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Updated: May 9, 2025

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
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Horizontal Cleavage Meniscus Tear Repaired Using a Cerclage Technique.

Ian S MacLean1, David R Diduch1

  • 1Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia, USA.

Video Journal of Sports Medicine
|May 1, 2025
PubMed
Summary

All-inside cerclage repair effectively treats horizontal meniscal tears, preserving tissue and offering good outcomes. This technique provides comparable results to other meniscal repair types, with high patient satisfaction.

Keywords:
all-insidecerclagecircumferentialhorizontal cleavage tearmeniscal repairmeniscus tear

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomedical Engineering

Background:

  • Horizontal meniscal cleavage tears are common in older adults, often linked to degeneration.
  • Partial meniscectomy, a frequent treatment, reduces meniscal contact area and increases forces.
  • Arthroscopic repair techniques show promise, yielding results comparable to other meniscal tear repairs.

Purpose of the Study:

  • To evaluate the efficacy of arthroscopic all-inside cerclage repair for horizontal meniscal cleavage tears.
  • To compare the outcomes of cerclage repair with traditional partial meniscectomy.

Main Methods:

  • Utilized standard arthroscopy portals and a self-retrieving suture passer for a #0 high-strength suture.
  • Tied arthroscopic knots on the meniscus and retrieved sutures through a small tibial incision using a spinal needle and Chia device.
  • Employed an outside-in meniscal repair kit with a curved spinal needle for optimal trajectory, especially for root tears.

Main Results:

  • Arthroscopic all-inside repair of horizontal cleavage tears demonstrated favorable patient outcomes.
  • Patient satisfaction rates reached 80%, with a comparable failure rate of 11% to 12% to other meniscal repair types.

Conclusions:

  • All-inside cerclage repair is a viable option for horizontal meniscal tears, preserving crucial meniscal tissue.
  • This technique offers good healing rates and satisfactory outcomes, making it a valuable alternative to partial meniscectomy.