Meniscal repair: Technique

Meniscal repair aims to achieve meniscal healing, avoiding the adverse effects of meniscectomy. Longitudinal vertical tears in a vascularized area are the reference indication. The technique generally uses hybrid all-inside implants. The outside-in technique has other indications in more anterior te...

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Published inOrthopaedics & traumatology, surgery & research Vol. 104; no. 1; pp. S137 - S145
Main Authors Beaufils, P., Pujol, N.
Format Journal Article
LanguageEnglish
Published France Elsevier Masson SAS 01.02.2018
Subjects
Arthroscopy
Horizontal cleavage
Humans
Knee Joint - diagnostic imaging
Knee Joint - surgery
Longitudinal vertical tear
Meniscal repair
Menisci, Tibial - surgery
Meniscocapsular lesion
Meniscus
Ramp lesion
Root tear
Suture Techniques
Tibial Meniscus Injuries - surgery
Horizontal cleavage
Meniscus
Meniscal repair
Longitudinal vertical tear
Root tear
Meniscocapsular lesion
Ramp lesion
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Summary:Meniscal repair aims to achieve meniscal healing, avoiding the adverse effects of meniscectomy. Longitudinal vertical tears in a vascularized area are the reference indication. The technique generally uses hybrid all-inside implants. The outside-in technique has other indications in more anterior tears. Healing has been demonstrated on CT-arthrography and arthroscopy. Specific techniques have been developed for other pathological situations. Posterior meniscosynovial lesions in a context of chronic anterior laxity are identified by exploration of the posterior compartment, and fixed by all-inside hook suture. Horizontal lesions in young athletes can be treated by open meniscal suture. Radial tears, when deep, can be repaired. Root tears, when traumatic, can be treated by transosseous pullout reinsertion.
Bibliography:ObjectType-Speech/Lecture-1
SourceType-Scholarly Journals-1
content type line 23
ObjectType-Review-2
ISSN:1877-0568
1877-0568
DOI:10.1016/j.otsr.2017.04.016