Knee Surg Relat Res.  2012 Jun;24(2):124-127. 10.5792/ksrr.2012.24.2.124.

Modified Pull-out Suture in Posterior Root Tear of the Medial Meniscus: Using a Posteromedial Portal

• Cho JH

• KMID: 2223340
• DOI: http://doi.org/10.5792/ksrr.2012.24.2.124

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.

Keyword

Root tear of posterior horn; Medial meniscus; Modified pull-out suture

MeSH Terms

Animals
Axis, Cervical Vertebra
Handling (Psychology)
Horns
Humans
Joints
Menisci, Tibial
Suture Techniques
Sutures