Alternative method of outside&amp;ndash;in meniscal repair for anterior horn tears

Serrano, P.; Amorim-Barbosa, Tiago; Silva, Marta Santos; Sousa, Ricardo

doi:10.2147/oajsm.s168733

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…Many repair techniques have been described in literature. [4][5][6][7] The all-inside technique has good outcomes, but the use of this technique is limited due to high cost and occasional neurovascular complications. 3,9,10 The inside-out technique is an alternative technique, but it requires specialized needles and cannulas, and this technique invariably requires large safety incisions.…”

Section: Discussionmentioning

confidence: 99%

“…Several authors have given their own modification for this technique. [4][5][6][7] Many of these techniques use large skin incisions to reach the capsule. Some surgeons use 2 needles to pass the sutures, whereas others have described complex intra-articular maneuvers of suture passing.…”

Section: Introduction (With Video Illustration)mentioning

confidence: 99%

“…Some surgeons use 2 needles to pass the sutures, whereas others have described complex intra-articular maneuvers of suture passing. [4][5][6][7][8] Although all these techniques have reported good outcomes, we encountered difficulty in maneuvering the needles and sutures inside the joint while replicating these techniques. Also, it is technically more demanding.…”

Section: Introduction (With Video Illustration)mentioning

confidence: 99%

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Outside-In Repair of Longitudinal Tear of Medial Meniscus: Suture Shuttle Technique

Joshi

Basukala

Singh

et al. 2020

Arthroscopy Techniques

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Meniscal tears are commonly encountered conditions of the knee. In the past, torn menisci were treated by excision of the loose flap. A better understanding of the meniscus anatomy and its biomechanical characteristics has led to the concept of meniscus preservation in eligible cases. Several suture-based repair techniques have been described in literature, including the outside-in technique. Although the outside-in technique of meniscus repair is commonly indicated for the anterior two-thirds of the meniscus, it can be used to repair the posterior part of the meniscus as well. Several modifications of this technique have been described in the literature. We hereby describe our modification of the outside-in technique of meniscus repair with the help of an epidural needle and highstrength sutures that is readily available in operating rooms. The advantages of our technique are that no large incision is required around knee joint, it's inexpensive, it can be performed with basic instruments, and even the tear of meniscus extending up to the posterior horn can be repaired. A supplemental video demonstration of the technique is included with this article.

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