Knee Surg Relat Res.
2013 Sep;25(3):147-149. 10.5792/ksrr.2013.25.3.147.
A New Surgical Technique of Arthroscopic Partial Meniscectomy for Unstable Inferior Leaf of the Anterior Horn in a Horizontal Tear of Lateral Meniscus
- Affiliations
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- 1Department of Orthopedic Surgery, Inha University School of Medicine, Incheon, Korea. m9kim@inha.ac.kr
- KMID: 2297838
- DOI: http://doi.org/10.5792/ksrr.2013.25.3.147
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.
