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Arthroscopic all-inside meniscus repair

C A Reigel1, J S Mulhollan, C D Morgan

  • 1Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Clinics in Sports Medicine
|July 1, 1996
PubMed
Summary
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The all-inside arthroscopic meniscal repair technique offers strong pullout strength for posterior horn tears. This minimally invasive approach may improve pain management and reduce neurovascular injury, though it requires specialized skills.

Area of Science:

  • Orthopedic Surgery
  • Arthroscopy
  • Sports Medicine

Background:

  • Meniscal tears, particularly in the posterior horn, present surgical challenges.
  • Traditional arthroscopic techniques may have limitations in accessing and repairing posterior horn tears effectively.
  • Minimally invasive techniques are sought to improve patient outcomes and reduce surgical morbidity.

Purpose of the Study:

  • To evaluate the all-inside arthroscopic meniscal repair technique for posterior horn tears.
  • To assess the biomechanical advantages and clinical implications of this technique.
  • To compare the all-inside technique with traditional methods for meniscal repair.

Main Methods:

  • Utilized an all-inside arthroscopic technique with vertically oriented sutures placed perpendicular to the tear.

Related Experiment Videos

  • Employed a posterior cannula for improved tear preparation and minimized dissection.
  • Assessed suture pullout strength and evaluated potential for neurovascular injury and posterior capsule entrapment.

    • Main Results:

    • The all-inside technique enables placement of vertically oriented sutures with superior pullout strength.
    • This method facilitates an anatomic repair without posterior capsule entrapment.
    • The technique minimizes dissection and may reduce neurovascular injury, potentially allowing for outpatient surgery.

    Conclusions:

    • The all-inside arthroscopic technique provides a strong, anatomic repair for posterior horn meniscal tears.
    • It offers potential benefits in pain management and reduced surgical morbidity.
    • Surgeons require specialized instruments and expertise, and this technique has limited application for tears anterior to the posterior horn.