W.
,
Chokhandre
,
S.
,
Bennetts
,
C.
, and
Erdemir
,
A.
,
2015
, “
Open Knee(s): Comprehensive Tibiofemoral Joint Testing for Specimen-Specific Next Generation Knee Models
,”
Summer Biomechanics, Bioengineering and Biotransport Conference
, Snowbird Resort, UT, June 17–20.
16.
Erdemir
,
A.
,
Bennetts
,
C.
,
Bonner
,
T.
,
Chokhandre
,
S.
, and
Colbrunn
,
R.
,
2015
, “
Open Knee(s): Founding Data for Next Generation Knee Models
,”
BMES/FDA Frontiers in Medical Devices Conference: Innovations in Modeling and Simulation
, Washington, DC, May 18–20.
17.
 
Erdemir
,
A.
,
2017
, “
Open Knee(s): Virtual Biomechanical Representations of the Knee Joint
,” SimTK, accessed Oct. 21,
2017
, https://simtk.org/projects/openknee
18.
Epperson
,
K.
,
Sawyer
,
A. M.
,
Lustig
,
M.
,
Alley
,
M.
,
Uecker
,
M.
,
Virtue
,
P.
,
Lai
,
P.
, and
Vasanawala
,
S.
,
2013
, “
Creation of Fully Sampled MR Data Repository for Compressed Sensing of the Knee
,”
Section for Magnetic Resonance Technologists
, Salt Lake City, UT, Apr. 20–26.
19.
Lustig
,
M.
, and
Vasanawala
,
S.
,
2017
, “
MRI Datasets for Compressed Sensing
,” accessed Oct. 21,
2017
, http://mridata.org
20.
Carey
,
R. E.
,
Zheng
,
L.
,
Aiyangar
,
A. K.
,
Harner
,
C. D.
, and
Zhang
,
X.
,
2014
, “
Subject-Specific Finite Element Modeling of the Tibiofemoral Joint Based on CT, Magnetic Resonance Imaging and Dynamic Stereo-Radiography Data In Vivo
,”
ASME J. Biomech. Eng.
,
136
(
4
), p.
041004
.10.1115/1.4026228
21.
Donahue
,
T. L. H.
,
Hull
,
M. L.
,
Rashid
,
M. M.
, and
Jacobs
,
C. R.
,
2003
, “
How the Stiffness of Meniscal Attachments and Meniscal Material Properties Affect Tibio-Femoral Contact Pressure Computed Using a Validated Finite Element Model of the Human Knee Joint
,”
J. Biomech.
,
36
(
1
), pp.
19
34
.10.1016/S0021-9290(02)00305-6
22.
Donahue
,
T. L. H.
,
Hull
,
M. L.
,
Rashid
,
M. M.
, and
Jacobs
,
C. R.
,
2002
, “
A Finite Element Model of the Human Knee Joint for the Study of Tibio-Femoral Contact
,”
ASME J. Biomech. Eng.
,
124
(
3
), pp.
273
280
.10.1115/1.1470171
23.
Armstrong
,
C. G.
,
Lai
,
W. M.
, and
Mow
,
V. C.
,
1984
, “
An Analysis of the Unconfined Compression of Articular Cartilage
,”
ASME J. Biomech. Eng.
,
106
(
2
), pp.
165
173
.10.1115/1.3138475
24.
Eberhardt
,
A. W.
,
Keer
,
L. M.
,
Lewis
,
J. L.
, and
Vithoontien
,
V.
,
1990
, “
An Analytical Model of Joint Contact
,”
ASME J. Biomech. Eng.
,
112
(
4
), pp.
407
413
.10.1115/1.2891204
25.
Shepherd
,
D. E.
, and
Seedhom
,
B. B.
,
1999
, “
The ‘Instantaneous’ Compressive Modulus of Human Articular Cartilage in Joints of the Lower Limb
,”
Rheumatology (Oxford)
,
38
(
2
), pp.
124
132
.10.1093/rheumatology/38.2.124
26.
Fithian
,
D. C.
,
Kelly
,
M. A.
, and
Mow
,
V. C.
,
1990
, “
Material Properties and Structure-Function Relationships in the Menisci
,”
Clin. Orthop. Relat. Res.
,
252
, pp.
19
31
.10.1097/00003086-199003000-00004
27.
Skaggs
,
D. L.
,
Warden
,
W. H.
, and
Mow
,
V. C.
,
1994
, “
Radial Tie Fibers Influence the Tensile Properties of the Bovine Medial Meniscus
,”
J. Orthop. Res.
,
12
(
2
), pp.
176
185
.10.1002/jor.1100120205
28.
Tissakht
,
M.
, and
Ahmed
,
A. M.
,
1995
, “
Tensile Stress-Strain Characteristics of the Human Meniscal Material
,”
J. Biomech.
,
28
(
4
), pp.
411
422
.10.1016/0021-9290(94)00081-E
29.
Whipple
,
R.
,
Wirth
,
C. R.
, and
Mow
,
V. C.
,
1984
, “
Mechanical Properties of the Meniscus
,” ASME
Advances in Bioengineering, R. L. Spilker, ed., American Society of Mechanical Engineers, New York,
pp.
32
33
.
30.
Abraham
,
A. C.
, and
Haut Donahue
,
T. L.
,
2013
, “
From Meniscus to Bone: A Quantitative Evaluation of Structure and Function of the Human Meniscal Attachments
,”
Acta Biomater.
,
9
(
5
), pp.
6322
6329
.10.1016/j.actbio.2013.01.031
31.
Abraham
,
A. C.
,
Moyer
,
J. T.
,
Villegas
,
D. F.
,
Odegard
,
G. M.
, and
Haut Donahue
,
T. L.
,
2011
, “
Hyperelastic Properties of Human Meniscal Attachments
,”
J. Biomech.
,
44
(
3
), pp.
413
418
.10.1016/j.jbiomech.2010.10.001
32.
Hauch
,
K. N.
,
Villegas
,
D. F.
, and
Haut Donahue
,
T. L.
,
2010
, “
Geometry, Time-Dependent and Failure Properties of Human Meniscal Attachments
,”
J. Biomech.
,
43
(
3
), pp.
463
468
.10.1016/j.jbiomech.2009.09.043
33.
Blankevoort
,
L.
, and
Huiskes
,
R.
,
1991
, “
Ligament-Bone Interaction in a Three-Dimensional Model of the Knee
,”
ASME J. Biomech. Eng.
,
113
(
3
), pp.
263
269
.10.1115/1.2894883
34.
Blankevoort
,
L.
,
Kuiper
,
J. H.
,
Huiskes
,
R.
, and
Grootenboer
,
H. J.
,
1991
, “
Articular Contact in a Three-Dimensional Model of the Knee
,”
J. Biomech.
,
24
(
11
), pp.
1019
1031
.10.1016/0021-9290(91)90019-J
35.
Guess
,
T. M.
,
Razu
,
S.
,
Jahandar
,
H.
, and
Stylianou
,
A.
,
2015
, “
Predicted Loading on the Menisci During Gait: The Effect of Horn Laxity
,”
J. Biomech.
,
48
(
8
), pp.
1490
1498
.10.1016/j.jbiomech.2015.01.047
36.
Wismans
,
J. A. C.
,
Veldpaus
,
F.
,
Janssen
,
J.
,
Huson
,
A.
, and
Struben
,
P.
,
1980
, “
A Three-Dimensional Mathematical Model of the Knee Joint
,”
J. Biomech.
,
13
(
8
), pp.
677
685
.10.1016/0021-9290(80)90354-1
37.
Duthon
,
V. B.
,
Barea
,
C.
,
Abrassart
,
S.
,
Fasel
,
J. H.
,
Fritschy
,
D.
, and
Ménétrey
,
J.
,
2006
, “
Anatomy of the Anterior Cruciate Ligament
,”
Knee Surg. Sports Traumatol. Arthroscopy
,
14
(
3
), pp.
204
213
.10.1007/s00167-005-0679-9
38.
Osti
,
M.
,
Tschann
,
P.
,
Künzel
,
K. H.
, and
Benedetto
,
K. P.
,
2012
, “
Anatomic Characteristics and Radiographic References of the Anterolateral and Posteromedial Bundles of the Posterior Cruciate Ligament
,”
Am. J. Sports Med.
,
40
(
7
), pp.
1558
1563
.10.1177/0363546512445166
39.
Hartshorn
,
T.
,
Otarodifard
,
K.
,
White
,
E. A.
, and
Hatch
,
G. F.
, III
,
2013
, “
Radiographic Landmarks for Locating the Femoral Origin of the Superficial Medial Collateral Ligament
,”
Am. J. Sports Med.
,
41
(
11
), pp.
2527
2532
.10.1177/0363546513504895
40.
Liu
,
F.
,
Gadikota
,
H. R.
,
Kozanek
,
M.
,
Hosseini
,
A.
,
Yue
,
B.
,
Gill
,
T. J.
,
Rubash
,
H. E.
, and
Li
,
G.
,
2011
, “
In Vivo Length Patterns of the Medial Collateral Ligament During the Stance Phase of Gait
,”
Knee Surg. Sports Traumatol., Arthroscopy
,
19
(
5
), pp.
719
727
.10.1007/s00167-010-1336-5
41.
Liu
,
F.
,
Yue
,
B.
,
Gadikota
,
H. R.
,
Kozanek
,
M.
,
Liu
,
W.
,
Gill
,
T. J.
,
Rubash
,
H. E.
, and
Li
,
G.
,
2010
, “
Morphology of the Medial Collateral Ligament of the Knee
,”
J. Orthop. Surg. Res.
,
5
(
69
), pp.
1
8
.10.1186/1749-799X-5-69
42.
Park
,
S. E.
,
DeFrate
,
L. E.
,
Suggs
,
J. F.
,
Gill
,
T. J.
,
Rubash
,
H. E.
, and
Li
,
G.
,
2005
, “
The Change in Length of the Medial and Lateral Collateral Ligaments During In Vivo Knee Flexion
,”
Knee
,
12
(
5
), pp.
377
382
.10.1016/j.knee.2004.12.011
43.
LaPrade
,
C. M.
,
Ellman
,
M. B.
,
Rasmussen
,
M. T.
,
James
,
E. W.
,
Wijdicks
,
C. A.
,
Engebretsen
,
L.
, and
LaPrade
,
R. F.
,
2014
, “
Anatomy of the Anterior Root Attachments of the Medial and Lateral Menisci: A Quantitative Analysis
,”
Am. J. Sports Med.
,
42
(
10
), pp.
2386
2392
.10.1177/0363546514544678
44.
Bhatia
,
S.
,
LaPrade
,
C. M.
,
Ellman
,
M. B.
, and
LaPrade
,
R. F.
,
2014
, “
Meniscal Root Tears: Significance, Diagnosis, and Treatment
,”
Am. J. Sports Med.
,
42
(
12
), pp.
3016
3030
.10.1177/0363546514524162
45.
Stärke
,
C.
,
Kopf
,
S.
,
Lippisch
,
R.
,
Lohmann
,
C. H.
, and
Becker
,
R.
,
2013
, “
Tensile Forces on Repaired Medial Meniscal Root Tears
,”
Arthroscopy
,
29
(
2
), pp.
205
212
.10.1016/j.arthro.2012.09.004
46.
Cerminara
,
A. J.
,
LaPrade
,
C. M.
,
Smith
,
S. D.
,
Ellman
,
M. B.
,
Wijdicks
,
C. A.
, and
LaPrade
,
R. F.
,
2014
, “
Biomechanical Evaluation of a Transtibial Pull-Out Meniscal Root Repair: Challenging the Bungee Effect
,”
Am. J. Sports Med.
,
42
(
12
), pp.
2988
2995
.10.1177/0363546514549447
47.
Feucht
,
M. J.
,
Grande
,
E.
,
Brunhuber
,
J.
,
Burgkart
,
R.
,
Imhoff
,
A. B.
, and
Braun
,
S.
,
2013
, “
Biomechanical Evaluation of Different Suture Techniques for Arthroscopic Transtibial Pull-Out Repair of Posterior Medial Meniscus Root Tears
,”
Am. J. Sports Med.
,
41
(
12
), pp.
2784
2790
.10.1177/0363546513502464
48.
Kim
,
Y. M.
,
Rhee
,
K. J.
,
Lee
,
J. K.
,
Hwang
,
D. S.
,
Yang
,
J. Y.
, and
Kim
,
S. J.
,
2006
, “
Arthroscopic Pullout Repair of a Complete Radial Tear of the Tibial Attachment Site of the Medial Meniscus Posterior Horn
,”
Arthroscopy
,
22
(
7
), pp.
795.e1
795.e4
.10.1016/j.arthro.2005.12.040
49.
Moon
,
H. K.
,
Koh
,
Y. G.
,
Kim
,
Y. C.
,
Park
,
Y. S.
,
Jo
,
S. B.
, and
Kwon
,
S. K.
,
2012
, “
Prognostic Factors of Arthroscopic Pull-Out Repair for a Posterior Root Tear of the Medial Meniscus
,”
Am. J. Sports Med.
,
40
(
5
), pp.
1138
1143
.10.1177/0363546511435622
50.
Park
,
Y. S.
,
Moon
,
H. K.
,
Koh
,
Y. G.
,
Kim
,
Y. C.
,
Sim
,
D. S.
,
Jo
,
S. B.
, and
Kwon
,
S. K.
,
2011
, “
Arthroscopic Pullout Repair of Posterior Root Tear of the Medial Meniscus: The Anterior Approach Using Medial Collateral Ligament Pie-Crusting Release
,”
Knee Surg. Sports Traumatol., Arthroscopy
,
19
(
8
), pp.
1334
1336
.10.1007/s00167-011-1435-y
51.
Kim
,
Y. M.
,
Joo
,
Y. B.
,
Noh
,
C. K.
, and
Park
,
I. Y.
,
2016
, “
The Optimal Suture Site for the Repair of Posterior Horn Root Tears: Biomechanical Evaluation of Pullout Strength in Porcine Menisci
,”
Knee Surg. Relat. Res.
,
28
(
2
), pp.
147
152
.10.5792/ksrr.2016.28.2.147
52.
Rosslenbroich
,
S. B.
,
Borgmann
,
J.
,
Herbort
,
M.
,
Raschke
,
M. J.
,
Petersen
,
W.
, and
Zantop
,
T.
,
2013
, “
Root Tear of the Meniscus: Biomechanical Evaluation of an Arthroscopic Refixation Technique
,”
Arch. Orthop. Trauma Surg.
,
133
(
1
), pp.
111
115
.10.1007/s00402-012-1625-1
53.
LaPrade
,
C. M.
,
James
,
E. W.
,
Engebretsen
,
L.
, and
LaPrade
,
R. F.
,
2014
, “
Anterior Medial Meniscal Root Avulsions Due to Malposition of the Tibial Tunnel During Anterior Cruciate Ligament Reconstruction: Two Case Reports
,”
Knee Surg. Sports Traumatol. Arthroscopy
,
22
(
5
), pp.
1119
1123
.10.1007/s00167-014-2868-x
54.
Park
,
S.
,
Hung
,
C. T.
, and
Ateshian
,
G. A.
,
2004
, “
Mechanical Response of Bovine Articular Cartilage Under Dynamic Unconfined Compression Loading at Physiological Stress Levels
,”
Osteoarthritis Cartilage
,
12
(
1
), pp.
65
73
.10.1016/j.joca.2003.08.005
55.
Chia
,
H. N.
, and
Hull
,
M. L.
,
2008
, “
Compressive Moduli of the Human Medial Meniscus in the Axial and Radial Directions at Equilibrium and at a Physiological Strain Rate
,”
J. Orthop. Res.
,
26
(
7
), pp.
951
956
.10.1002/jor.20573
56.
de Winter
,
J. C. F.
,
2013
, “
Using the Student's t-Test With Extremely Small Sample Sizes
,”
Pract. Assess. Res. Eval.
,
18
(
10
), pp.
1
12
. https://scholarworks.umass.edu/pare/vol18/iss1/10
57.
Kopf
,
S.
,
Colvin
,
A. C.
,
Muriuki
,
M.
,
Zhang
,
X.
, and
Harner
,
C. D.
,
2011
, “
Meniscal Root Suturing Techniques: Implications for Root Fixation
,”
Am. J. Sports Med.
,
39
(
10
), pp.
2141
2146
.10.1177/0363546511413250
58.
Daney
,
B. T.
,
Aman
,
Z. S.
,
Krob
,
J. J.
,
Storaci
,
H. W.
,
Brady
,
A. W.
,
Nakama
,
G.
,
Dornan
,
G. J.
,
Provencher
,
M. T.
, and
LaPrade
,
R. F.
,
2019
, “
Utilization of Transtibial Centralization Suture Best Minimizes Extrusion and Restores Tibiofemoral Contact Mechanics for Anatomic Medial Meniscal Root Repairs in a Cadaveric Model
,”
Am. J. Sports Med.
,
47
(
7
), pp.
1591
1600
.10.1177/0363546519844250
59.
Costa
,
C. R.
,
Morrison
,
W. B.
, and
Carrino
,
J. A.
,
2004
, “
Medial Meniscus Extrusion on Knee MRI: Is Extent Associated With Severity Degeneration or Type of Tear?
,”
Am. J. Roentgenol.
,
183
(
1
), pp.
17
23
.10.2214/ajr.183.1.1830017
60.
Allaire
,
R.
,
Muriuki
,
M.
,
Gilbertson
,
L.
, and
Harner
,
C. D.
,
2008
, “
Biomechanical Consequences of a Tear of the Posterior Root of the Medial Meniscus: Similar to Total Meniscectomy
,”
J. Bone Jt. Surg., Am. Vol.
,
90
(
9
), pp.
1922
1931
.10.2106/JBJS.G.00748
61.
Steineman
,
B. D.
,
LaPrade
,
R. F.
, and
Haut Donahue
,
T. L.
,
2019
, “
Loosening of Transtibial Pull-Out Meniscal Root Repairs Due to Simulated Rehabilitation is Unrecoverable: A Biomechanical Study
,”
Arthroscopy
,
35
(
4
), pp.
1232
1239
.10.1016/j.arthro.2018.11.041
62.
LaPrade
,
C. M.
,
LaPrade
,
M. D.
,
Turnbull
,
T. L.
,
Wijdicks
,
C. A.
, and
LaPrade
,
R. F.
,
2015
, “
Biomechanical Evaluation of the Transtibial Pull-Out Technique for Posterior Medial Meniscal Root Repairs Using 1 and 2 Transtibial Bone Tunnels
,”
Am. J. Sports Med.
,
43
(
4
), pp.
899
904
.10.1177/0363546514563278
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