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.

JBJS Case Connector
|August 30, 2022
PubMed
Abstract

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.