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Related Concept Videos

Bones of the Lower Limb: Femur and Patella01:16

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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
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Author Spotlight: Double Posteromedial Approach for Treating Posterior Cruciate Ligament Cysts
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True all inside meniscus repair using the popliteus tendon.

Vikram A Mhaskar1,2, Himanshu Agrahari3,4, Jitendra Maheshwari3,4

  • 1Department Of Orthopedics, Max Smart Superspeciality Hospital, New Delhi, (110017), India. drvikrammhaskar@gmail.com.

European Journal of Orthopaedic Surgery & Traumatology : Orthopedie Traumatologie
|July 18, 2022
PubMed
Summary

This study presents a novel, cost-effective surgical technique for repairing the posterior horn of the lateral meniscus using the popliteus tendon. The method demonstrated significant improvements in patient outcomes and knee function post-surgery.

Keywords:
All inside repairAntegrade suture passerArthroscopyMeniscusMeniscus repairPopliteus

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Knee Arthroscopy

Background:

  • The posterior horn of the lateral meniscus is crucial for knee stability.
  • Current repair techniques can be complex and may involve neurovascular structures.

Purpose of the Study:

  • To describe a new, economical, and safe surgical technique for repairing the posterior segment of the lateral meniscus.
  • To evaluate the clinical outcomes of this novel repair method.

Main Methods:

  • A technique utilizing an antegrade suture passer and 2-0 FiberWire was employed.
  • Sutures were passed through the capsule and meniscus, or the popliteus tendon and meniscus, avoiding anchors in the capsule or popliteus.
  • Nine patients underwent the procedure.

Main Results:

  • Significant improvements were observed in International Knee Documentation Committee (IKDC) scores (24.2 to 84, p < 0.01) and Tegner activity scores (1.88 to 6.63, p < 0.01).
  • The median hop test improved from 0 to 4 (p = 0) at a mean of 15.2 months post-surgery.
  • Most patients exhibited negative Lachman tests and negative Barret's criteria, indicating good knee stability.

Conclusions:

  • This new technique offers an effective and economical approach for repairing the posterior horn of the lateral meniscus.
  • The method preserves neurovascular structures and leads to substantial improvements in knee function and patient-reported outcomes.