PMID: 15241321Jul 9, 2004Paper

Arthroscopic outside-in meniscal repair through a needle hole

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Wiroon LaupattarakasemChannarong Kasemkijwattana

Abstract

This article describes an alternative method for outside-in repair of a longitudinal meniscal tear through a needle hole, which will produce an almost negligible cutaneous scar. The procedure is performed under arthroscopic set-up using an 18-gauge needle preloaded with appropriate suture material. Insert the needle twice through the same cutaneous entry hole to form a mattress loop across the torn meniscal segments. The first insertion penetrates both segments and forms a loop. The second insertion then engages the outer segment and forms another loop. Draw the free end of this second loop into the joint and feed it into the first loop. Pull the first loop out from the joint together with the trapped portion near the free end, until the whole suture becomes a vertical mattress. Finally, tie a slipknot and several half hitches to close the meniscal gap under the stitch. In a large bucket-handle tear, stitches should be started at the middle and then alternating anteriorly and posteriorly 3 to 4 mm apart. To ensure that no significant extracapsular structures are trapped in each stitch, a 13-gauge needle can be used as a cannula sheath. This technique is economical and technically safe and simple for reparable meniscal lesions, ...Continue Reading

References

Jan 27, 1998·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·W R PostV Kish
Jan 22, 2002·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Eric Wooltorton
Feb 6, 2002·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Peter R Kurzweil, Marc J Friedman

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Citations

Feb 14, 2007·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Ashraf Abdelkafy
May 5, 2012·Sports Medicine and Arthroscopy Review·Lee Yee Han Dave, David N M Caborn
Jun 7, 2014·Arthroscopy Techniques·Simon M ThompsonSam Church
Sep 30, 2014·Arthroscopy Techniques·Niti PrasathapornKitiphong Kongrukgreatiyos
Oct 10, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Ashraf AbdelkafyFranz Landsiedl
Jul 20, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Kian Chun ChongHaw Chong Chang
Aug 15, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·In-Seop Park, Sung-Jae Kim
Feb 14, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Ashraf Abdelkafy

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