All-inside suture technique using anterior portals in posterior horn tears of lateral meniscus

作者：Espejo Baena Alejandro^*; Figueroa Mata Alejandro; Serrano Fernandez Jose; de la Torre Solis Francisco

来源：Arthroscopy-The Journal of Arthroscopic and Related Surgery, 2008, 24(3): 369.e1.

DOI：10.1016/j.arthro.2007.06.017

• lateral meniscus
• suture techniques
• all-inside technique
• anterolateral portal

Methods for the repair of meniscal tears include inside-out, outside-in, and all-inside techniques. In this article an all-inside technique is proposed for the posterior horn of the lateral meniscus that takes advantage of the capacious posterolateral recess when the knee is flexed. A device consisting of a large needle with a buttonhole in the tip (previously used for inside-out suture of the medial meniscus) is used. This technique uses only anterior portals (anteromedial and anterolateral portals and an accessory lateral or transpatellar tendon portal). The arthroscope is inserted through the accessory portal. Once the tear has been located and its edges refreshed, the suture device is placed anterolaterally. The tip of the needle is loaded with suture and passed through both sides of the tear and into the posterolateral recess of the knee (without exiting the capsule). The suture tail is recovered with the use of a suture retriever through the anteromedial portal. Next, the suture retriever is inserted through the anterolateral portal to once again retrieve and shuttle the tail before completion of an arthroscopic knot. In addition to the ease of the technique, use of this simple, reusable device adds the benefit of low cost when compared with other techniques.

• 出版日期2008-3