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The "all-inside" meniscus repair.

C D Morgan1

  • 1Sports Medicine, Alfred I. duPont Institute, Wilmington, Delaware.

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|January 1, 1991
PubMed
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The all-inside meniscus suturing technique allows arthroscopic repair of posterior horn tears. This method avoids risks associated with other arthroscopic techniques, enabling intra-articular knot tying.

Area of Science:

  • Orthopedic Surgery
  • Arthroscopy
  • Knee Meniscus Repair

Background:

  • Peripheral posterior horn meniscus tears present unique surgical challenges.
  • Traditional arthroscopic techniques like outside-in and inside-out have risks of neurovascular or capsular entrapment.
  • A need exists for safer, more effective arthroscopic meniscus repair methods.

Purpose of the Study:

  • To introduce and describe the arthroscopic "all-inside" meniscus suturing technique.
  • To highlight the advantages of the all-inside technique over traditional methods for posterocentral tears.

Main Methods:

  • The study details a novel arthroscopic "all-inside" meniscus suturing technique.
  • This technique utilizes specialized instrumentation for intra-articular suture placement and knot tying.

Related Experiment Videos

  • Focus is on addressing peripheral posterior horn tears in the posterocentral region.

    • Main Results:

    • The all-inside technique facilitates vertical suture placement for posterocentral tears.
    • It mitigates risks of nerve, vessel, or posterior capsular entrapment.
    • New instrumentation enables intra-articular suture and knot manipulation under arthroscopic visualization.

    Conclusions:

    • The arthroscopic "all-inside" technique provides a safer alternative for meniscus repair.
    • It offers improved control and reduced complication risks for specific tear types.
    • This method enhances the arthroscopist's armamentarium for meniscus surgery.