A Modified Outside-in Suture Technique for Repair of the Middle Segment of the Meniscus Using a Spinal Needle
- Author:
Jin Ho CHO
1
Author Information
1. Department of Orthopaedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea. osd07@paik.ac.kr
- Publication Type:Original Article
- Keywords:
Meniscus;
Middle segment;
Tear;
Modified outside-in suture
- MeSH:
Arm;
Arthroscopy;
Knee;
Methods;
Needles;
Skin;
Suture Techniques;
Sutures
- From:The Journal of Korean Knee Society
2014;26(1):43-47
- CountryRepublic of Korea
- Language:English
-
Abstract:
INTRODUCTION: Several techniques have been used for arthroscopic repair of middle segment, posteromedial or posterolateral corner tears of the meniscus. One of the commonly used methods is the inside-out double arm needle technique. SURGICAL TECHNIQUE: We have developed a vertical mattress absorbable suture technique. It is easy to perform with a small sized skin incision for knot tying. This technique just necessitates 1 or 2 spinal needles for repair. MATERIALS AND METHODS: Between March 2010 and February 2012, 20 menisci were treated by this technique, a modified method of the outside-in vertical meniscal repair using a spinal needle and No. 2 PDS absorbable suture material. Evaluation of clinical results was done using the Lysholm score. RESULTS: The mean preoperative Lysholm score was 63.9 and the mean postoperative score was 97.3. A second look arthroscopy was performed in 13 knees (65%) and the repair sites were well healed. CONCLUSIONS: We recommend this method as an alternative technique for repair of the middle segment, posteromedial or posterolateral corner of the meniscus.
