A pull out suture for transection of the posterior horn of the medial meniscus: using a posterior trans-septal portal.
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.
Ahn
Jin Hwan
JH
Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50, Ilwon-dong, Kangnam-gu, Seoul 135-710, South Korea.
Wang
Joon Ho
JH
Yoo
Jae Chul
JC
Noh
Haeng Kee
HK
Park
Jung Ho
JH
D001182:Arthroscopy; D006801:Humans; D008592:Menisci, Tibial / Q000601:surgery*; D013536:Suture Techniques; D000070600:Tibial Meniscus Injuries