All-inside arthroscopic suturing technique for meniscal ruptures.

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Biomaterials Science

Background:

• Meniscus lesions are a common knee injury requiring surgical intervention.
• The "all inside" arthroscopic technique with bioresorptive materials is gaining popularity for meniscus repair.

Purpose of the Study:

• To evaluate the efficacy of the "all inside" arthroscopic technique using bioresorptive pins and string for posterior meniscal horn lesions.
• To identify patient characteristics and lesion types most suitable for this surgical approach.

Main Methods:

• Prospective study of 10 patients with posterior meniscal horn lesions.
• Treatment involved "all inside" arthroscopic repair using bioresorptive pins (Darts sticks or Meniscus Viper) and bioresorptive string.
• Patients were assessed using the IKDC 2000 scale postoperatively (2-6 months follow-up).

Main Results:

• All surgical treatments demonstrated satisfactory outcomes.
• The technique is particularly effective for young patients with acute, peripheral, longitudinal posterior horn lesions (1-2 cm) in the red-red or red-white zones.
• No neurovascular damage was reported, indicating a favorable safety profile.

Conclusions:

• The "all inside" arthroscopic technique with bioresorptive materials is a safe and effective treatment for specific meniscus lesions.
• Further prospective randomized studies are recommended to validate these findings.
• This technique offers a superior option for eligible patients, minimizing risks.