Espejo-Baena Alejandro, Espejo-Reina Alejandro, Espejo-Reina María Josefa, Martín-Castilla María Belén, Dalla-Rosa Nogales Jaime, Sevillano-Pérez Enrique
Hospital Universitario Virgen de la Victoria, Málaga, Spain.
Hospital Vithas Parque San Antonio, Málaga, Spain.
Arthrosc Tech. 2017 May 22;6(3):e621-e626. doi: 10.1016/j.eats.2017.01.006. eCollection 2017 Jun.
A technique for posterior meniscal root reinsertion is presented. With the arthroscope in the central transtendinous portal for a better view, a 5-mm transtibial tunnel is created with the aid of an anterior cruciate ligament guide open to 45°. A suture device, which consists of a long needle with an eyelet on its tip, is introduced through the tunnel with a suture thread inserted through the eyelet, while the meniscus is stabilized with a grasper inserted through the anterior portal. The meniscus is pierced with the device, and the suture thread is recovered with said grasper. A finger-tip pincer is inserted through the tunnel to recover the thread. The same procedure is followed to perform a second stitch. A lasso loop is made for both stitches, and the resultant tails are knotted to a knotless suture anchor, which is inserted in the anterior cortex of the tibia, 1 cm distal to the extra-articular end of the tibial tunnel.
介绍了一种后内侧半月板根部重新植入技术。将关节镜置于中央经肌腱入路以获得更好视野，借助打开至45°的前交叉韧带导向器创建一个5毫米的经胫骨隧道。一种缝合装置，其尖端带有小孔的长针，通过隧道引入，缝线穿过小孔插入，同时通过前入路插入抓钳稳定半月板。用该装置刺穿半月板，并用所述抓钳回收缝线。将指尖钳通过隧道插入以回收缝线。按照相同步骤进行第二次缝合。对两根缝线制作套索环，将所得线尾与无结缝合锚打结，该缝合锚插入胫骨隧道关节外端远端1厘米处的胫骨前皮质。
