Tips and Pearls for All-Inside Medial Meniscus Repair

Abstract

The medial meniscus is one of the most commonly injured structures in the knee. When the importance of its proper function is well understood, an adequate management in meniscus tear is a key issue for whole knee joint well-being. Although it has been proven that meniscal repairs have better long-term results than meniscectomy, there is still no consensus as to which suturing technique is the best. An all-inside technique seems to allow for the most anatomic repairs with the greatest preservation of surrounding soft tissues. Our aim is to show that there are no technical limits for all-inside meniscal repairs with nonabsorbable sutures. We describe the technique and some tricks for medial meniscus repair in this Technical Note.

Repair of a Horizontal Cleavage Tear of the Lateral Meniscus with Circumferential Compression Stitches and Marrow Venting Augmentation

“… 13 Additionally, suture-based devices eliminate implant pull-through as a mode of failure for repairs and also eliminate implant-related complications. 19 , 23 , 24 On the other hand, there is a distinct possibility of knot-slippage as a mode of failure. As a consequence, there is an increased importance of secure knot tying when using these devices.…”

An Approach to Chronic and Displaced Bucket Handle Meniscal Tear—Assessment, Repair (Push-and-Pull Technique), or Salvage

“…It is general consensus and shown in studies that meniscus repair results in a better outcome than partial or total meniscectomy. [1][2][3][4][5][6][7][8][9] There is a significant lower chance of meniscal repair as time from injury progresses.…”

“…A meniscal repair is preferred to a partial or total meniscectomy to preserve meniscal function and mitigate the risk of degeneration. [1][2][3][4][5][6][7][8][9] Different repair techniques have been described, and there are comparable outcomes reported [10][11][12][13][14] between the allinside and inside-out repair techniques. The repair of bucket handle tears [15][16][17][18] has shown promising results.…”

Diagnosis and treatment of the most common neuropathies following knee injuries and reconstructive surgery – A narrative review

“…It is well-known that all knee surgeries can be associated with iatrogenic injury to the nerves. This is also true for less invasive procedures such as knee arthroscopy or subchodroplasty [ 6 7 8 9 10 ]. This paper focuses on the diagnosis and treatment of neuropathies following knee injuries and reconstructive surgery.…”