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All arthroscopic medial meniscus inside out repair- Technical note
Vijay Shankar Coimbatore Balasubramaniam1, Ganesh Kumar Dhinakaran1, Santhosh Sahanand1
1Ortho One Orthopaedic Speciality Hospital, 657, Trichy Road, Singanallur, Coimbatore, Tamil Nadu, India.
Journal of Clinical Orthopaedics and Trauma
|June 12, 2020
Summary
This study introduces a new surgical technique for repairing medial meniscus tears during anterior cruciate ligament (ACL) reconstruction. This method avoids an extra incision, simplifying the procedure for patients with ACL insufficiency.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Knee Biomechanics
Background:
- Concomitant meniscal injuries frequently occur with anterior cruciate ligament (ACL) insufficiency.
- Combined ACL reconstruction and meniscal repair improve patient outcomes.
- Traditional surgical approaches often necessitate multiple incisions.
Observation:
- A novel technique for medial meniscus inside-out repair was developed.
- This technique utilizes only the existing tibial tunnel wound from ACL reconstruction.
- No additional posteromedial incision was required.
Findings:
- The described technique successfully repaired a bucket-handle medial meniscus tear.
- This was performed in a 21-year-old male patient undergoing ACL reconstruction.
- This represents the first documented use of this minimally invasive approach.
Implications:
- This novel technique may reduce surgical morbidity by eliminating an extra incision.
- It offers a potentially simpler and more efficient surgical option for combined ACL and meniscal injuries.
- Further studies are warranted to evaluate the long-term efficacy and broader applicability of this approach.
