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After a large-single-celled zygote is produced via fertilization, the process of cleavage occurs while zygotes travel through the uterine tube. Cleavage is a mitotic cell division that does not result in growth. With each round of successive cell division, daughter cells get increasingly smaller.
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Horizontal gene transfer (HGT) is a process where genetic material moves between organisms within the same generation, unlike vertical gene transfer, which occurs from parent to offspring. HGT plays a crucial role in microbial evolution, adaptation, and survival, particularly in shared environments like the human gut.Mobile genetic elements such as plasmids, prophages, integrons, insertion sequences, and transposons facilitate this process. HGT occurs through three primary mechanisms:...
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A horizontal curve is characterized by its radius, intersection angle, and stationing of key points. In this case, the radius is 400 meters, and the angle of intersection is 30 degrees, with the station of the point of curvature (P.C.) at 0 + 150 meters. The goal is to determine the station values at the point of intersection (P.I.), point of tangency (P.T.), and midpoint of the curve, as well as the length of the long chord.The process begins with calculating the tangent distance (T) and the...
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Horizontal Cleavage Meniscus Tear Treated With All-inside Circumferential Compression Stitches.

Jarret M Woodmass1, Joshua D Johnson1, Isabella T Wu1

  • 1Department of Orthopedic Surgery and the Sports Medicine Center, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, U.S.A.

Arthroscopy Techniques
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Summary

This study presents an all-inside surgical technique for horizontal meniscus tears, offering uniform compression and superior load-to-failure strength. This method enhances healing potential and minimizes surgical risks for orthopedic patients.

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Horizontal cleavage meniscus tears are prevalent orthopedic injuries.
  • Current treatments include meniscectomy or repair, each with limitations.

Purpose of the Study:

  • To present a novel all-inside technique for repairing horizontal meniscus tears.
  • To achieve uniform compression of superior and inferior meniscal leaflets.

Main Methods:

  • Utilized an all-inside, self-retrieving suture passing device.
  • Placed multiple circumferential compression stitches for uniform leaflet compression.
  • Employed standard arthroscopy portals with minimal modifications.

Main Results:

  • The technique eliminates the need for posterior incisions, reducing neurovascular injury risk.
  • Each stitch requires a single suture deployment via the self-retrieving device.
  • The resulting circumferential stitch configuration demonstrated the highest load to failure among all repair patterns.

Conclusions:

  • This all-inside technique offers advantages for horizontal meniscus tear repair.
  • Uniform compression promotes meniscal healing and provides superior mechanical strength.
  • The method is efficient and minimizes surgical invasiveness.