A pull out suture for transection of the posterior horn of the medial meniscus: Using a posterior trans-septal portal

Jin Hwan Ahn, Joon Ho Wang, Jae Chul Yoo, Haeng Kee Noh, Jung Ho Park

Research output: Contribution to journalArticle

93 Citations (Scopus)

Abstract

A transection (root tear or complete radial tear) injury of the medial meniscus posterior horn is not rare in the oriental area and needs to be repaired to restore the hoop tension and to reduce the extruded meniscus, which leads to osteoarthritis of the knee. In cases with transection of the medial meniscus posterior horn, the meniscus can be repaired by a pull out suture technique. However, it is difficult to manipulate a suture hook and drill a tibial tunnel in the narrow medial joint space using the traditional anterior arthroscopic technique. This article describes a new pull out suture technique for transection of the medial meniscus posterior horn using a posterior trans-septal portal that provides a safe and wide field of vision. The handling of the suture hook and a guide may reduce the possibility of a chondral or meniscal injury.

Original languageEnglish
Pages (from-to)1510-1513
Number of pages4
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Volume15
Issue number12
DOIs
Publication statusPublished - 2007 Dec

Keywords

  • Medial meniscus posterior horn
  • Posterior trans-septal portal
  • Pull out suture
  • Transection

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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