Arthroscopic Repair of Double Radial Tears of the Lateral Meniscus

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Presentation transcript:

Arthroscopic Repair of Double Radial Tears of the Lateral Meniscus Nels D. Leafblad, M.D., Devin P. Leland, B.S., Christopher L. Camp, M.D., Michael J. Stuart, M.D., Aaron J. Krych, M.D.  Arthroscopy Techniques  Volume 8, Issue 6, Pages e541-e547 (June 2019) DOI: 10.1016/j.eats.2019.01.015 Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 1 (A) Axial MRI image of a right knee demonstrating a radial tear of the lateral meniscus body (red arrow) and extrusion of the meniscus (yellow arrow). (B) Coronal MRI image of a right knee demonstrating detachment of the posterior root of the lateral meniscus (red arrow). Arthroscopy Techniques 2019 8, e541-e547DOI: (10.1016/j.eats.2019.01.015) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 2 Arthroscopy set up with patient in supine position and the injured leg prepped and draped in the usual sterile manner. Arthroscopy Techniques 2019 8, e541-e547DOI: (10.1016/j.eats.2019.01.015) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 3 (A) Before and (B) after the lateral meniscus body repair. Arthroscopy Techniques 2019 8, e541-e547DOI: (10.1016/j.eats.2019.01.015) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 4 (A) Arthrex tibial guide inserted in the inferolateral portal of a right knee, (B) demonstrating its ability to swivel to an anteromedial location on the tibia. Arthroscopy Techniques 2019 8, e541-e547DOI: (10.1016/j.eats.2019.01.015) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 5 (A) With the guide inserted in the inferolateral portal, viewing from inferomedial portal, the markings (5, 7.5, and 10 mm) on the guide allow dialing in the exact location of the meniscus root footprint in comparison to the posterior tibial plateau for anatomic repair. (B) The Arthrex FlipCutter, when flipped, creates a 6-mm socket. Arthroscopy Techniques 2019 8, e541-e547DOI: (10.1016/j.eats.2019.01.015) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 6 (A) Viewing from inferomedial portal, (B) the posterior root repair using 2 cinch sutures is (C) anchored through the transtibial tunnel. Arthroscopy Techniques 2019 8, e541-e547DOI: (10.1016/j.eats.2019.01.015) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 7 (A) Before and (B) after arthroscopic images of the lateral meniscus body (red arrow) and posterior root repair (yellow arrow). Arthroscopy Techniques 2019 8, e541-e547DOI: (10.1016/j.eats.2019.01.015) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions