Jarret M. Woodmass, M. D. , F. R. C. S. C. , Joshua D. Johnson, M. D

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Presentation transcript:

Horizontal Cleavage Meniscus Tear Treated With All-inside Circumferential Compression Stitches Jarret M. Woodmass, M.D., F.R.C.S.C., Joshua D. Johnson, M.D., Isabella T. Wu, B.A., Daniel B.F. Saris, M.D., Ph.D., Michael J. Stuart, M.D., Aaron J. Krych, M.D. Arthroscopy Techniques Volume 6, Issue 4, Pages e1329-e1333 (August 2017) DOI: 10.1016/j.eats.2017.05.016 Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 1 Arthroscopic image viewed from the anterolateral portal showing a horizontal tear of the left medial meniscus after mechanical stimulation (rasping) to promote bleeding for biologic augmentation. Arthroscopy Techniques 2017 6, e1329-e1333DOI: (10.1016/j.eats.2017.05.016) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 2 Arthroscopic images of the medial compartment of a left knee. An anterolateral viewing portal shows placement of a circumferential compression stitch using the Ceterix Novostitch device through an anteromedial working portal. (A) The upper jaw is placed over the superior aspect of the meniscus and advanced to the meniscocapsular junction. (B) The lower jaw is advanced under the inferior leaflet of the meniscus tear. (C) After the suture has been passed through the meniscus with free limbs superior and inferior to the meniscus tear. (D) After the 2 suture limbs have been tied arthroscopically forming a circumferential compression stitch. Arthroscopy Techniques 2017 6, e1329-e1333DOI: (10.1016/j.eats.2017.05.016) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 3 Arthroscopic images of a medial meniscus horizontal cleavage repair in a left knee. (A) Viewing is from the anterolateral portal using the anteromedial portal for instrument passage while repairing the posterior third of the medial meniscus. (B) Viewing is from the anteromedial portal using the anterolateral portal for instrument passage while repairing the mid-body of the meniscus. Arthroscopy Techniques 2017 6, e1329-e1333DOI: (10.1016/j.eats.2017.05.016) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 4 Arthroscopic image viewing from the anteromedial portal with the probe inserted from the anterolateral portal showing repair of a horizontal cleavage meniscus tear in a left knee using circumferential compression stitches. Arthroscopy Techniques 2017 6, e1329-e1333DOI: (10.1016/j.eats.2017.05.016) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 5 Schematic image showing the concept of circumferential compression stitch fixation for the treatment of a horizontal cleavage meniscus tear. Arthroscopy Techniques 2017 6, e1329-e1333DOI: (10.1016/j.eats.2017.05.016) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions