Dataset Information

Arthroscopic Repair of Radial Tears in the Junction of the Anterior Horn and Body of the Lateral Meniscus Using an All-Inside Device.

ABSTRACT: Surgical treatment of radial tears in the junction of the anterior horn and body of the lateral meniscus is indicated in the acute setting and with failure of nonoperative therapy. There are several options for arthroscopic repair; however, these are more technically difficult to perform because of the current surgical instruments available to address these tears. An outside-in technique is the current standard of care for this tear location and pattern. We present a technique for an all-inside side-to-side repair of the lateral meniscus for radial tears in the junction of the anterior horn and body.

SUBMITTER: Silverstein RS

PROVIDER: S-EPMC9596723 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature

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Publications

Arthroscopic Repair of Radial Tears in the Junction of the Anterior Horn and Body of the Lateral Meniscus Using an All-Inside Device.

Silverstein Rachel S RS Barzilla Jordan A JA Gladstein Aharon Z AZ

Arthroscopy techniques 20220917 10

Surgical treatment of radial tears in the junction of the anterior horn and body of the lateral meniscus is indicated in the acute setting and with failure of nonoperative therapy. There are several options for arthroscopic repair; however, these are more technically difficult to perform because of the current surgical instruments available to address these tears. An outside-in technique is the current standard of care for this tear location and pattern. We present a technique for an all-inside ...[more]

PMID: 36311326

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Project description:The anterior horn tear of the lateral meniscus, often accompanied with local parameniscal cysts, is usually managed by cysts debridement and meniscus repair with the outside-in technique (OIT). However, a big gap between the meniscus and anterior capsule would be produced after cysts debridement and be difficult to be closed by the OIT. Or, the OIT would result in knee pain because of the overly tight knots. Therefore, we devised an anchor repair technique. Following the cysts resection, the anterior horn of the lateral meniscus (AHLM) is fixed at the anterolateral edge of the tibial plateau with 1 suture anchor, and then followed by suturing the AHLM with the surrounding synovium to promote healing. We recommend this technique as an alternative method for repairing an AHLM tear accompanied with local parameniscal cysts. Technique Video Video 1 The patient is in a supine position, with right knee at the figure-of-four position. After creating the anterolateral portal and anteromedial portal, with the knee at the figure-of-four position, the tear pattern and tissue quality of anterior horn of the lateral meniscus (AHLM) and the concomitant parameniscal cysts are observed using a 30° scope. The cysts and surrounding synovium are resected by a shaver. Through the anterolateral portal, the loop of a folded 2# FiberWire is introduced and sent into the joint beneath the AHLM, and then is pull out above the AHLM. The two free suture limbs are passed through the suture loop and pulled to produce a holding around AHLM. Finally, the suture strands are secured on the anterior margin of the lateral tibial plateau with a 3.5 mm PushLock to fix the AHLM. A no. 2 nonabsorbable suture is delivered into the joint through a spinal needle penetrating the AHLM and its anterior synovium. The needle is withdrawn with the suture free end is held. The 2 suture strands are pulled out and tied from the anterolateral portal. The anterior edge of AHLM is sutured together with the synovium. The stability of meniscal repair is determined with the arthroscopic probe.

Dataset Information

Arthroscopic Repair of Radial Tears in the Junction of the Anterior Horn and Body of the Lateral Meniscus Using an All-Inside Device.

Publications

Arthroscopic Repair of Radial Tears in the Junction of the Anterior Horn and Body of the Lateral Meniscus Using an All-Inside Device.

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