Vol. 12, Issue 1 (2026)

Background: A meniscus root tear is described as a radial tear or avulsion at the posterior horn attachment to bone for medial or lateral meniscus. The aim of this work was evaluation of effectiveness of arthroscopic repair of posterior root tear of medial meniscus without fixation implants in restoring meniscal structural integrity and functions in 20 patients after one year follow up.
Methods: This prospective study included 20 adult patients diagnosed as medical meniscus root tears. All patients were followed up fort one year and assessed using Lysholm activity scale. McMurray test was used to assess medial meniscal tear.
Results: The postoperative extension lag was significantly lower compared to preoperative extension (p<0.001). The postoperative flexion was significantly higher compared to preoperative flexion (p<0.001). Visual analogue scale (VAS) was significantly lower at 3, 6 and 12 months compared to preoperative VAS (p<0.05) and none of the studied patients showed pain at 12 months. The postoperative Lysholm score was significantly improved (higher) compared to preoperative score (p<0.001, <0.001).
Conclusions: Arthroscopic pull-out repair of meniscal root tears without fixation implants significantly reduced pain VAS, improved range of motion, and enhanced Lysholm knee scores compared to preoperative values.