Yang Wenbo, Wang Hong, Shao Zengwu, Huang Wei
Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Arthrosc Tech. 2023 Jul 17;12(8):e1375-e1381. doi: 10.1016/j.eats.2023.04.015. eCollection 2023 Aug.
We present a convenient and safe arthroscopic technique for suturing the lateral meniscus. In this technique, the clinician establishes a conventional posteromedial approach in the figure-of-four position of the knee by using the anterolateral and anteromedial observation approaches. Behind the posterior cruciate ligament, an operational approach is formed through the posterior mediastinum of the knee joint. Through this approach, suture hook can be brought to the posterior horn and body of the lateral meniscus, thus simplifying the suture of the lateral meniscus. We have used this technique to finish all-inside suture using suture hooks in a variety of types of lateral meniscal injuries, including longitudinal posterior horn tears, bucket handle meniscus tears, and tears around the popliteal hiatus area. Compared with traditional lateral meniscal all-inside suture technology through anteromedial or anterolateral approaches, this technology can suture more accurately, safely, and conveniently, avoid the involvement of the popliteal tendon suture, and the lower risk of complications such as popliteal vascular and nerve injury occur.
我们介绍一种用于缝合外侧半月板的简便且安全的关节镜技术。在该技术中,临床医生通过使用前外侧和前内侧观察入路,在膝关节的“4”字位建立传统的后内侧入路。在后交叉韧带后方,通过膝关节后纵隔形成一个操作通道。通过该通道,可将缝合钩置于外侧半月板的后角和体部,从而简化外侧半月板的缝合。我们已使用该技术,通过缝合钩对各种类型的外侧半月板损伤进行全关节内缝合,包括后角纵向撕裂、桶柄状半月板撕裂以及腘肌腱裂孔区域周围的撕裂。与通过前内侧或前外侧入路的传统外侧半月板全关节内缝合技术相比,该技术能更准确、安全且方便地进行缝合,避免了腘肌腱缝合的介入,并且发生腘血管和神经损伤等并发症的风险更低。