Related Experiment Video
Updated: Aug 30, 2025

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
Published on: December 10, 2021
Two Uncommon Complications Related to Suture Knots After Meniscal All-Inside Suture Repair: A Case Report
Ayaka Tanaka1, Akira Tsujii2, Kazunori Shimomura1
1Department of Orthopaedic Surgery, Japan Community Health Care Organization Hoshigaoka Medical Center, Osaka, Japan.
Case:
A 17-year-old male patient suffered a radial lateral meniscus tear and underwent an arthroscopic all-inside suture repair. After 7 months, the patient experienced catching. Magnetic resonance imaging and computed tomography revealed an intra-articular loose body without calcification, which was removed surgically. The excised specimen was histopathologically confirmed to be a necrotic meniscus fragment with a suture knot. In addition, cartilage damage because of suspected impingement by a residual suture knot was observed. After removing the loose body and knot, the patient's symptoms were relieved, and he returned to sports.
Conclusion:
Suture knot-related complications should be considered while performing meniscal repairs.
Insights
A meniscus repair complication occurred when a suture knot became a loose body, causing catching and cartilage damage. Prompt surgical removal resolved symptoms, allowing a return to sports.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Arthroscopy
Background:
- Meniscal tears are common knee injuries, often treated with arthroscopic repair.
- All-inside suture techniques are frequently used for meniscal repair.
Observation:
- A 17-year-old male experienced catching 7 months after arthroscopic all-inside suture repair of a radial lateral meniscus tear.
- Imaging revealed an intra-articular loose body, later identified as a necrotic meniscus fragment and suture knot.
Findings:
- Histopathology confirmed the loose body was a necrotic meniscus fragment with a suture knot.
- Cartilage damage was observed, suspected to be caused by impingement from the residual suture knot.
Implications:
- Suture knot-related complications should be a consideration in meniscal repair outcomes.
- Surgical removal of loose bodies and residual suture knots can effectively resolve symptoms and allow return to sport.

