Zhu TW, Xiang XX, Li CH, Li RX, Zhang N. Predictive factors for coronal and sagittal graft extrusion length after using tendon autograft for medial meniscus reconstruction. World J Orthop 2024; 15(11): 1036-1046 [DOI: 10.5312/wjo.v15.i11.1036]
Corresponding Author of This Article
Rui-Xin Li, MD, PhD, Associate Chief Physician, Surgeon, Department of Sports Medicine, Dalian University Affiliated Xinhua Hospital, 156 Wansui Road, Shahekou District, Dalian 116021, Liaoning Province, China. m-cc@163.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Nov 18, 2024; 15(11): 1036-1046 Published online Nov 18, 2024. doi: 10.5312/wjo.v15.i11.1036
Predictive factors for coronal and sagittal graft extrusion length after using tendon autograft for medial meniscus reconstruction
Tian-Wang Zhu, Xian-Xiang Xiang, Chun-Hui Li, Rui-Xin Li, Nan Zhang
Tian-Wang Zhu, Xian-Xiang Xiang, Chun-Hui Li, Rui-Xin Li, Department of Sports Medicine, Dalian University Affiliated Xinhua Hospital, Dalian 116021, Liaoning Province, China
Nan Zhang, Department of Spine Surgery, Dalian University Affiliated Xinhua Hospital, Dalian 116021, Liaoning Province, China
Co-corresponding authors: Rui-Xin Li and Nan Zhang.
Author contributions: Zhu TW designed and conducted the study and wrote the paper; Xiang XX and Li CH contributed to the analysis; Li RX and Zhang N supervised the study.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of Dalian University Affiliated Xinhua Hospital (document number: 2024-43-02).
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement-checklist of items-and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Rui-Xin Li, MD, PhD, Associate Chief Physician, Surgeon, Department of Sports Medicine, Dalian University Affiliated Xinhua Hospital, 156 Wansui Road, Shahekou District, Dalian 116021, Liaoning Province, China. m-cc@163.com
Received: July 31, 2024 Revised: August 30, 2024 Accepted: September 9, 2024 Published online: November 18, 2024 Processing time: 107 Days and 2.2 Hours
Abstract
BACKGROUND
Meniscus extrusion occurs in most elderly individuals and most patients after meniscus allograft transplantation. The risk factors and correlative factors of meniscus extrusion have been extensively studied. However, for using tendon autograft for meniscus reconstruction, both graft type and surgical method are different from those in previous studies on meniscus extrusion.
AIM
To identify predictive factors for coronal and sagittal graft extrusion length after using tendon autograft for medial meniscus reconstruction.
METHODS
Ten patients who underwent medial meniscus reconstruction with tendon autograft were selected for this retrospective observational study. The graft extrusions and potential factors were measured and correlation and regression analyses were performed to analyze their relationships.
RESULTS
The medial graft extrusion correlated with the preoperative bilateral hip-knee-ankle angle difference, preoperative Kellgren-Lawrence grade, preoperative relative joint space width, and preoperative bilateral medial edge incline angle difference. The anterior graft correlated with the anterior tunnel edge distance at 1 week after operation. The posterior graft extrusion correlated with the preoperative bilateral hip-knee-ankle angle difference, preoperative relative joint space width, and posterior tunnel edge distance at 1 week after operation. The mean graft extrusion correlated with the preoperative bilateral hip-knee-ankle angle difference and preoperative relative joint space width. The preoperative joint space width and anterior and posterior tunnel edge distance at 1 week can be used to predict the medial, anterior, posterior, and mean graft extrusion length.
CONCLUSION
The preoperative joint space width and tunnel position can be used to predict the coronal and sagittal graft extrusion length after using tendon autograft for medial meniscus reconstruction.
Core Tip: Meniscus extrusion in the natural meniscus and meniscus allograft transplantation have been extensively studied but there are no studies on meniscus extrusion after using tendon for meniscus reconstruction. This study found that the preoperative joint space width and tunnel position at 1 week after operation could be used to predict the coronal and sagittal graft extrusion length at 1 week and 8 mo after using tendon autograft for medial meniscus reconstruction. This knowledge offers information for patient selection and surgical points of using tendon autograft for meniscus reconstruction.
