Arthroscopic Meniscal Repair Using the Outside-In Technique

Rodeo, Scott A.; Seneviratne, Aruna

doi:10.1097/00132585-199901000-00003

Cited by 16 publications

(19 citation statements)

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“…Today, there are three arthroscopic techniques for meniscal repair: the inside-out and outsidein suturing techniques [28,30] and the all-inside technique, which uses biodegradable products and was developed originally by Albrecht-Olsen et al [2] in 1993. Since then, a plethora of absorbable devices such as arrows [3,20], screws [17], and anchors [4,22] have been developed that allow for all-inside meniscal repair.…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic meniscal repair: a comparative study between three different surgical techniques

Hantes

Zachos

Varitimidis

et al. 2006

Knee Surg Sports Traumatol Arthrosc

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The purpose of this prospective study was to evaluate and compare the results of arthroscopic meniscal repair using three different techniques. Between January 2002 and March 2004, 57 patients who met the inclusion criteria underwent an arthroscopic meniscal repair. The outside-in technique was used in 17 patients (group A), the inside-out in 20 patients (group B), while the rest of the 20 patients (group C) were managed by the all-inside technique using the Mitek RapidLoc soft tissue anchor (Mitek Surgical Products, Westwood, MA, USA). Anterior cruciate ligament (ACL) reconstruction was performed in 29 patients (51%). The criteria for clinical success included absence of joint line tenderness, locking, swelling, and a negative McMurray test. The minimum follow-up was one year for all groups. The mean follow-up was 23 months for group A, 22 months for group B, and 22 months for group C. All meniscal repairs were considered healed according to our criteria in group A, while 19 out of 20 repairs (95%) healed in group B. Finally 7 of 20 repairs (35%) were considered failures in group C and this difference was statistically significant in comparison with other groups. The time required for meniscal repair averaged 38.5 min for group A, 18.1 min for group B, and 13.6 min for group C. Operation time for meniscal repair in group A was statistically longer in comparison with other groups. There were no significant differences among the three groups concerning complications. According to our results, arhtroscopic meniscal repair with the inside-out technique seems to be superior in comparison with the other methods because it offers a high rate of meniscus healing without prolonged operation time.

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Section: Introductionmentioning

confidence: 99%

Arthroscopic meniscal repair: a comparative study between three different surgical techniques

Hantes

Zachos

Varitimidis

et al. 2006

Knee Surg Sports Traumatol Arthrosc

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“…[3][4][5] Traditional meniscal repair techniques involve open or arthroscopic suture of the meniscus. The surgery can be performed using an inside-out, [6][7][8][9] outside-in, 10,11 or all-inside 12,13 technique. Recently, there has been a movement toward arthroscopic meniscal repair using biodegradable implants.…”

mentioning

confidence: 99%

Chondral injury following meniscal repair with a biodegradable implant

Anderson

Marx

Hannafin

et al. 2000

Arthroscopy: The Journal of Arthroscopic & Related Surgery

104

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“…When the anterior horn of the meniscus needs to be repaired after decompression or a longitudinal tear, the outside-in suture technique can be used for repair [8]. However, it is difficult to make a vertical suture with the outside-in technique due to the spinal needle, which is horizontally situated through the torn meniscus.…”

Section: Discussionmentioning

confidence: 99%

The modified outside-in suture: vertical repair of the anterior horn of the meniscus after decompression of a large meniscal cyst

Ahn

Wang

Yoo

et al. 2006

Knee Surg Sports Traumatol Arthrosc

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This article describes a modified suture technique designed for the vertical repair of the anterior horn of the meniscus after arthroscopic decompression of a large meniscal cyst. This procedure comprises of three steps: first, the meniscus was pierced vertically using a suture hook and a No. 0 PDS suture. Second, both ends of the No. 0 PDS on the femoral and tibial surfaces of the meniscus were pulled to the outside of the joint capsule using a spinal needle preloaded with suture material. Finally, a skin incision was made adjacent to the suture materials, and both ends were tied. We recommend this technique not only for the vertical repair of the anterior horn of the meniscus after decompression of large meniscal cyst, but also to repair a longitudinal tear of the meniscus.

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Arthroscopic Meniscal Repair Using the Outside-In Technique

Cited by 16 publications

References 0 publications

Arthroscopic meniscal repair: a comparative study between three different surgical techniques

Arthroscopic meniscal repair: a comparative study between three different surgical techniques

Chondral injury following meniscal repair with a biodegradable implant

The modified outside-in suture: vertical repair of the anterior horn of the meniscus after decompression of a large meniscal cyst

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