Park In-Seop, Kim Sung-Jae
Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Arthroscopy. 2006 Aug;22(8):908.e1-4. doi: 10.1016/j.arthro.2006.01.026.
We introduce a suture technique to repair a peripheral tear near the posterior tibial attachment of the posterior horn. A suture hook was inserted through the posteromedial portal, and the peripheral capsular rim was penetrated from superior to inferior by the sharp hook. Both relay limbs were brought out through the posteromedial portal. The outer limb of the superior peripheral capsular rim was identified with a hemostat. An 18-gauge spinal needle loaded with a No. 0 polydioxanone suture (PDS) was introduced into the joint from the anteromedial portal; it was passed through the joint space until it penetrated the inner torn meniscus. The PDS suture loaded within the needle was pushed into the joint and picked up through the posteromedial portal. The needle was pulled out of the torn meniscus and readvanced over it while the suture was kept loaded. The other limb of the suture from the tip of the spinal needle was retrieved through the posteromedial portal. The initial PDS suture limb was hooked to the shuttle-relay system; it then was passed through the inner torn meniscus and the peripheral capsular rim. The suture limb exiting from the peripheral capsular rim was used as a post and was joined to the other suture limb to form a sliding knot.
我们介绍一种用于修复后角胫骨后附着处附近周边撕裂的缝合技术。将缝合钩经后内侧入路插入，锐利的钩从上方至下方穿透周边关节囊边缘。两根牵开线均经后内侧入路引出。用止血钳识别上方周边关节囊边缘的外侧肢体。将一根装有0号聚二氧六环酮缝线（PDS）的18号脊髓穿刺针从前内侧入路插入关节；它穿过关节腔直至穿透内侧撕裂的半月板。针内装载的PDS缝线被推入关节并经后内侧入路取出。将针从撕裂的半月板中拔出，并在保持缝线装载的同时再次从其上推进。脊髓穿刺针尖端的缝线另一肢体经后内侧入路取出。最初的PDS缝线肢体钩在穿梭牵开系统上；然后它穿过内侧撕裂的半月板和周边关节囊边缘。从周边关节囊边缘穿出的缝线肢体用作桩，并与另一缝线肢体连接形成滑动结。
