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[Arthroscopic meniscal suture].

Wolf Petersen1, Thore Zantop

  • 1Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstrasse 1, D-48149 Münster, Germany. wolf.petersen@ukmuenster.de

Operative Orthopadie Und Traumatologie
|December 16, 2006
PubMed
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Suturing meniscal tears can restore knee function and prevent degeneration. Healing rates vary based on tear type and knee stability, with better outcomes for isolated tears and anterior cruciate ligament reconstruction.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Knee Arthroscopy

Background:

  • Meniscal tears can lead to long-term knee degeneration.
  • Suturing aims to restore meniscus function and prevent further damage.

Purpose of the Study:

  • To describe the surgical technique for suturing meniscal tears.
  • To evaluate the healing rates of sutured meniscal tears.

Main Methods:

  • Indications include unstable longitudinal tears in the red/red-white zones and dislocated bucket-handle tears.
  • Contraindications involve avascular tears, degenerative or complex lesions, and untreated ligament instability.
  • Surgical techniques include outside-in, inside-out, and all-inside arthroscopic suturing, with varying postoperative management based on tear size and stability.

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Main Results:

  • Healing rates for isolated meniscal tears with stable ligaments range from 50% to 75%.
  • Healing rates exceed 75% when performed with simultaneous anterior cruciate ligament (ACL) plasty.
  • Healing rates are less than 50% in cases of unstable knee joints.

Conclusions:

  • Meniscal suturing is a viable option for specific tear types to restore function.
  • Knee joint stability and concurrent ACL reconstruction significantly impact healing outcomes.
  • Appropriate patient selection and surgical technique are crucial for successful meniscal repair.