Anterior meniscus root avulsion following intramedullary nailing for a tibial shaft fracture

  • Michael B. Ellman, Evan W. James, Christopher M. LaPrade, Robert F. LaPrade
  • Knee Surgery Sports Traumatology Arthroscopy, March 2014, Springer Science + Business Media
  • DOI: 10.1007/s00167-014-2941-5

Tibial Shaft Fracture Nailing Causing Anterior Meniscus Root Injury

What is it about?

This article described a case series of patients who had anterior meniscal root avulsions following a tibial shaft fracture by an intramedullary nailing.

Why is it important?

The study found that placement of a tibial intramedullary nail close to the midline or in smaller tibiae, which can occur in female patients, may cause an iatrogenic injury to the anterior meniscus root attachment. We have seen this clinically in patients, and it may be a cause of anterior knee pain in some patients who have a tibial shaft fracture fixed with this technique


Dr Robert F LaPrade
Steadman Philippon Research Institute

This article further allowed us to extend our knowledge of how important the meniscal root attachments are. It also described another means by which surgeons may inadvertently injure the meniscus root, leading to patient pain and development of osteoarthritis.

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The following have contributed to this page: Dr Robert F LaPrade and Dr. Robert F. LaPrade