Biomechanical Assessment and Clinical Outcomes in Meniscal Root Tears Management
Introduction: Meniscal root tears (MRTs) disrupt knee biomechanics, leading to meniscal extrusion, joint instability, and osteoarthritis progression. They are classified as degenerative or traumatic, with varying etiologies and clinical implications. Objectives: The objectives were to evaluate the e...
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| Format: | Article |
| Language: | English |
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Indian Orthopaedic Research Group
2025-07-01
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| Series: | Journal of Orthopaedic Case Reports |
| Subjects: | |
| Online Access: | https://jocr.co.in/wp/2025/07/01/biomechanical-assessment-and-clinical-outcomes-in-meniscal-root-tears-management-2/ |
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| author | Mayank Pratap Singh Tribhuwan Narayan Singh Gaur Brajesh Dadarya Deepak S. Maravi Mukesh K. Sharma Ajay Dhanopeya |
| author_facet | Mayank Pratap Singh Tribhuwan Narayan Singh Gaur Brajesh Dadarya Deepak S. Maravi Mukesh K. Sharma Ajay Dhanopeya |
| author_sort | Mayank Pratap Singh |
| collection | DOAJ |
| description | Introduction:
Meniscal root tears (MRTs) disrupt knee biomechanics, leading to meniscal extrusion, joint instability, and osteoarthritis progression. They are classified as degenerative or traumatic, with varying etiologies and clinical implications.
Objectives:
The objectives were to evaluate the etiology, biomechanics, management strategies, and outcomes of MRTs, focusing on the effectiveness of surgical repair in preserving knee function and delaying osteoarthritis.
Materials and Method:
A review of recent literature was conducted, analyzing key aspects of MRTs, including pathogenesis, biomechanical consequences, management approaches, and patient outcomes. Studies assessing surgical techniques, non-operative treatment, and partial meniscectomy were included in the study.
Result:
Degenerative MRTs were common in older, obese individuals with varus alignment, whereas traumatic MRTs occurred in younger patients with concomitant injuries. Surgical repair demonstrated favorable short-term outcomes, including reduced extrusion and improved clinical scores, but challenges such as persistent extrusion and long-term cartilage damage persisted. Non-operative treatment and partial meniscectomy offered limited benefits, with higher risks of osteoarthritis progression.
Conclusion:
MRTs significantly impact knee joint health, requiring timely diagnosis and individualized management. Surgical repair remains the gold standard, restoring knee kinematics and delaying osteoarthritis, although long-term outcomes need further optimization. Personalized treatment strategies based on patient-specific factors are essential for improved care. |
| format | Article |
| id | doaj-art-67b8ba3eba7e4f71a1427471d0c6ced9 |
| institution | Kabale University |
| issn | 2250-0685 2321-3817 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Indian Orthopaedic Research Group |
| record_format | Article |
| series | Journal of Orthopaedic Case Reports |
| spelling | doaj-art-67b8ba3eba7e4f71a1427471d0c6ced92025-08-20T04:01:57ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-07-0115730631110.13107/jocr.2025.v15.i07.5858Biomechanical Assessment and Clinical Outcomes in Meniscal Root Tears ManagementMayank Pratap SinghTribhuwan Narayan Singh GaurBrajesh DadaryaDeepak S. MaraviMukesh K. SharmaAjay DhanopeyaIntroduction: Meniscal root tears (MRTs) disrupt knee biomechanics, leading to meniscal extrusion, joint instability, and osteoarthritis progression. They are classified as degenerative or traumatic, with varying etiologies and clinical implications. Objectives: The objectives were to evaluate the etiology, biomechanics, management strategies, and outcomes of MRTs, focusing on the effectiveness of surgical repair in preserving knee function and delaying osteoarthritis. Materials and Method: A review of recent literature was conducted, analyzing key aspects of MRTs, including pathogenesis, biomechanical consequences, management approaches, and patient outcomes. Studies assessing surgical techniques, non-operative treatment, and partial meniscectomy were included in the study. Result: Degenerative MRTs were common in older, obese individuals with varus alignment, whereas traumatic MRTs occurred in younger patients with concomitant injuries. Surgical repair demonstrated favorable short-term outcomes, including reduced extrusion and improved clinical scores, but challenges such as persistent extrusion and long-term cartilage damage persisted. Non-operative treatment and partial meniscectomy offered limited benefits, with higher risks of osteoarthritis progression. Conclusion: MRTs significantly impact knee joint health, requiring timely diagnosis and individualized management. Surgical repair remains the gold standard, restoring knee kinematics and delaying osteoarthritis, although long-term outcomes need further optimization. Personalized treatment strategies based on patient-specific factors are essential for improved care.https://jocr.co.in/wp/2025/07/01/biomechanical-assessment-and-clinical-outcomes-in-meniscal-root-tears-management-2/meniscal root tearssurgical repairosteoarthritis |
| spellingShingle | Mayank Pratap Singh Tribhuwan Narayan Singh Gaur Brajesh Dadarya Deepak S. Maravi Mukesh K. Sharma Ajay Dhanopeya Biomechanical Assessment and Clinical Outcomes in Meniscal Root Tears Management Journal of Orthopaedic Case Reports meniscal root tears surgical repair osteoarthritis |
| title | Biomechanical Assessment and Clinical Outcomes in Meniscal Root Tears Management |
| title_full | Biomechanical Assessment and Clinical Outcomes in Meniscal Root Tears Management |
| title_fullStr | Biomechanical Assessment and Clinical Outcomes in Meniscal Root Tears Management |
| title_full_unstemmed | Biomechanical Assessment and Clinical Outcomes in Meniscal Root Tears Management |
| title_short | Biomechanical Assessment and Clinical Outcomes in Meniscal Root Tears Management |
| title_sort | biomechanical assessment and clinical outcomes in meniscal root tears management |
| topic | meniscal root tears surgical repair osteoarthritis |
| url | https://jocr.co.in/wp/2025/07/01/biomechanical-assessment-and-clinical-outcomes-in-meniscal-root-tears-management-2/ |
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