Arthroscopic all-inside lateral meniscus suture using posterolateral portal

被引:18
作者
Ahn, JH [1 ]
Oh, I [1 ]
机构
[1] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Orthopaed Surg, Seoul 135710, South Korea
关键词
arthroscopy; lateral meniscus posterior horn tear; all-inside meniscal repair; posterolateral portal;
D O I
10.1016/j.arthro.2005.07.031
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
A new arthroscopic all-inside suture for lateral meniscus posterior horn tear using, a single posterolateral portal is described. A lateral meniscus posterior horn peripheral longitudinal tear is often seen with anterior cruciate ligament injury or discoid lateral meniscus tear. Conventional repair methods. Such as arthroscopic inside-out, outside-in, or all-inside sutures, can be cumbersome and technically demanding. Our ail-inside suture using the posterolateral portal allows thorough Visualization of the posterolateral structures, excellent coaptation of torn meniscus, strong knot tightening. and avoidance of inadvertent cartilage in jury. The arthroscope is inserted through the anteromedial portal and reaches the posterolateral compartment by a transcondylar approach. A suture hook is introduced into the posterolateral portal without a cannula, penetrates posterior peripheral rim. crosses the tear. and passes through mobile torn fragment. A large amount of No. 0 PDS is passed. so that it Curls up inside the joint. Alter the suture hook is removed, a suture retriever is inserted through the posterolateral portal to pull out 2 ends of the PDS at the same time. The retrieved suture ends are passed through a knot pusher and a 5.5-mm cannula is introduced over the retrieved suture materials for the SMC knot to be tied. A longitudinal tear of lateral meniscus posterior horn is repaired with 2 to 3 sutures.
引用
收藏
页码:572.e1 / 572.e4
页数:4
相关论文
共 8 条
[1]
All-inside suture technique using two posteromedial portals in a medial meniscus posterior horn tear [J].
Ahn, JH ;
Kim, SH ;
Yoo, JC ;
Wang, JH .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2004, 20 (01) :101-108
[2]
Posterior trans-septal portal for arthroscopic surgery of the knee joint [J].
Ahn, JH ;
Ha, CW .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2000, 16 (07) :774-779
[3]
The SMC knot - A new slip knot with locking mechanism [J].
Kim, SH ;
Ha, KI .
ARTHROSCOPY, 2000, 16 (05) :563-565
[4]
All-inside meniscal repair devices - An experimental study in the goat model [J].
Miller, MD ;
Kline, AJ ;
Jepsen, KG .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2004, 32 (04) :858-862
[5]
Miller R H, 2003, CAMPBELLS OPERATIVE, P2165
[6]
MORGAN C D, 1991, Arthroscopy, V7, P120, DOI 10.1016/0749-8063(91)90093-D
[7]
REIGEL CA, 1996, CLIN SPORTS MED, V15, P43
[8]
Options in meniscal repair [J].
Rispoli, DM ;
Miller, MD .
CLINICS IN SPORTS MEDICINE, 1999, 18 (01) :77-+