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A Modified Outside-in Suture Technique for Repair of the Middle Segment of the Meniscus Using a Spinal Needle

Authors :
Jin Ho Cho
Source :
Knee Surgery & Related Research
Publication Year :
2014
Publisher :
Springer Science and Business Media LLC, 2014.

Abstract

Introduction: Several techniques have been used for arthroscopic repair of middle segment, posteromedial or posterolateral corner tears of the meniscus. One of the commonly used methods is the inside-out double arm needle technique. Surgical Technique: We have developed a vertical mattress absorbable suture technique. It is easy to perform with a small sized skin incision for knot tying. This technique just necessitates 1 or 2 spinal needles for repair. Materials and Methods: Between March 2010 and February 2012, 20 menisci were treated by this technique, a modified method of the outside-in vertical meniscal repair using a spinal needle and No. 2 PDS absorbable suture material. Evaluation of clinical results was done using the Lysholm score. Results: The mean preoperative Lysholm score was 63.9 and the mean postoperative score was 97.3. A second look arthroscopy was performed in 13 knees (65%) and the repair sites were well healed. Conclusions: We recommend this method as an alternative technique for repair of the middle segment, posteromedial or posterolateral corner of the meniscus.

Details

ISSN :
22342451 and 22340726
Volume :
26
Database :
OpenAIRE
Journal :
Knee Surgery & Related Research
Accession number :
edsair.doi.dedup.....8d743bc1284b9bead6d29e829517ad79
Full Text :
https://doi.org/10.5792/ksrr.2014.26.1.43