All-Inside Double-Sided Suture Repair for Longitudinal Meniscal Tears

Abstract

The current consensus in the literature is that the meniscus must be saved. Even though inside-out sutures are still considered as the gold standard, the need to alternate between intra-and extra-articular structures for every stitch makes it laborious. New generations of all-inside systems are now routinely used in operating rooms and enable easier, quicker, and safer techniques. However traditional all-inside repair with limited upper fixation does not provide uniform compression from top to down, essential precondition for satisfactory meniscal healing. This Technical Note describes a simple and accessible alternative technique that provides stable fixation and overall compression of vertical meniscal tears from top to down with standard all-inside instrumentation.

Combining Anterior Cruciate Ligament Reconstruction With Lateral Extra-Articular Procedures in Skeletally Immature Patients Is Safe and Associated With a Low Failure Rate

“…Concerning the lateral meniscus, 9 tears (69%, 9/13) were repaired with an all-inside suture, 49 3 tears (23%, 3/13) were treated with a partial meniscectomy, and 1 stable tear (8%, 1/13) was left in place. One suture required revision surgery at 44.1 months for partial menisectomy.…”

Postoperative regular use of a self‐rehabilitation mobile application for more than two weeks reduces extension deficit and cyclop syndrome after anterior cruciate ligament reconstruction

“…All patients had to fully recover their flexion and extension mobility before the operation. All surgeons used the same technique, in accordance with previously published technique [18][19][20]. All graft were made with gracilis and semi-tendinosis tendon.…”

Meniscus tears treatment: The good, the bad and the ugly-patterns classification and practical guide

“…The use of vertical sutures every 5 to 7 mm is preferred, because horizontal sutures are placed parallel to the meniscus collagen fibers and can easily pull out by separating such fibers. Either circumferential compression sutures[ 64 ] with dedicated devices or double-sided all-inside suture repair[ 65 ] (both in the superior and in the inferior surface of the meniscus) can produce overall compression of the tear, thus promoting complete healing (Figure 3 ). Isolated medial meniscus bucket-handle tears pose a treatment dilemma with no easy solution[ 66 ].…”