title: A pull out suture for transection of the posterior horn of the medial meniscus: using a posterior trans-septal portal.
abstract: A transection (root tear or complete radial tear) injury of the medial meniscus posterior horn is not rare in the oriental area and needs to be repaired to restore the hoop tension and to reduce the extruded meniscus, which leads to osteoarthritis of the knee. In cases with transection of the medial meniscus posterior horn, the meniscus can be repaired by a pull out suture technique. However, it is difficult to manipulate a suture hook and drill a tibial tunnel in the narrow medial joint space using the traditional anterior arthroscopic technique. This article describes a new pull out suture technique for transection of the medial meniscus posterior horn using a posterior trans-septal portal that provides a safe and wide field of vision. The handling of the suture hook and a guide may reduce the possibility of a chondral or meniscal injury.
authors: Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50, Ilwon-dong, Kangnam-gu, Seoul 135-710, South Korea.
authors: Jin Hwan
authors: JH
authors: Ahn
authors: Joon Ho
authors: JH
authors: Wang
authors: Jae Chul
authors: JC
authors: Yoo
authors: Haeng Kee
authors: HK
authors: Noh
authors: Jung Ho
authors: JH
authors: Park
mesh_terms: D001182:Arthroscopy; D006801:Humans; D008592:Menisci, Tibial / Q000601:surgery*; D013536:Suture Techniques; D000070600:Tibial Meniscus Injuries