Alentorn-Geli Eduard, Cuscó Xavier, Navarro Jordi, Seijas Roberto, Barastegui David, Samitier Gonzalo, Steinbacher Gilbert, Álvarez-Díaz Pedro, Ramírez Jorge, Cugat Ramón
Instituto Cugat, Barcelona, Spain.
Fundación García Cugat, SL, Barcelona, Spain.
Arthrosc Tech. 2020 Sep 24;9(10):e1467-e1473. doi: 10.1016/j.eats.2020.06.008. eCollection 2020 Oct.
Meniscal injuries are extremely common in the general and athletic populations. The management strategy has switched from meniscectomy to meniscal-preserving techniques. It is nowadays extensively accepted that surgeons have to do their best to repair the meniscus and try to preserve as much tissue as possible. However, in many cases the tissue quality is poor and the tear pattern is complex. In such scenarios, meniscal repair has a lower success rate. In the present surgical technique, an arthroscopic all-inside circumferential-surrounding meniscal repair technique is presented. Any meniscal tissue or the meniscal rim is first debrided to a bleeding bed. Then, an all-inside device is used to create vertical sutures from capsule to capsule surrounding the entire meniscus (circumferential-surrounding). Care should be taken not to tighten the suture too much to avoid cutting the meniscal tissue. This easy and effective repair technique "packs" the meniscal tear fragments altogether and allows the surgeon to save the meniscus when facing with irreparable, degenerative, complex meniscus tears.
半月板损伤在普通人群和运动员群体中极为常见。治疗策略已从半月板切除术转向保留半月板的技术。如今，外科医生必须尽最大努力修复半月板并尽可能保留更多组织，这一点已被广泛接受。然而，在许多情况下，组织质量较差且撕裂模式复杂。在这种情况下，半月板修复的成功率较低。在当前的手术技术中，介绍了一种关节镜下全内周向环绕半月板修复技术。首先将任何半月板组织或半月板边缘清创至有出血的创面。然后，使用全内装置从关节囊到关节囊围绕整个半月板创建垂直缝合（周向环绕）。应注意不要过度收紧缝线以免切割半月板组织。这种简单有效的修复技术将半月板撕裂碎片“包裹”在一起，使外科医生在面对无法修复、退变、复杂的半月板撕裂时能够保留半月板。
