Lee Su-Keon, Yang Bong-Seok, Park Byeong-Mun, Yeom Ji-Ung, Kim Ji-Hyeon, Yu Jeong-Seok
Department of Orthopaedic Surgery, Gwangmyeong Sungae Hospital, Gwangmyeong, Korea.
Clin Orthop Surg. 2018 Mar;10(1):111-115. doi: 10.4055/cios.2018.10.1.111. Epub 2018 Feb 27.
Medial meniscal root tears have been repaired using various methods. Arthroscopic all-inside repair using a suture anchor is one of the popular methods. However, insertion of the suture anchor into the proper position at the posterior root of the medial meniscus is technically difficult. Some methods have been reported to facilitate suture anchor insertion through a high posteromedial portal, a posterior trans-septal portal, or a medial quadriceptal portal. Nevertheless, many surgeons still have difficulty during anchor insertion. We introduce a technical tip for easy suture anchor insertion using a 25° curved guide and a soft suture anchor through a routine posteromedial portal.
内侧半月板根部撕裂已采用多种方法进行修复。使用缝线锚钉的关节镜下全内修复是常用方法之一。然而,将缝线锚钉准确插入内侧半月板后根部的合适位置在技术上具有挑战性。已有报道称,通过高位后内侧入路、后经隔膜入路或内侧股四头肌入路有助于缝线锚钉的插入。尽管如此,许多外科医生在插入锚钉时仍存在困难。我们介绍一种技术技巧,即通过常规后内侧入路,使用25°弯曲导针和软质缝线锚钉来轻松插入缝线锚钉。