Arthroscopic meniscus repair: a safe approach to the posterior horns.
Seventy arthroscopic meniscus repairs were performed using a technique that places posterior horn sutures through spinal needles from safe posterior corner punctures, thus avoiding injury to the posterior neurovascular structures. Follow-up averaged 18 months, with a range from 12 to 28 months. Associated anterior cruciate ligament instability (31%) was either stabilized surgically (13%) or braced postoperatively for pivoting activity (18%). Clinical results were excellent in 98.6% of patients, with only one second tear (1.5%) occurring 2 months postoperatively. Complications (2.8%) included one transient saphenous nerve irritation and one case of pyarthrosis. No major neurovascular complications occurred.
D000293:Adolescent; D000328:Adult; D001170:Arthritis, Infectious / Q000209:etiology; D001182:Arthroscopy / Q000009:adverse effects; D005500:Follow-Up Studies; D006801:Humans; D008592:Menisci, Tibial / Q000601:surgery*; D059348:Peripheral Nerve Injuries; D013203:Staphylococcal Infections; D013536:Suture Techniques; D000070600:Tibial Meniscus Injuries