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Case Series
Outcomes of surgical management of combined ACL and posterior root tears of the lateral meniscus: A case series
1 Department of Orthopedic Surgery, Larkin Community Hospital, South Miami, FL, USA
2 University of Central Florida College of Medicine/Orlando Health Sports Medicine, Orlando, FL, USA
3 Mercer University School of Medicine, Macon, GA, USA
4 Florida International University Medical School, Doral, FL, USA
5 Orthopedic Surgery, Orthopedic and Sports Medicine Center of Miami, South Miami, FL, USA
Address correspondence to:
Brian H Goldman
DO, Department of Orthopedic Surgery, Larkin Community Hospital, 7000 SW 62nd Ave, Suite 401, South Miami, FL 33143,
USA
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Article ID: 100022Z14BG2021
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How to cite this article
Goldman BH, Edwards CA, Richey B, Eskew JR, Pearce RF, Turley J, Kalbac D. Outcomes of surgical management of combined ACL and posterior root tears of the lateral meniscus: A case series. J Case Rep Images Orthop Rheum 2021;5:100022Z14BG2021.ABSTRACT
Introduction: Tears of the posterior root of the lateral meniscus are often associated with anterior cruciate ligament (ACL) rupture. We present a series of patients treated with repair of the posterior root of the lateral meniscus (PLMR) concurrently with ACL reconstruction.
Case Series: From May 2016, 6 patients with PLMR tears with concurrent ACL rupture were evaluated and operated on. Patients were monitored and followed up at a mean of 16.5 months. Functional assessment and Lysholm scores were compared preoperatively and postoperatively. Patients demonstrated significant improvement postoperatively. All patients rated their outcome as excellent. Subjective scoring demonstrated a mean improvement between preoperative and postoperative Lysholm scores of 59 (p ≤ 0.001).
Conclusion: Based on previously defined metrics of clinical improvement for Lysholm scoring, patients have demonstrated not only a statistically significant improvement but also a clinically significant improvement when compared to preoperative status. All patients reported satisfaction with the procedure and no patients in the group demonstrated residual mechanical symptoms or instability. More high-quality studies, including randomized controlled trials (RCTs), are needed to confirm the utility of this procedure.
Keywords: ACL reconstruction, Meniscal root tear, Meniscectomy, Posterior meniscal root tear
SUPPORTING INFORMATION
Author Contributions
Brian H Goldman - Substantial contributions to conception and design, Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Chad A Edwards - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Bradley Richey - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Josh R Eskew - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Richard F Pearce - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Jeffery Turley - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Daniel Kalbac - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Brian H Goldman et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
