A Novel and Cheap Method of Outside-In Meniscal Repair for Anterior Horn Tears Simon M. Thompson, M.B.B.S., B.Sc.(Hons), M.Sc., M.D.(Res), F.R.C.S.(Tr&Orth),

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Presentation transcript:

A Novel and Cheap Method of Outside-In Meniscal Repair for Anterior Horn Tears Simon M. Thompson, M.B.B.S., B.Sc.(Hons), M.Sc., M.D.(Res), F.R.C.S.(Tr&Orth), Tim Spalding, F.R.C.S.(Orth), Sam Church, F.R.C.S.(Orth) Arthroscopy Techniques Volume 3, Issue 2, Pages e233-e235 (April 2014) DOI: 10.1016/j.eats.2013.11.001 Copyright © 2014 Terms and Conditions

Fig 1 Suture setup inside 21-gauge needle with placement of loop in knee. Arthroscopy Techniques 2014 3, e233-e235DOI: (10.1016/j.eats.2013.11.001) Copyright © 2014 Terms and Conditions

Fig 2 Both loops are vertically stacked. The first loop is pulled through the second loop through the arthroscopic portal with a grasper or clip. Arthroscopy Techniques 2014 3, e233-e235DOI: (10.1016/j.eats.2013.11.001) Copyright © 2014 Terms and Conditions

Fig 3 One limb of the suture loop is pulled completely out through the arthroscopic portal. The other limb remains through the meniscus and capsule. Arthroscopy Techniques 2014 3, e233-e235DOI: (10.1016/j.eats.2013.11.001) Copyright © 2014 Terms and Conditions

Fig 4 The loop still in the knee is pulled out completely through the meniscus, bringing the portal limb back through and creating a vertical mattress suture. Arthroscopy Techniques 2014 3, e233-e235DOI: (10.1016/j.eats.2013.11.001) Copyright © 2014 Terms and Conditions

Fig 5 The suture is in place and is ready to be tied externally over the capsule. Arthroscopy Techniques 2014 3, e233-e235DOI: (10.1016/j.eats.2013.11.001) Copyright © 2014 Terms and Conditions