Fukushima Kazumasa, Okano Tatsumasa, Negishi Shinichi, Horaguchi Takashi, Sato Kenji, Saito Akiyoshi, Ryu Junnosuke
Verdy Clinic, Orthopaedic Surgery and Sports Medicine, Nihon University, Tokyo, Japan.
Arthroscopy. 2005 Jun;21(6):768. doi: 10.1016/j.arthro.2005.03.034.
The indications for the all-inside knot suture technique include tears in the red-red zone or red-white zone in the meniscus, and a horizontal tear, a vertical tear, and a peripheral tear. First, find an appropriate place for a suture insertion site with a Kateran needle or a spinal needle. Make sure it exits beyond the tear in the meniscus. Once the insertion site is chosen, a suture is passed into and through the joint. The suture is slowly pulled back. You should be able to feel the tip of the suture come out of the joint capsule. If you want to make a vertical suture to suture the tear, move the suture vertically apex. Then insert the suture back into the joint through the capsule. Make sure the suture stays inside the joint. Find and grab the suture with a punch inserted from the clear cannula. Pull the suture out of the joint through the clear cannula with the punch. Tighten the knot with a knot pusher. Then confirm the stability of the sutured site with the probe. Our all-inside knot suture technique can be performed arthroscopically, allowing reliable repair of the torn meniscus.
全内打结缝合技术的适应症包括半月板红-红区或红-白区的撕裂，以及水平撕裂、垂直撕裂和周边撕裂。首先，用卡特兰针或脊椎针找到合适的缝合插入部位。确保其穿出半月板撕裂处之外。一旦选定插入部位，将缝线穿入并穿过关节。缓慢将缝线拉回。你应该能感觉到缝线尖端从关节囊穿出。如果你想进行垂直缝合来缝合撕裂处，将缝线垂直移至顶点。然后将缝线通过关节囊重新插入关节。确保缝线留在关节内。用从透明套管插入的打孔器找到并抓住缝线。用打孔器将缝线通过透明套管拉出关节。用打结器收紧结。然后用探针确认缝合部位的稳定性。我们的全内打结缝合技术可通过关节镜进行，能可靠地修复撕裂的半月板。
