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The Injury Report

with Sports Surgeon, Dr. Catherine Logan

February 17, 2020

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RESEARCH UPDATE…
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:

Source: https://www.arthroscopytechniques.org/article/S2212-6287(15)00122-X/pdf

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

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