title: A Modified Outside-in Suture Technique for Repair of the Middle Segment of the Meniscus Using a Spinal Needle.
abstract: BACKGROUND
  Several techniques have been used for arthroscopic repair of middle segment, posteromedial or posterolateral corner tears of the meniscus. One of the commonly used methods is the inside-out double arm needle technique.
  
  
  METHODS
  We have developed a vertical mattress absorbable suture technique. It is easy to perform with a small sized skin incision for knot tying. This technique just necessitates 1 or 2 spinal needles for repair.
  
  
  METHODS
  Between March 2010 and February 2012, 20 menisci were treated by this technique, a modified method of the outside-in vertical meniscal repair using a spinal needle and No. 2 PDS absorbable suture material. Evaluation of clinical results was done using the Lysholm score.
  
  
  RESULTS
  The mean preoperative Lysholm score was 63.9 and the mean postoperative score was 97.3. A second look arthroscopy was performed in 13 knees (65%) and the repair sites were well healed.
  
  
  CONCLUSIONS
  We recommend this method as an alternative technique for repair of the middle segment, posteromedial or posterolateral corner of the meniscus.
authors.affiliation: Department of Orthopaedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea.
authors.forename: Jin-Ho
authors.initials: JH
authors.lastname: Cho
keywords: Meniscus; Middle segment; Modified outside-in suture; Tear