Arthroscopic Matrix-Based Meniscus Repair Surgical Technique With “Goat” Instrument

Human meniscal treatment with an arthroscopic matrix-based meniscal repair technique is a promising procedure. Heretofore, the procedure has required a skilled surgeon with a great amount of experience in knee arthroscopic surgery and meniscal suturing. A surgical technique using a “goat” delivery c...

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Main Authors: Kinga Ciemniewska-Gorzela, Ph.D., M.D., Tomasz Piontek, Ph.D., M.D., Jakub Naczk, Ph.D., M.D., Paweł Bąkowski, Ph.D., M.D., James Murray, M.D.
Format: Article
Language:English
Published: Elsevier 2023-08-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628723001196
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author Kinga Ciemniewska-Gorzela, Ph.D., M.D.
Tomasz Piontek, Ph.D., M.D.
Jakub Naczk, Ph.D., M.D.
Paweł Bąkowski, Ph.D., M.D.
James Murray, M.D.
author_facet Kinga Ciemniewska-Gorzela, Ph.D., M.D.
Tomasz Piontek, Ph.D., M.D.
Jakub Naczk, Ph.D., M.D.
Paweł Bąkowski, Ph.D., M.D.
James Murray, M.D.
author_sort Kinga Ciemniewska-Gorzela, Ph.D., M.D.
collection DOAJ
description Human meniscal treatment with an arthroscopic matrix-based meniscal repair technique is a promising procedure. Heretofore, the procedure has required a skilled surgeon with a great amount of experience in knee arthroscopic surgery and meniscal suturing. A surgical technique using a “goat” delivery clamp has been developed. Technique development followed extensive review and the application of earlier arthroscopic matrix-based meniscal repair techniques, along with cadaveric refinement of the proposed arthroscopic technique. The presented technique includes preparation of the meniscus with initial stabilization of the damaged fragments, preparation of the collagen matrix and placement of this matrix into the open jaws of the goat delivery clamp, introduction of the collagen matrix into the knee and placement of this matrix on the meniscus, suturing of the collagen matrix to the meniscus, and bone marrow blood aspirate injection between the collagen matrix and meniscus.
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spelling doaj.art-d9c51ea1d37d4d458216ec236fe4f6f32023-08-23T04:33:13ZengElsevierArthroscopy Techniques2212-62872023-08-01128e1417e1422Arthroscopic Matrix-Based Meniscus Repair Surgical Technique With “Goat” InstrumentKinga Ciemniewska-Gorzela, Ph.D., M.D.0Tomasz Piontek, Ph.D., M.D.1Jakub Naczk, Ph.D., M.D.2Paweł Bąkowski, Ph.D., M.D.3James Murray, M.D.4Department of Orthopedic Surgery, Rehasport Clinic, Poznań, Poland; Address correspondence to Kinga Ciemniewska-Gorzela, Ph.D., M.D., Department of Orthopedic Surgery, Rehasport Clinic, ul Górecka 30, 60-201 Poznań, Poland.Department of Orthopedic Surgery, Rehasport Clinic, Poznań, Poland; Department of Spine Disorders and Pediatric Orthopedics, University of Medical Sciences Poznan, Poznań, PolandDepartment of Orthopedic Surgery, Rehasport Clinic, Poznań, PolandDepartment of Orthopedic Surgery, Rehasport Clinic, Poznań, PolandAvon Orthopaedic Centre, Southmead Hospital, North Bristol NHS Trust, Bristol, England; University of Bristol Medical School, Bristol, EnglandHuman meniscal treatment with an arthroscopic matrix-based meniscal repair technique is a promising procedure. Heretofore, the procedure has required a skilled surgeon with a great amount of experience in knee arthroscopic surgery and meniscal suturing. A surgical technique using a “goat” delivery clamp has been developed. Technique development followed extensive review and the application of earlier arthroscopic matrix-based meniscal repair techniques, along with cadaveric refinement of the proposed arthroscopic technique. The presented technique includes preparation of the meniscus with initial stabilization of the damaged fragments, preparation of the collagen matrix and placement of this matrix into the open jaws of the goat delivery clamp, introduction of the collagen matrix into the knee and placement of this matrix on the meniscus, suturing of the collagen matrix to the meniscus, and bone marrow blood aspirate injection between the collagen matrix and meniscus.http://www.sciencedirect.com/science/article/pii/S2212628723001196
spellingShingle Kinga Ciemniewska-Gorzela, Ph.D., M.D.
Tomasz Piontek, Ph.D., M.D.
Jakub Naczk, Ph.D., M.D.
Paweł Bąkowski, Ph.D., M.D.
James Murray, M.D.
Arthroscopic Matrix-Based Meniscus Repair Surgical Technique With “Goat” Instrument
Arthroscopy Techniques
title Arthroscopic Matrix-Based Meniscus Repair Surgical Technique With “Goat” Instrument
title_full Arthroscopic Matrix-Based Meniscus Repair Surgical Technique With “Goat” Instrument
title_fullStr Arthroscopic Matrix-Based Meniscus Repair Surgical Technique With “Goat” Instrument
title_full_unstemmed Arthroscopic Matrix-Based Meniscus Repair Surgical Technique With “Goat” Instrument
title_short Arthroscopic Matrix-Based Meniscus Repair Surgical Technique With “Goat” Instrument
title_sort arthroscopic matrix based meniscus repair surgical technique with goat instrument
url http://www.sciencedirect.com/science/article/pii/S2212628723001196
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