Double transosseous pull out suture technique for transection of posterior horn of medial meniscus.
Transection injury (complete radial tear, root tear) in the posterior horn of medial meniscus will lead to loss of hoop strain, extrusion of the meniscus and early degenerative changes. The posterior horn of medial meniscus is amenable to repair due to its good blood supply and repair is the procedure of choice for these injuries. In cases of transection of the medial meniscus posterior horn, the meniscus can be repaired by a pull out suture technique using trans-septal portal. The single transosseous pull out suturing technique is a point fixation technique with limited contact area having low and inhomogeneous contact pressure. This article describes a double transosseous pull out suture technique using trans-septal portal for the repair of transection of posterior horn of medial meniscus. Use of double transosseous technique provides more secure fixation, more homogeneous and wider contact pressure area between meniscus and the bone, improving the healing potential of the repair.
Department of Orthopaedic Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, South Korea.
Jin Hwan
JH
Ahn
Joon Ho
JH
Wang
Hong Chul
HC
Lim
Ji Hoon
JH
Bae
Joon Soo
JS
Park
Jae Chul
JC
Yoo
Ashok Kumar
AK
Shyam
D001182:Arthroscopy / Q000379:methods*; D006801:Humans; D007718:Knee Injuries / Q000601:surgery*; D008592:Menisci, Tibial / Q000601:surgery*; D013536:Suture Techniques; D000070600:Tibial Meniscus Injuries