A New Surgical Technique of Arthroscopic Partial Meniscectomy for Unstable Inferior Leaf of the Anterior Horn in a Horizontal Tear of Lateral Meniscus
- Author:
Suk In NA
1
;
Min Su WOO
;
Jong Min LEE
;
Myung Ku KIM
Author Information
1. Department of Orthopedic Surgery, Inha University School of Medicine, Incheon, Korea. m9kim@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Lateral meniscus;
Horizontal tear;
Partial meniscectomy
- MeSH:
Animals;
Arthroscopy;
Humans;
Knee;
Menisci, Tibial;
Skin
- From:The Journal of Korean Knee Society
2013;25(3):147-149
- CountryRepublic of Korea
- Language:English
-
Abstract:
We introduce a new arthroscopic partial meniscectomy technique using a three portals and a small skin hook retractor to remove unstable inferior leaf in horizontal meniscal tear that involved the anterior portion of the lateral meniscus. The patient is positioned for a standard knee arthroscopy. After careful estimation of the depth and extent of the cleft and stability of the superior and inferior leaves is done through the standard anteromedial portal, a small skin hook retractor is inserted through the standard anterolateral portal to raise the dominant superior leaf of anterior horn, then the unstable inferior leaf is excised with a 90degrees rotary punch and a motorized shaver through the extreme far anteromedial portal. This technique is useful method to remove unstable inferior leaf of anterior horn of lateral meniscus which is difficult to remove with a standard technique.