Arthroscopic all-inside repair with suture hook for horizontal tear of the lateral meniscus at the popliteal hiatus region: a preliminary report

Abstract

Background: Arthroscopic surgery procedures vary depending on the types of meniscus tear, including meniscectomy and meniscus repair. Among the several types of meniscus tear, the horizontal tear of the lateral meniscus at the popliteal hiatus region is a common injury, and its surgical treatment is still inconsistent. patients who underwent all-inside repair with suture hook for the horizontal tear of the lateral meniscus at the popliteal hiatus region were recruited. Any operative complication was recorded, and postoperative MRI scans were conducted at the 6 months. The clinical results were graded based on the scale of the Lysholm knee score preoperatively and at follow-up. Results: No operative complications were recorded. Postoperative MRIs at the 6 months showed that there was no re-tear for all patients, though signal intensity remained high in T2-weighted MRI in the lateral meniscus for nine cases. The average preoperative Lysholm knee score was 58.6 ± 10.1, which increased significantly to 89.3 ± 7.8 (t = − 11.01, p = 0.001) at the last follow-up. Recurrence or aggravation of symptoms was not noted at the final followup. Conclusion: All-inside repair with suture hook may be a good option for the horizontal tear of the lateral meniscus at the popliteal hiatus region which preserves the meniscus; avoids iatrogenic injury on the adjacent popliteal tendon, common peroneal nerve, and inferior lateral geniculate artery.

All-Inside Knee Arthroscopic Repair Outcomes in Mongolia, Effectiveness and Challenges

“…We successfully incorporated MRI findings to surgical plan in arthroscopic diagnosis and reconstruction. Surgical procedures of choices had been near identical to MRI findings in our subjects, and studies support the need for and accuracy of MRI studies for knee injuries including ACL and meniscal damages [17][18][19]. Unfortunately, post-surgical followup with MRI scans are not the mainstay of patient follow-up and Vol.7 • No.3• September 2021 rarely conducted in Mongolia.…”

Effect of platelet-rich plasma on meniscus repair surgery: A meta-analysis of randomized controlled trials

“…Also, different methods of meniscus repair result in varying degrees of meniscus motion and popliteal fossa tear size, leading to different biomechanics and kinematics of the lateral knee region, which in turn leads to different degrees of meniscus repair. [ 43 ] However, the studies in this meta-analysis did not directly refer to the age stratification of the participants, the areas of the meniscus tear, or the types of meniscus tear; in addition, the method of meniscus repair varied among these studies. Consequently, a broader subgroup analysis to elucidate the augmentation of PRP in different meniscus repair procedures could not be performed.…”

Can platelet-rich plasma enhance the effect of meniscus repair? A meta-analysis of randomized controlled trials Platelet-rich plasma and meniscus repair

“…The all-inside meniscus repair systems are safer, faster, and more convenient and hence, more popular than other meniscus repair systems such as outside-in and in-outside meniscus repair. 40 Among all-inside meniscus repair, the Fast-Fix technique has a better suture effect. It adopt the conventional arthroscopic approach, no auxiliary incision is required, and the damage between the tissues is fully reduced.…”