Outside-In Single–Lasso Loop Technique for Meniscal Repair: Fast, Economic, and Reproducible

Abstract

The current understanding of the biomechanical role of the meniscus, in conjunction with the increasing efforts to achieve its preservation within the orthopaedic community during treatment of meniscal lesions, has prompted the development of different meniscal repair techniques. The outside-in technique is recommended for anterior horn and middle-segment meniscal tears and has been recognized as a low-cost procedure with a low incidence of complications. Diverse modifications of this technique have been published over the past decade. On the basis of these previous outside-in technique modifications and aiming to simplify and reduce the number of surgical steps, as well as simplify suture and/or instrument manipulation, during this technique, we describe the single–lasso loop outside-in technique for meniscal repair. We believe this modified technique represents a simplified, economic, and highly reproducible procedure option whenever an outside-in technique for meniscal repair is considered.

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

“…Meniscus repair is the treatment of choice for torn meniscus in present day. [1][2][3] This paradigm shift from excision to repair of meniscus is because of a better understanding of the role of meniscus in knee biomechanics. Many repair techniques have been described in literature.…”

“…Therefore, the focus of treatment has shifted from meniscectomy to meniscal preservation. [1][2][3] Annandale, in 1883 AD, first described the meniscus repair surgery, and since then it has evolved in terms of techniques with multiple modifications. 1,3 Site, size, and type of the meniscus tear are the main determinants for repairability.…”

“…[1][2][3] Annandale, in 1883 AD, first described the meniscus repair surgery, and since then it has evolved in terms of techniques with multiple modifications. 1,3 Site, size, and type of the meniscus tear are the main determinants for repairability. Several repair techniques have been described in literature, which can be grouped into the following 4 techniques: inside-out repair, outside-in repair, all-inside repair, and the hybrid technique of meniscal repair.…”

Outside-in Continuous Meniscal Suture Technique of the Knee

“… 22 , 23 The techniques for meniscal injuries repair at the level of the anterior horn basically boil down to the use of preloaded needles with double-loop suture, varying only the way the suture is passed through the needle and how the threads are pulled through the arthroscopic portal. 5 …”

“… 4 To preserve meniscal functions and prevent the occurrence of osteoarthritis after meniscectomy, several meniscal repair techniques have been developed. 5 …”