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At 12\u2010 and 24\u2010week intervals postsurgery, all the knees were harvested for imaging, macroscopic, histologic, and biomechanical assessments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The intact root served as a meniscus\u2010bone interface that connected the tibial and circular fibers of the meniscus with a bony insertion and a root\u2010meniscus transition. A direct fibrous connection was displayed at the bony insertion proximal to the synovium in the RTS group, while the remaining regions of the root displayed indirect fibrous healing. The healing in the RT group was disjointed and reminiscent of scar tissue. The RTS group exhibited a more pronounced coronal extrusion compared to the Sham group (0.42 \u00b1 0.09 vs 0.19 \u00b1 0.02,\n                      <jats:italic>P<\/jats:italic>\n                      = .0012) but was improved relative to that of the RT group (0.49 \u00b1 0.02,\n                      <jats:italic>P<\/jats:italic>\n                      = .0028). The failure load and stiffness of the RTS group were notably higher than those of the RT group, with a strength of 42.67% and a stiffness of 83.75% of the intact root. All the samples ruptured at the root\u2010meniscus transitions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The incomplete healing may be attributed to the histologic factors underlying the low healing rate and persistent medial meniscal extrusion. Notably, the region attached to the posterior cruciate ligament exhibited superior healing compared to other regions of the bony insertion in the repaired group. Conversely, the root\u2010meniscus transition displayed discontinuity, representing a mechanical weakness in the healing process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Modifications of bone tunnel positioning and suture placement could be undertaken in subsequent studies to enhance the healing of the root\u2010meniscus transition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2024.07.024","type":"journal-article","created":{"date-parts":[[2024,8,9]],"date-time":"2024-08-09T21:40:32Z","timestamp":1723239632000},"page":"1879","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Incomplete Histologic Healing and Diminished Biomechanical Strength of Meniscus\u2010Bone Interface After Medial Meniscus Posterior Root Transosseous Repair in a Goat Model"],"prefix":"10.1002","volume":"41","author":[{"given":"Xing\u2010Hao","family":"Deng","sequence":"first","affiliation":[{"name":"Department of Sports Medicine Sun Yat\u2010sen Memorial Hospital Sun Yat\u2010sen University Guangzhou P. R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing\u2010Song","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Sun Yat\u2010sen Memorial Hospital Sun Yat\u2010sen University Guangzhou P. R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhong","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Sun Yat\u2010sen Memorial Hospital Sun Yat\u2010sen University Guangzhou P. R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei\u2010Ke","family":"Zeng","sequence":"additional","affiliation":[{"name":"Department of Radiology Sun Yat\u2010sen Memorial Hospital Sun Yat\u2010sen University Guangzhou P. R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hua\u2010Ming","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Sun Yat\u2010sen Memorial Hospital Sun Yat\u2010sen University Guangzhou P. R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wan\u2010Ting","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Sun Yat\u2010sen Memorial Hospital Sun Yat\u2010sen University Guangzhou P. R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chuan","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Sun Yat\u2010sen Memorial Hospital Sun Yat\u2010sen University Guangzhou P. R. 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