Letter to the Editor
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Nov 18, 2024; 15(11): 1109-1111
Published online Nov 18, 2024. doi: 10.5312/wjo.v15.i11.1109
Insights and implications from the study on meniscus reconstruction using tendon autograft
Phi Duong Nguyen, Thanh Kien Lam
Phi Duong Nguyen, Department of Orthopaedic - Burn - Plastic Surgery, City Children's Hospital, Ho Chi Minh City 71815, Viet Nam
Thanh Kien Lam, The Faculty of Medical Technology, Van Lang University, Ho Chi Minh City 700000, Viet Nam
Author contributions: Nguyen PD and Lam TK conceived the idea, drafted the manuscript, critically revised it, and approved the final version.
Conflict-of-interest statement: Nguyen PD and Lam TK declare that they have no conflicts of interest related to this manuscript. The authors have not received any fees for serving as speakers, consultants, or advisory board members. They have not received any research funding from organizations related to this work. Neither author is an employee of any organization that may have an interest in this research. The authors do not own stocks, shares, or patents related to the subject matter of this manuscript.
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: Thanh Kien Lam, MD, Lecturer, Researcher, The Faculty of Medical Technology, Van Lang University, 69/68 Dang Thuy Tram Street, Ward 13, Binh Thanh District, Ho Chi Minh City 700000, Viet Nam. thanh.lk@vlu.edu.vn
Received: September 17, 2024
Revised: October 9, 2024
Accepted: November 12, 2024
Published online: November 18, 2024
Processing time: 59 Days and 2.5 Hours
Abstract

This letter addresses the recent study by Zhu et al on the predictive factors for coronal and sagittal graft extrusion length following medial meniscus reconstruction using tendon autografts. The study provides valuable insights into the importance of preoperative joint space width and tunnel positioning as predictors of graft extrusion. Specifically, it found strong correlations between preoperative joint space width and medial, posterior, and mean graft extrusion at both 1 week and 8 months post-operation. Additionally, tunnel edge distance at 1 week post-operation correlated with anterior and posterior graft extrusion. These findings offer critical guidance for improving surgical outcomes. However, the letter highlights the need for further research with larger sample sizes and comparative studies involving different graft types to strengthen these findings and broaden their applicability in clinical settings. The study's contributions to understanding meniscus reconstruction using tendon autografts are acknowledged, along with suggestions for future research directions

Keywords: Meniscus reconstruction; Tendon autograft; Graft extrusion; Joint space width; Tunnel positioning; Surgical outcomes

Core Tip: Zhu et al's study on meniscus reconstruction using tendon autografts reveals crucial predictive factors for graft extrusion, notably preoperative joint space width and tunnel positioning. These findings have significant implications for patient selection and surgical technique refinement. The study's strengths lie in its longitudinal design and comprehensive approach, while its main limitation is the small sample size. Future research should focus on larger cohorts, comparative graft studies, and long-term clinical outcomes. This work represents a significant advancement in personalizing meniscus reconstruction procedures, potentially leading to improved patient outcomes in orthopedic surgery.