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Analysis of Affecting Factors of the Fate of Medial Meniscus Posterior Root Tear Based on Treatment Strategies

Meniscal tear is a common reason for patients to undergo knee operation, and the medial meniscus posterior root tear (MMPRT) is one of the most frequent kinds of meniscal tears. The purpose of this study was to analyze participants’ factors (anthropometric and medical) to the fate of the MMPRT based...

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Autores principales: Lee, Jae Ik, Kim, Dong Hyun, Choi, Han Gyeol, Kim, Tae Woo, Lee, Yong Seuk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7913183/
https://www.ncbi.nlm.nih.gov/pubmed/33546100
http://dx.doi.org/10.3390/jcm10040557
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author Lee, Jae Ik
Kim, Dong Hyun
Choi, Han Gyeol
Kim, Tae Woo
Lee, Yong Seuk
author_facet Lee, Jae Ik
Kim, Dong Hyun
Choi, Han Gyeol
Kim, Tae Woo
Lee, Yong Seuk
author_sort Lee, Jae Ik
collection PubMed
description Meniscal tear is a common reason for patients to undergo knee operation, and the medial meniscus posterior root tear (MMPRT) is one of the most frequent kinds of meniscal tears. The purpose of this study was to analyze participants’ factors (anthropometric and medical) to the fate of the MMPRT based on the treatment strategy. The hypothesis of this study was that treatment modalities from conservative treatment to final arthroplasty would be affected by participants’ affecting factors. From July 2003 to May 2018, 640 participants were included. Groups were categorized according to the treatment strategies such as conservative treatment, arthroscopic surgery, high tibial osteotomy (HTO) and arthroplasty surgery. Participants’ affecting factors were analyzed by one-way analysis of variance according to the four different treatment strategies and a correlation between affecting factors was also analyzed. Participants with K-L (Kellgren–Lawrence) Grade 4 and high BMI > 28.17 were appropriate candidates for arthroplasty, with K-L Grade 4 being a greater determining factor than high BMI. Participants with alignment factors such as low initial weight bearing line (WBL) (26.5%) and high delta WBL ratio (5.9%) were appropriate candidates for HTO, with the delta WBL ratio being a greater determining factor than initial WBL. Longer MRI-event times (1.44 year) and a lesser extent of meniscal extrusion (2.98 mm) were significantly associated with conservative treatment. Understanding the correlation of each affecting factor to the treatment strategy will help clinicians decide on the appropriate treatment for patients with MMPRT.
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spelling pubmed-79131832021-02-28 Analysis of Affecting Factors of the Fate of Medial Meniscus Posterior Root Tear Based on Treatment Strategies Lee, Jae Ik Kim, Dong Hyun Choi, Han Gyeol Kim, Tae Woo Lee, Yong Seuk J Clin Med Article Meniscal tear is a common reason for patients to undergo knee operation, and the medial meniscus posterior root tear (MMPRT) is one of the most frequent kinds of meniscal tears. The purpose of this study was to analyze participants’ factors (anthropometric and medical) to the fate of the MMPRT based on the treatment strategy. The hypothesis of this study was that treatment modalities from conservative treatment to final arthroplasty would be affected by participants’ affecting factors. From July 2003 to May 2018, 640 participants were included. Groups were categorized according to the treatment strategies such as conservative treatment, arthroscopic surgery, high tibial osteotomy (HTO) and arthroplasty surgery. Participants’ affecting factors were analyzed by one-way analysis of variance according to the four different treatment strategies and a correlation between affecting factors was also analyzed. Participants with K-L (Kellgren–Lawrence) Grade 4 and high BMI > 28.17 were appropriate candidates for arthroplasty, with K-L Grade 4 being a greater determining factor than high BMI. Participants with alignment factors such as low initial weight bearing line (WBL) (26.5%) and high delta WBL ratio (5.9%) were appropriate candidates for HTO, with the delta WBL ratio being a greater determining factor than initial WBL. Longer MRI-event times (1.44 year) and a lesser extent of meniscal extrusion (2.98 mm) were significantly associated with conservative treatment. Understanding the correlation of each affecting factor to the treatment strategy will help clinicians decide on the appropriate treatment for patients with MMPRT. MDPI 2021-02-03 /pmc/articles/PMC7913183/ /pubmed/33546100 http://dx.doi.org/10.3390/jcm10040557 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lee, Jae Ik
Kim, Dong Hyun
Choi, Han Gyeol
Kim, Tae Woo
Lee, Yong Seuk
Analysis of Affecting Factors of the Fate of Medial Meniscus Posterior Root Tear Based on Treatment Strategies
title Analysis of Affecting Factors of the Fate of Medial Meniscus Posterior Root Tear Based on Treatment Strategies
title_full Analysis of Affecting Factors of the Fate of Medial Meniscus Posterior Root Tear Based on Treatment Strategies
title_fullStr Analysis of Affecting Factors of the Fate of Medial Meniscus Posterior Root Tear Based on Treatment Strategies
title_full_unstemmed Analysis of Affecting Factors of the Fate of Medial Meniscus Posterior Root Tear Based on Treatment Strategies
title_short Analysis of Affecting Factors of the Fate of Medial Meniscus Posterior Root Tear Based on Treatment Strategies
title_sort analysis of affecting factors of the fate of medial meniscus posterior root tear based on treatment strategies
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7913183/
https://www.ncbi.nlm.nih.gov/pubmed/33546100
http://dx.doi.org/10.3390/jcm10040557
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