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Knee Surg Relat Res. 2014 Mar;26(1):43-7. doi: 10.5792/ksrr.2014.26.1.43. Epub 2014 Feb 27.

A Modified Outside-in Suture Technique for Repair of the Middle Segment of the Meniscus Using a Spinal Needle.

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1
Department of Orthopaedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea.

Abstract

INTRODUCTION:

Several techniques have been used for arthroscopic repair of middle segment, posteromedial or posterolateral corner tears of the meniscus. One of the commonly used methods is the inside-out double arm needle technique.

SURGICAL TECHNIQUE:

We have developed a vertical mattress absorbable suture technique. It is easy to perform with a small sized skin incision for knot tying. This technique just necessitates 1 or 2 spinal needles for repair.

MATERIALS AND METHODS:

Between March 2010 and February 2012, 20 menisci were treated by this technique, a modified method of the outside-in vertical meniscal repair using a spinal needle and No. 2 PDS absorbable suture material. Evaluation of clinical results was done using the Lysholm score.

RESULTS:

The mean preoperative Lysholm score was 63.9 and the mean postoperative score was 97.3. A second look arthroscopy was performed in 13 knees (65%) and the repair sites were well healed.

CONCLUSIONS:

We recommend this method as an alternative technique for repair of the middle segment, posteromedial or posterolateral corner of the meniscus.

KEYWORDS:

Meniscus; Middle segment; Modified outside-in suture; Tear

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