Mhaskar Vikram Arun
Department of Orthopaedics, Max Smart Hospital, New Delhi, India.
Knee & Shoulder Clinic, New Delhi, India.
Arthrosc Tech. 2020 Aug 7;9(8):e1181-e1189. doi: 10.1016/j.eats.2020.04.018. eCollection 2020 Aug.
Lateral meniscus vertical tears are often seen with acute anterior cruciate ligament injuries. The inside-out technique of repairing the meniscal tear is currently the gold standard treatment. However, every technique has its own drawbacks. The inside-out technique has possible risk of infection and neurovascular complications. All-inside techniques are becoming increasingly popular. A novel all-inside technique and a variation of it for meniscus repair using an antegrade suture passer like a Knee Scorpion are described. These are cost effective using a 2-0 FiberWire for repair of vertical meniscal tears. This technique also provides a better control of reduction at tear site through tensioning the 2 suture limbs. It is cost effective, easy to use, and has less neurovascular complications as compared with the inside -out technique.
外侧半月板垂直撕裂常与急性前交叉韧带损伤同时出现。目前，半月板撕裂的由内向外修复技术是金标准治疗方法。然而，每种技术都有其自身的缺点。由内向外技术存在感染和神经血管并发症的潜在风险。全内技术正变得越来越流行。本文描述了一种新型全内技术及其变体，该技术使用一种类似“膝关节蝎子”的顺行缝线穿引器进行半月板修复。使用2-0 FiberWire缝线修复垂直半月板撕裂，这些方法具有成本效益。该技术还通过拉紧两根缝线肢体，在撕裂部位更好地控制复位。与由内向外技术相比，它具有成本效益、易于使用且神经血管并发症较少。
