Arthroscopic Meniscus Repair Using an All-Inside, All-Suture, Knotless Device

• Published in: Arthroscopy techniques (Amsterdam) Vol. 12; no. 5; pp. e615 - e619
• Main Authors: Avila, Amanda, Rao, Naina, Buzin, Scott, Shankar, Dhruv S., Davidson, Phil, Strauss, Eric J.
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 01.05.2023; Elsevier
• Subjects: Technical Note
• ISSN: 2212-6287; 2212-6287
• DOI: 10.1016/j.eats.2022.12.017

With an increased appreciation of the importance an intact meniscus has on normal knee kinematics and function, more meniscal tears are being treated with a repair rather than partial meniscectomy. There are several techniques for repairing torn meniscal tissue, including the outside-in, inside-out, and all-inside repairs. Each technique comes with its advantages and drawbacks. The inside-out and outside-in techniques allow for greater control of the repair using knots outside the joint capsule; however, they pose a risk for neurovascular injury and require additional incisions. Arthroscopic all-inside repairs have seen increasing popularity, but with current techniques, fixation is achieved either with intra-articular knots or extra-articular implants, leading to variable outcomes and the potential for postoperative complications. This technical note describes the use of SuperBall, an all-inside meniscus repair device that provides an all-arthroscopic approach, no intraarticular knots or implants, and surgeon-guided tensioning of the meniscus repair. [Display omitted]