Foissey Constant, Thaunat Mathieu, Fayard Jean-Marie
Centre Orthopédique Santy, Ramsay-Générale de Santé, Lyon, France.
Hôpital Privé Jean Mermoz, Ramsay-Générale de Santé, Lyon, France.
Arthrosc Tech. 2021 Jul 21;10(8):e2043-e2048. doi: 10.1016/j.eats.2021.05.006. eCollection 2021 Aug.
The current consensus in the literature is that the meniscus must be saved. Even though inside-out sutures are still considered as the gold standard, the need to alternate between intra- and extra-articular structures for every stitch makes it laborious. New generations of all-inside systems are now routinely used in operating rooms and enable easier, quicker, and safer techniques. However traditional all-inside repair with limited upper fixation does not provide uniform compression from top to down, essential precondition for satisfactory meniscal healing. This Technical Note describes a simple and accessible alternative technique that provides stable fixation and overall compression of vertical meniscal tears from top to down with standard all-inside instrumentation.
目前文献中的共识是，半月板必须保留。尽管由外向内缝合仍被视为金标准，但每一针都需要在关节内和关节外结构之间交替操作，这使得该方法很费力。新一代全内置系统现在已在手术室中常规使用，并且能够实现更简便、快捷和安全的技术。然而，传统的全内置修复上固定有限，无法提供从上到下的均匀压缩，而这是半月板愈合良好的必要前提条件。本技术说明描述了一种简单且易于操作的替代技术，该技术使用标准的全内置器械从上到下对垂直半月板撕裂提供稳定的固定和整体压缩。
