All-Inside Arthroscopic Meniscal Repair With Meniscal Cinch

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Presentation transcript:

All-Inside Arthroscopic Meniscal Repair With Meniscal Cinch Vipool K. Goradia, M.D. Arthroscopy Techniques Volume 2, Issue 2, Pages e171-e174 (May 2013) DOI: 10.1016/j.eats.2013.01.010 Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 1 Meniscal Cinch with metal cannula showing black markings in 2-mm increments (white arrow), depth stop with white markings in 2-mm increments (black arrow), and delivery needles 1 and 2 (stars). The ideal method for holding the Meniscal Cinch is also shown. Arthroscopy Techniques 2013 2, e171-e174DOI: (10.1016/j.eats.2013.01.010) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 2 Implant insertion. (A) The delivery needle (arrow) is inserted beyond the metal cannula so that it can pierce the meniscus. (B) The needle and implant penetrate the meniscus. Arthroscopy Techniques 2013 2, e171-e174DOI: (10.1016/j.eats.2013.01.010) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 3 After removal of delivery needle 1, the second needle is locked into place by pushing directly down. Arthroscopy Techniques 2013 2, e171-e174DOI: (10.1016/j.eats.2013.01.010) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 4 As needle 2 is advanced into the cannula, suture slack within the joint can be removed by pulling on the suture in the direction of the arrow. Arthroscopy Techniques 2013 2, e171-e174DOI: (10.1016/j.eats.2013.01.010) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 5 A disposable knot pusher/suture cutter is advanced in line with the suture for final tensioning. Arthroscopy Techniques 2013 2, e171-e174DOI: (10.1016/j.eats.2013.01.010) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 6 Final appearance of vertical mattress stitch. (A) Both implants are sitting securely on the capsule. (B) The knot is buried in the meniscus and cannot be seen. Arthroscopy Techniques 2013 2, e171-e174DOI: (10.1016/j.eats.2013.01.010) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions