Review article
Meniscal repair: Technique

https://doi.org/10.1016/j.otsr.2017.04.016Get rights and content
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Abstract

Meniscal repair aims to achieve meniscal healing, avoiding the adverse effects of meniscectomy. Longitudinal vertical tears in a vascularized area are the reference indication. The technique generally uses hybrid all-inside implants. The outside-in technique has other indications in more anterior tears. Healing has been demonstrated on CT-arthrography and arthroscopy. Specific techniques have been developed for other pathological situations. Posterior meniscosynovial lesions in a context of chronic anterior laxity are identified by exploration of the posterior compartment, and fixed by all-inside hook suture. Horizontal lesions in young athletes can be treated by open meniscal suture. Radial tears, when deep, can be repaired. Root tears, when traumatic, can be treated by transosseous pullout reinsertion.

Keywords

Meniscus
Meniscal repair
Longitudinal vertical tear
Meniscocapsular lesion
Ramp lesion
Horizontal cleavage
Root tear

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