title: Arthroscopic partial meniscectomy of a medial meniscus bucket-handle tear using the posteromedial portal.
abstract: Arthroscopic resection of irreparable bucket-handle tears of the medial meniscus is a commonly performed procedure. Adequate visualization of the posterior horn of the medial meniscus can be a challenging task with the conventional use of the anterior portal. An attempt to resect the posterior horn in a blind fashion may result in iatrogenic damage of the articular cartilage in the posterior compartment, over-resection of a remnant meniscus, or an insufficient resection of the torn fragment. We describe the use of the posteromedial portal for an accurate visualization and resection of the posterior attachment of a bucket-handle tear for arthroscopic partial meniscectomy, as well as detection of other injuries that may be involved in the posteromedial compartment, while avoiding injury to other intra-articular structures during the arthroscopic procedure. We found that the use of the posteromedial portal is a safe and efficient method in removing a bucket-handle tear of the medial meniscus in one piece.
authors.affiliation: Department of Orthopedic Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Korea. jha@smc.samsung.co.kr
authors.forename: Jin Hwan
authors.initials: JH
authors.lastname: Ahn
authors.forename: Irvin
authors.initials: I
authors.lastname: Oh
mesh_terms: D001182:Arthroscopy / Q000379:methods*; D002358:Cartilage, Articular / Q000293:injuries; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D007718:Knee Injuries / Q000175:diagnosis; D008592:Menisci, Tibial / Q000601:surgery*; D000070600:Tibial Meniscus Injuries