All-inside Techniques for Meniscal Radial Root Tear Repair.

作者信息

Mao David Weijia, Lee Yee Han Dave

机构信息

Department of Orthopaedic Surgery, Changi General Hospital, Singapore.

出版信息

Arthrosc Tech. 2020 Oct 22;9(10):e1541-e1545. doi: 10.1016/j.eats.2020.06.016. eCollection 2020 Oct.

Abstract

Meniscal radial root tears can disrupt the load-bearing function of the meniscus and worsen instability in anterior cruciate ligament-deficient knees. Paracentral radial tears adjacent to the root (types 1, 2, and 4) repaired with a transtibial pullout suture technique can lead to over-medialization of the meniscal root and a high-tension nonanatomic repair. We propose 2 all-inside techniques for anatomic repair of medial and lateral meniscal radial root tears with (1) an all-inside meniscal repair device and (2) an antegrade suture passer. We present the technical requirements and tips for these techniques. For lateral meniscal radial root repair with an all-inside meniscal repair device, ideal viewing is from an anterolateral portal with device entry from an anteromedial portal to reduce the risk of vascular injury. We recommend at least 2 stitches across the tear, with the depth setting limited to 18 to 20 mm for a central stitch and 16 mm or less for a peripherally placed stitch. For root repair with an antegrade suture passer, viewing should be from an anteromedial portal with the passer entering from an anterolateral portal. At least 2 stitches should be placed across the tear, with 1 central and 1 peripheral or 1 superior and 1 inferior.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35dd/7587455/9e7ced9b53c8/gr1.jpg

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