Woodmass Jarret M, Johnson Joshua D, Wu Isabella T, Saris Daniel B F, Stuart Michael J, Krych Aaron J
Department of Orthopedic Surgery and the Sports Medicine Center, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, U.S.A.
Department of Orthopaedics, University Medical Center Utrecht, Utrecht, The Netherlands.
Arthrosc Tech. 2017 Aug 14;6(4):e1329-e1333. doi: 10.1016/j.eats.2017.05.016. eCollection 2017 Aug.
Horizontal cleavage meniscus tears are a common orthopedic injury often treated with partial or total meniscectomy versus repair. This Technical Note presents a technique for all-inside repair with uniform compression of the superior and inferior leaflets by placement of multiple circumferential compression stitches using an all-inside self-retrieving suture passing device. The currently described technique provides several advantages for all-inside repair of a horizontal cleavage tear: (1) eliminates the need for a posterior incision, (2) minimizes the risk of neurovascular injury, (3) uses standard arthroscopy portals (or small modifications), and (4) requires only a single suture deployment with a self-retrieving device for each circumferential compression stitch. The resulting circumferential stitch provides uniform compression to the superior and inferior leaflets, promoting meniscal healing. This configuration has been shown to have the highest load to failure of all repair patterns.
水平劈裂半月板撕裂是一种常见的骨科损伤，通常采用部分或全半月板切除术而非修复术进行治疗。本技术说明介绍了一种全关节镜下修复技术，通过使用全关节镜下自取回缝线穿过装置放置多个圆周压缩缝线，对上、下半月板瓣进行均匀压缩。目前描述的技术为水平劈裂撕裂的全关节镜下修复提供了几个优点：（1）无需后切口，（2）将神经血管损伤风险降至最低，（3）使用标准关节镜入路（或稍加修改），（4）每个圆周压缩缝线仅需使用自取回装置进行一次缝线部署。由此产生的圆周缝线对上、下半月板瓣提供均匀压缩，促进半月板愈合。这种构型已被证明在所有修复模式中具有最高的失效负荷。
