Arthroscopic Medial Meniscal Posterior Root Repair With Transtibial Luggage-Tag and Horizontal Mattress Sutures
Medial meniscal posterior root repair techniques have shown positive yet varied results in the literature. The decision to perform repair has improved clinical outcomes in many situations, although the healing rate is approximately 64% and the repair strength is roughly one-third of the native root...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-01-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628720302450 |
| _version_ | 1818668395676041216 |
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| author | David Drynan, M.B.B.S., B.E., F.R.A.C.S.(Orth) Marcel Betsch, M.H.B.A. Waael Aljilani, M.B.B.S., S.B.Ortho Daniel B. Whelan, F.R.C.S. |
| author_facet | David Drynan, M.B.B.S., B.E., F.R.A.C.S.(Orth) Marcel Betsch, M.H.B.A. Waael Aljilani, M.B.B.S., S.B.Ortho Daniel B. Whelan, F.R.C.S. |
| author_sort | David Drynan, M.B.B.S., B.E., F.R.A.C.S.(Orth) |
| collection | DOAJ |
| description | Medial meniscal posterior root repair techniques have shown positive yet varied results in the literature. The decision to perform repair has improved clinical outcomes in many situations, although the healing rate is approximately 64% and the repair strength is roughly one-third of the native root strength, with meniscal extrusion being common. We present a technique based on biomechanical evidence to obtain a strong anatomic posterior root repair to restore nearly normal knee mechanics, combining an increased size of footprint under the lateral aspect of the medial meniscal horn for healing and a luggage-tag suture with a posteriorly placed horizontal mattress suture. The horizontal mattress suture is passed to capture the circumferential fibers of the meniscus and the luggage-tag suture is passed to capture the radial fibers of the meniscal body, through a single transtibial tunnel. The aim of this repair is to restore the normal meniscal function. |
| first_indexed | 2024-12-17T06:35:38Z |
| format | Article |
| id | doaj.art-7c8d3a159e9d411f8b725905ac20441d |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-17T06:35:38Z |
| publishDate | 2021-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-7c8d3a159e9d411f8b725905ac20441d2022-12-21T22:00:01ZengElsevierArthroscopy Techniques2212-62872021-01-01101e21e27Arthroscopic Medial Meniscal Posterior Root Repair With Transtibial Luggage-Tag and Horizontal Mattress SuturesDavid Drynan, M.B.B.S., B.E., F.R.A.C.S.(Orth)0Marcel Betsch, M.H.B.A.1Waael Aljilani, M.B.B.S., S.B.Ortho2Daniel B. Whelan, F.R.C.S.3Division of Orthopaedic Surgery, University Hospital Network, Toronto Western Hospital, Toronto, Ontario, Canada; Address correspondence to David Drynan, M.B.B.S., B.E., F.R.A.C.S.(Orth), Orthopaedic Department, Toronto Western Hospital, 399 Bathurst St, Toronto, Ontario M5T 2S8, Canada.Division of Orthopaedic Surgery, University of Toronto, Women's College Hospital, Toronto, Ontario, CanadaDivision of Orthopaedic Surgery, University of Toronto, Women's College Hospital, Toronto, Ontario, CanadaDivision of Orthopaedic Surgery, University of Toronto, St Michael's Hospital, Toronto, Ontario, CanadaMedial meniscal posterior root repair techniques have shown positive yet varied results in the literature. The decision to perform repair has improved clinical outcomes in many situations, although the healing rate is approximately 64% and the repair strength is roughly one-third of the native root strength, with meniscal extrusion being common. We present a technique based on biomechanical evidence to obtain a strong anatomic posterior root repair to restore nearly normal knee mechanics, combining an increased size of footprint under the lateral aspect of the medial meniscal horn for healing and a luggage-tag suture with a posteriorly placed horizontal mattress suture. The horizontal mattress suture is passed to capture the circumferential fibers of the meniscus and the luggage-tag suture is passed to capture the radial fibers of the meniscal body, through a single transtibial tunnel. The aim of this repair is to restore the normal meniscal function.http://www.sciencedirect.com/science/article/pii/S2212628720302450 |
| spellingShingle | David Drynan, M.B.B.S., B.E., F.R.A.C.S.(Orth) Marcel Betsch, M.H.B.A. Waael Aljilani, M.B.B.S., S.B.Ortho Daniel B. Whelan, F.R.C.S. Arthroscopic Medial Meniscal Posterior Root Repair With Transtibial Luggage-Tag and Horizontal Mattress Sutures Arthroscopy Techniques |
| title | Arthroscopic Medial Meniscal Posterior Root Repair With Transtibial Luggage-Tag and Horizontal Mattress Sutures |
| title_full | Arthroscopic Medial Meniscal Posterior Root Repair With Transtibial Luggage-Tag and Horizontal Mattress Sutures |
| title_fullStr | Arthroscopic Medial Meniscal Posterior Root Repair With Transtibial Luggage-Tag and Horizontal Mattress Sutures |
| title_full_unstemmed | Arthroscopic Medial Meniscal Posterior Root Repair With Transtibial Luggage-Tag and Horizontal Mattress Sutures |
| title_short | Arthroscopic Medial Meniscal Posterior Root Repair With Transtibial Luggage-Tag and Horizontal Mattress Sutures |
| title_sort | arthroscopic medial meniscal posterior root repair with transtibial luggage tag and horizontal mattress sutures |
| url | http://www.sciencedirect.com/science/article/pii/S2212628720302450 |
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