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Meniscal repair. An arthroscopic technique.

F A Barber, R G Stone

The Journal of Bone and Joint Surgery. British Volume

|January 1, 1985

Summary

This study presents an arthroscopic technique for repairing longitudinal peripheral meniscal tears, offering a minimally invasive alternative to arthrotomy. While effective, the procedure requires advanced arthroscopic skills due to significant risks like nerve and vascular damage.

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Area of Science:

Orthopedic Surgery
Knee Arthroscopy
Meniscal Repair

Background:

Longitudinal peripheral meniscal tears can often be repaired successfully.
Previous repair methods involved open arthrotomy.
Arthroscopic techniques offer potential advantages but require careful consideration of risks.

Purpose of the Study:

To present an arthroscopic technique for repairing longitudinal peripheral meniscal tears.
To highlight the advantages and potential risks associated with this arthroscopic approach.
To provide guidance for surgeons considering this procedure.

Main Methods:

Development and description of a novel arthroscopic surgical technique.
Emphasis on anatomical landmark identification through cadaver dissections.
Comparison with traditional arthrotomy methods (implied).

Main Results:

The arthroscopic technique allows for the salvage of peripheral meniscal tears in a high percentage of cases.
Potential risks include peroneal nerve damage, popliteal vascular injury, and failure of meniscal healing.
Successful repair is achievable with appropriate surgical expertise.

Conclusions:

Arthroscopic repair of longitudinal peripheral meniscal tears is a viable and effective option.
The procedure demands advanced arthroscopic proficiency and thorough anatomical understanding.
Surgeons should be aware of and prepared to manage potential complications.

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