Medial meniscus posterior root repair restores the intra-articular volume of the medial meniscus by decreasing posteromedial extrusion at knee flexion

Purpose Transtibial repair of a medial meniscus posterior root tear (MMPRT) can improve clinical outcomes, although meniscal extrusion remains. However, few studies have investigated the volume of meniscal extrusion. This study aimed to evaluate the effect of transtibial repair in reducing the volume using three-dimensional (3D) magnetic resonance imaging, at 10° and 90° knee flexion. Methods Twenty patients with MMPRTs and 16 volunteers with normal knees participated. The 3D models of meniscus were constructed using SYNAPSE VINCENT®. The meniscal extrusion and its volume were measured at 10° and 90° knee flexion. Differences between the pre- and postoperative examinations were assessed using the Wilcoxon signed-rank test. The postoperative parameters were compared to those in patients with normal knees. Results There were no significant pre- and postoperative differences in any parameter at 10° knee flexion. At 90° knee flexion, the posterior extrusion and its meniscal volume were decreased significantly after transtibial repair (p  Conclusions This study demonstrated that transtibial repairs improved the intra-articular/intra-tibial surface volume of the medial meniscus by reducing the posteromedial extrusion during knee flexion. This 3D analysis is clinically relevant in evaluating that, while transtibial root repair has a limited ability to reduce meniscal extrusion, it can restore the functional volume of the medial meniscus which contributes to the shock absorber postoperatively

Double Pion Photoproduction on Deuteron(I. Nuclear Physics)

Exclusive cross sections for double-pion photoproductions on proton and deuteron were measured in an energy range from 0.8 to 1.1GeV using tagged photons at Laboratory of Nuclear Science, Tohoku University. We employed the Neutral Kaon Spectrometer (NKS) to detect two pions in the final state, and deduced the cross section for the π^+π^- photoproduction on the "free" and "bound" proton. We have discriminated between the quasi-free and non-quasi-free process applying the kinematical cut on the missing momentum. We found that the total cross section for the γ"p"→pπ^+π^- reaction was about 60% of that for the "free" proton, and this is consistent with the previously obtained data. The one of the dominant part of the non-quasi-free process was found to be the double Δ production. Its cross section is smaller than the previous investigations

Photoproduction of Neutral Kaons on Liquid Deuterium Target(I. Nuclear Physics)

We have performed the experiment of K^0 photoproduction on the liquid deuterium target with Neutral Kaon Spectrometer (NKS) at LNS-Tohoku. The K^0s were measured via K^0_S→π^+π^- decay channel in the threshold region. The momentum spectra of K^0 photoproduction cross sections were derived and compared with the calculations using representative models

Study of Strangeness Photo-production in the Threshold Region at LNS-Tohoku(I. Nuclear Physics)

We have successfully measured neutral kaons, bombarding a liquid deuterium target with a photon beam in the threshold region from 0.8 to 1.1GeV. It was the first data for K^0 photoproduction on the deuteron in this energy region. The momentum spectra of K^0 production were compared with theoretical spectra calculated assuming isobar models for the elementary process and a realistic deuteron wave function for the target The present experiment has demonstrated a usefulness of the neutral kaon measurement for the investigation of photo strangeness production reactions