Neurovascular Safety and Clinical Outcome of Outside-in Repair of Tears of the Posterior Horn of the Medial Meniscus

Sobhy, Mohamed H.; AbouElsoud, Maged; Kamel, Eman Mohamed; Desouki, Ahmed Mohamed

doi:10.1016/j.arthro.2010.05.018

Cited by 12 publications

(11 citation statements)

References 28 publications

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“…19,24,28,[31][32][33]40,43,44 Table 1 summarizes these results. 19,24,28,[31][32][33]40,43,44 Table 1 summarizes these results.…”

Section: Resultsmentioning

confidence: 97%

“…The incidence of infection is less than 3% in most series 19,24,28,32,33,40,43,44 ; Plasschaert et al 31 reported a 7% rate of wound infection. It has been suggested that the degradation of the suture can potentially contribute to wound complications.…”

Section: Resultsmentioning

confidence: 97%

“…[45][46][47][48][49] As per our review, the reported healing rates of the outside-in technique are between 73% and 98%. 19,24,28,32,33,40,43,44 Plasschaert et al reported a 14% incidence of temporary saphenous nerve injury. Pujol et al 50 reviewed 50 meniscal repairs with CT arthrography: the healing rate for 38 all-inside repairs was 74.1% and the 9 outside-in repairs had a healing rate of 74.4%.…”

Section: Resultsmentioning

confidence: 99%

“…33 In their cadaveric model, the entry was just lateral to the semitendinosus tendon at the posteromedial aspect of the knee at the level of the joint line.…”

Section: Surgical Anatomymentioning

confidence: 99%

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Outside-In Meniscus Repair

Dave

Caborn²

2012

Sports Medicine and Arthroscopy Review

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Recent advances in our understanding of knee biomechanics and load transmission have emphasized the need for meniscus preservation. However, the literature suggests that more needs to be done. The outside-in arthroscopic meniscus repair was first described by Warren in 1985. Despite the popularity of new all-inside meniscus repair devices, the outside-in meniscus repair technique is still used by many surgeons to preserve the meniscus. During the last 26 years, this technique has evolved and modified. However, its basic principles as being a minimally invasive, simple, and inexpensive meniscus repair technique have not changed. The results of outside-in meniscus repair have also stood the test of time, yielding healing rates and functional scores comparable to those of other meniscus repair techniques.

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“…19,24,28,[31][32][33]40,43,44 Table 1 summarizes these results. 19,24,28,[31][32][33]40,43,44 Table 1 summarizes these results.…”

Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%

“…33 In their cadaveric model, the entry was just lateral to the semitendinosus tendon at the posteromedial aspect of the knee at the level of the joint line.…”

Section: Surgical Anatomymentioning

confidence: 99%

See 2 more Smart Citations

Outside-In Meniscus Repair

Dave

Caborn²

2012

Sports Medicine and Arthroscopy Review

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“…The artery has been found to lie laterally to the midline in 94% of the cases, with a minimal mean distance from the posterior wall of the lateral meniscus to the popliteal artery of 1 (range: 0.32-1.74) cm; this distance is not related to body parameters 108 . Sohby et al 109 , in a cadaver study, proposed as an entry point for outside-in repair a point just lateral to the semitendinosus tendon. Baena et al 110 indicate @ C I C E d i z i o n i I n t e r n a z i o n a l i that when the needle is inserted into the posteromedial region of the knee during inside-out suture, it is far enough from the popliteal neurovascular bundle for the maneuver to be performed with a reasonable safety margin.…”

Section: Complications Of Meniscal Suturesmentioning

confidence: 99%

Meniscus tear surgery and meniscus replacement

Vaquero

Forriol

2016

MLTJ

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SummaryObjective: the menisci are easily injured and difficult to repair. The aim of this study was to analyze the current state of meniscal surgery aimed at preserving morphology and conserving the biomechanics of the knee to prevent joint degeneration. Methodology: a search of the electronic medical literature database Medline was conducted, from http://www.ncbi.nlm.nih.gov/pubmed. The search was not limited by language. Candidate articles were identified by searching for those that included the keywords meniscus, surgery, suture, implant, allograft. The limits were included for clinical research and clinical trials. Basic research was not included. The studies selected were evaluated and classified in three different categories: basic science, reconstruction (suture and meniscectomy) and implants (scaffolds and allograft). Results: the consequences of meniscectomy performed at a young age can lead to a joint cartilage degeneration twenty years later. There are few surgical options for the repair of meniscal injuries in order both to preserve the meniscus and to ensure the long term survival of the knee joint, meniscectomy, repair, suturing the tear, or reconstruction, when a meniscal allograft or synthetic substitute is used to replace the meniscus, but the biomechanical properties of the native meniscus are not reproduced entirely by the scaffolds that exist today.Conclusion: therapies that successfully repair or replace the meniscus are therefore likely to prevent or delay osteoarthritis progression.

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