Medial Meniscus Posterior Root Tear Treatment Update

February 17th, 2020

Medial Meniscus Posterior Root Tear Treatment
SourceAJSM, first published November 2019 
Clinical Question: To compare non-op vs. partial meniscectomy (PMM) vs. medial root repair (MMR)
Points to Consider: Cohort/Level 3 study. MMR patients were matched by meniscal laterality, age, sex, Kellgren-Lawrence (K-L) grade to patients treated non-op or with PMM. Authors looked at progression to arthroplasty rates, IKDC and Tegner scores, as well as radiographic outcomes between groups.
Bottom Line:When possible, Repair the Root! MMR leads to significantly LESS arthritis progression and subsequent knee arthroplasty compared to non-op management and PMM in a matched cohort based on patient characteristics.

What is Kellgren-Lawrence? It’s a common method of classifying the severity of knee osteoarthritis using 5 grades:


More on this…
Animated video abstract for the article “Medial Meniscus Posterior Root Tear Treatment: A Matched Cohort Comparison of Nonoperative Management, Partial Meniscectomy, and Repair.

About the Author:
Catherine A. Logan, MD, MBA, MSPT is a sports medicine Orthopaedic Surgeon and writer. Based in Denver, CO, she is an attending at Colorado Sports Medicine & Orthopaedics at Rose Medical Center. Dr. Logan is the Head League Physician for Premier Lacrosse League (PLL) member of the team physician pool for the US Ski & Snowboard teams each year. Dr. Logan completed her Orthopaedic Surgery residency at the Harvard Combined Orthopaedic Residency Program and her Sports Medicine Fellowship training at the prestigious Steadman Philippon Research Institute/The Steadman Clinic in Vail, CO. Logan is also on the board of The Chill Foundation.