Circumferential-Surrounding (“Sandwich”) Meniscal Repair: A Salvage Technique to Save the Meniscus
Meniscal injuries are extremely common in the general and athletic populations. The management strategy has switched from meniscectomy to meniscal-preserving techniques. It is nowadays extensively accepted that surgeons have to do their best to repair the meniscus and try to preserve as much tissue...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-10-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628720301523 |
| _version_ | 1831546219017535488 |
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| author | Eduard Alentorn-Geli, M.D., M.Sc., Ph.D., F.E.B.O.T., F.A.C.G.M.E. Xavier Cuscó, M.D. Jordi Navarro, R.N. Roberto Seijas, M.D., Ph.D. David Barastegui, M.D., M.Sc., Ph.D. Gonzalo Samitier, M.D., Ph.D., F.E.B.O.T. Gilbert Steinbacher, M.D. Pedro Álvarez-Díaz, M.D., Ph.D. Jorge Ramírez, M.D., D.O. Ramón Cugat, M.D., Ph.D. |
| author_facet | Eduard Alentorn-Geli, M.D., M.Sc., Ph.D., F.E.B.O.T., F.A.C.G.M.E. Xavier Cuscó, M.D. Jordi Navarro, R.N. Roberto Seijas, M.D., Ph.D. David Barastegui, M.D., M.Sc., Ph.D. Gonzalo Samitier, M.D., Ph.D., F.E.B.O.T. Gilbert Steinbacher, M.D. Pedro Álvarez-Díaz, M.D., Ph.D. Jorge Ramírez, M.D., D.O. Ramón Cugat, M.D., Ph.D. |
| author_sort | Eduard Alentorn-Geli, M.D., M.Sc., Ph.D., F.E.B.O.T., F.A.C.G.M.E. |
| collection | DOAJ |
| description | Meniscal injuries are extremely common in the general and athletic populations. The management strategy has switched from meniscectomy to meniscal-preserving techniques. It is nowadays extensively accepted that surgeons have to do their best to repair the meniscus and try to preserve as much tissue as possible. However, in many cases the tissue quality is poor and the tear pattern is complex. In such scenarios, meniscal repair has a lower success rate. In the present surgical technique, an arthroscopic all-inside circumferential-surrounding meniscal repair technique is presented. Any meniscal tissue or the meniscal rim is first debrided to a bleeding bed. Then, an all-inside device is used to create vertical sutures from capsule to capsule surrounding the entire meniscus (circumferential-surrounding). Care should be taken not to tighten the suture too much to avoid cutting the meniscal tissue. This easy and effective repair technique “packs” the meniscal tear fragments altogether and allows the surgeon to save the meniscus when facing with irreparable, degenerative, complex meniscus tears. |
| first_indexed | 2024-12-17T01:42:18Z |
| format | Article |
| id | doaj.art-7fb22bd8662f4471b66c501ab7dab6b5 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-17T01:42:18Z |
| publishDate | 2020-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-7fb22bd8662f4471b66c501ab7dab6b52022-12-21T22:08:18ZengElsevierArthroscopy Techniques2212-62872020-10-01910e1467e1473Circumferential-Surrounding (“Sandwich”) Meniscal Repair: A Salvage Technique to Save the MeniscusEduard Alentorn-Geli, M.D., M.Sc., Ph.D., F.E.B.O.T., F.A.C.G.M.E.0Xavier Cuscó, M.D.1Jordi Navarro, R.N.2Roberto Seijas, M.D., Ph.D.3David Barastegui, M.D., M.Sc., Ph.D.4Gonzalo Samitier, M.D., Ph.D., F.E.B.O.T.5Gilbert Steinbacher, M.D.6Pedro Álvarez-Díaz, M.D., Ph.D.7Jorge Ramírez, M.D., D.O.8Ramón Cugat, M.D., Ph.D.9Instituto Cugat, Barcelona, Spain; Fundación García Cugat, SL, Barcelona, Spain; Mutualidad Catalana de Futbolistas, Federación Española de Fútbol, Barcelona, SpainInstituto Cugat, Barcelona, Spain; Fundación García Cugat, SL, Barcelona, SpainInstituto Cugat, Barcelona, Spain; Fundación García Cugat, SL, Barcelona, Spain; Mutualidad Catalana de Futbolistas, Federación Española de Fútbol, Barcelona, SpainInstituto Cugat, Barcelona, Spain; Fundación García Cugat, SL, Barcelona, Spain; Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, SpainInstituto Cugat, Barcelona, Spain; Mutualidad Catalana de Futbolistas, Federación Española de Fútbol, Barcelona, Spain; Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, SpainInstituto Cugat, Barcelona, Spain; Fundación García Cugat, SL, Barcelona, SpainFundación García Cugat, SL, Barcelona, Spain; Mutualidad Catalana de Futbolistas, Federación Española de Fútbol, Barcelona, SpainInstituto Cugat, Barcelona, Spain; Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, SpainMutualidad Catalana de Futbolistas, Federación Española de Fútbol, Barcelona, SpainInstituto Cugat, Barcelona, Spain; Mutualidad Catalana de Futbolistas, Federación Española de Fútbol, Barcelona, Spain; Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain; Address correspondence to Ramón Cugat Bertomeu, M.D., Ph.D., Fundación García Cugat, Plaza Alfonso Comín 5, Planta -1, 08023 Barcelona, Spain.Meniscal injuries are extremely common in the general and athletic populations. The management strategy has switched from meniscectomy to meniscal-preserving techniques. It is nowadays extensively accepted that surgeons have to do their best to repair the meniscus and try to preserve as much tissue as possible. However, in many cases the tissue quality is poor and the tear pattern is complex. In such scenarios, meniscal repair has a lower success rate. In the present surgical technique, an arthroscopic all-inside circumferential-surrounding meniscal repair technique is presented. Any meniscal tissue or the meniscal rim is first debrided to a bleeding bed. Then, an all-inside device is used to create vertical sutures from capsule to capsule surrounding the entire meniscus (circumferential-surrounding). Care should be taken not to tighten the suture too much to avoid cutting the meniscal tissue. This easy and effective repair technique “packs” the meniscal tear fragments altogether and allows the surgeon to save the meniscus when facing with irreparable, degenerative, complex meniscus tears.http://www.sciencedirect.com/science/article/pii/S2212628720301523 |
| spellingShingle | Eduard Alentorn-Geli, M.D., M.Sc., Ph.D., F.E.B.O.T., F.A.C.G.M.E. Xavier Cuscó, M.D. Jordi Navarro, R.N. Roberto Seijas, M.D., Ph.D. David Barastegui, M.D., M.Sc., Ph.D. Gonzalo Samitier, M.D., Ph.D., F.E.B.O.T. Gilbert Steinbacher, M.D. Pedro Álvarez-Díaz, M.D., Ph.D. Jorge Ramírez, M.D., D.O. Ramón Cugat, M.D., Ph.D. Circumferential-Surrounding (“Sandwich”) Meniscal Repair: A Salvage Technique to Save the Meniscus Arthroscopy Techniques |
| title | Circumferential-Surrounding (“Sandwich”) Meniscal Repair: A Salvage Technique to Save the Meniscus |
| title_full | Circumferential-Surrounding (“Sandwich”) Meniscal Repair: A Salvage Technique to Save the Meniscus |
| title_fullStr | Circumferential-Surrounding (“Sandwich”) Meniscal Repair: A Salvage Technique to Save the Meniscus |
| title_full_unstemmed | Circumferential-Surrounding (“Sandwich”) Meniscal Repair: A Salvage Technique to Save the Meniscus |
| title_short | Circumferential-Surrounding (“Sandwich”) Meniscal Repair: A Salvage Technique to Save the Meniscus |
| title_sort | circumferential surrounding sandwich meniscal repair a salvage technique to save the meniscus |
| url | http://www.sciencedirect.com/science/article/pii/S2212628720301523 |
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