Modified Pull-out Suture in Posterior Root Tear of the Medial Meniscus: Using a Posteromedial Portal
- Author:
Jin Ho CHO
1
Author Information
1. Department of Orthopaedic Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea. osd07@paik.ac.kr
- Publication Type:Case Report
- Keywords:
Root tear of posterior horn;
Medial meniscus;
Modified pull-out suture
- MeSH:
Animals;
Axis, Cervical Vertebra;
Handling (Psychology);
Horns;
Humans;
Joints;
Menisci, Tibial;
Suture Techniques;
Sutures
- From:The Journal of Korean Knee Society
2012;24(2):124-127
- CountryRepublic of Korea
- Language:English
-
Abstract:
In cases with root tear of the medial meniscus posterior horn, the meniscus usually can be repaired by a pull out suture technique. However, there is difficulty in manipulating a suture hook via the anteromedial portal and looking through the arthroscopic camera via anterolateral portal in the narrow medial joint space at the same time. This article describes a modified simple pull out suture technique for root tear of the medial meniscus posterior horn using a posteromedial portal that provides a safe and easy handling of the suture hook. Our indications of this technique used in patients with Outerbridge 1-2 arthritic change and minimal varus axis change. Benefits of this technique are simple, less invasive, and reduced operation time by simultaneous suture with a hook via posteromedial portal and pulling of a string with grasper. It may reduce the possibility of an additional chondral or meniscal injury.
