Cho Jin Ho
Department of Orthopaedic Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
Knee Surg Relat Res. 2012 Jun;24(2):124-7. doi: 10.5792/ksrr.2012.24.2.124. Epub 2012 May 31.
In cases with root tear of the medial meniscus posterior horn, the meniscus usually can be repaired by a pull out suture technique. However, there is difficulty in manipulating a suture hook via the anteromedial portal and looking through the arthroscopic camera via anterolateral portal in the narrow medial joint space at the same time. This article describes a modified simple pull out suture technique for root tear of the medial meniscus posterior horn using a posteromedial portal that provides a safe and easy handling of the suture hook. Our indications of this technique used in patients with Outerbridge 1-2 arthritic change and minimal varus axis change. Benefits of this technique are simple, less invasive, and reduced operation time by simultaneous suture with a hook via posteromedial portal and pulling of a string with grasper. It may reduce the possibility of an additional chondral or meniscal injury.
在内侧半月板后角根部撕裂的病例中，半月板通常可用拉出缝合技术进行修复。然而，在狭窄的内侧关节间隙中，同时经前内侧入路操作缝合钩并经前外侧入路通过关节镜摄像头观察存在困难。本文描述了一种改良的简单拉出缝合技术，用于内侧半月板后角根部撕裂，该技术使用后内侧入路，可安全、轻松地操作缝合钩。我们将该技术应用于Outerbridge 1-2级关节炎改变且内翻轴改变最小的患者。该技术的优点是操作简单、侵入性小，并且通过经后内侧入路用钩同时缝合和用抓钳牵拉缝线可缩短手术时间。它可能会降低额外发生软骨或半月板损伤的可能性。
