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Novel treatment (new drug/intervention; established drug/procedure in new situation)
CASE REPORT
Posterior root medial meniscus reconstruction: an option in chronic posterior root meniscal injury management
  1. Renaldi Prasetia1,2,
  2. Bancha Chernchujit1
  1. 1Department of Orthopedics- Traumatology, Thammasat University Hospital, Pathumtani, Thailand
  2. 2Department of Orthopaedic-Traumatology, Faculty of Medicine, Universitas Padjadjaran, Dr. Hasan Sadikin Hospital, Bandung, Indonesia
  1. Correspondence to Mr Renaldi Prasetia, renaldi.prasetia{at}gmail.com

Summary

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.

  • orthopaedics
  • sports and exercise medicine
  • knee injuries
  • meniscal tears

https://doi.org/10.1136/bcr-2017-223068

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    Footnotes

    • Contributors BC contributed to perform the operation, to collect, to analyse data, to revise the manuscript and to approve for publishing. RP contributed to assist the operation, to collect, to analyse data, to draft manuscript and to approve for publishing.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.