Tapasvi Sachin Ramchandra, Shekhar Anshu, Patil Shantanu Sudhakar
Orthopaedic Specialty Clinic, Pune, India.
Translational Medicine and Research, SRM Medical College and Hospitals, SRM University, Kattankulathur, Tamil Nadu, India.
Arthrosc Tech. 2018 Apr 2;7(5):e429-e435. doi: 10.1016/j.eats.2017.11.002. eCollection 2018 May.
Medial meniscus posterior root tears are common injuries, especially in the Asian world. This injury must be repaired where indicated to restore knee biomechanics and prevent arthritis. Suturing the meniscus using suture tapes provides good hold of the tissue. The use of a 70° arthroscope and creation of a transseptal portal improve visualization of the posterior compartment. Creation of a high posteromedial portal achieves the correct trajectory for the suture anchor insertion. A knotless suture anchor can be used to fix the posterior root at its anatomic attachment site. This obliterates the need for transtibial drilling for a suture pull-out repair or for knot tying and suture shuttling as for a conventional suture anchor.
内侧半月板后根撕裂是常见损伤，在亚洲地区尤为常见。如有指征，必须修复此损伤以恢复膝关节生物力学并预防关节炎。使用缝合带缝合半月板可良好固定组织。使用70°关节镜并建立经隔膜入路可改善后关节腔的视野。建立高位后内侧入路可实现缝合锚钉插入的正确轨迹。可使用无结缝合锚钉将后根固定在其解剖附着部位。这样就无需为缝线拔出修复进行经胫骨钻孔，也无需像传统缝合锚钉那样打结和穿梭缝线。
