Yuen Wen Loong Paul, Kuo Chung Liang, Goh Keng Meng Jeremy, Lee Yee Han Dave
Department of Orthopaedic Surgery, Changi General Hospital, Singapore.
Arthrosc Tech. 2021 Feb 8;10(3):e743-e750. doi: 10.1016/j.eats.2020.10.063. eCollection 2021 Mar.
Bucket-handle meniscal tears (BHMT) remain a challenge to treat due to their complex pathology and technical difficulty. Subtotal meniscectomy has shown to improve symptoms early but leads to accelerated osteoarthritis in the affected compartment and poor long-term outcomes. BHMT repair and meniscal preservation is the preferred option. This can be performed with inside-out, all-inside, or hybrid meniscus repair techniques. All-inside meniscus repair avoids the need for additional safety incisions, trained assistants for suture passing, and reduce concerns of soft-tissue and neurovascular complications. In this Technical Note, we detail our all-inside technique for BHMT technique and share tips for a successful repair.
桶柄状半月板撕裂（BHMT）因其复杂的病理状况和技术难度，在治疗上仍然是一项挑战。半月板次全切除术虽能早期改善症状，但会导致患侧关节腔加速出现骨关节炎，且长期效果不佳。BHMT修复和半月板保留是首选方案。这可以通过由外向内、全关节镜下或混合半月板修复技术来完成。全关节镜下半月板修复无需额外的安全切口，不需要训练有素的助手来穿针引线，还能减少对软组织和神经血管并发症的担忧。在本技术说明中，我们详细介绍了我们用于BHMT技术的全关节镜下技术，并分享成功修复的技巧。
