Repair of Complex and Avascular Meniscal Tears and Meniscal Transplantation by Frank R. Noyes, and Sue D. Barber-Westin J Bone Joint Surg Am Volume 92(4):1012-1029.

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Presentation transcript:

Repair of Complex and Avascular Meniscal Tears and Meniscal Transplantation by Frank R. Noyes, and Sue D. Barber-Westin J Bone Joint Surg Am Volume 92(4): April 1, 2010 ©2010 by The Journal of Bone and Joint Surgery, Inc.

The accessory posteromedial approach for a repair of the medial meniscus. Frank R. Noyes, and Sue D. Barber-Westin J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

The accessory posterolateral approach for a repair of the lateral meniscus. Frank R. Noyes, and Sue D. Barber-Westin J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Cross section showing a popliteal retractor between the lateral aspect of the gastrocnemius and the posterior aspect of the capsule. Frank R. Noyes, and Sue D. Barber-Westin J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Double-stacked vertical suture pattern used for the repair of longitudinal meniscal tears. Frank R. Noyes, and Sue D. Barber-Westin J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Double-stacked repair technique for double longitudinal tears. Frank R. Noyes, and Sue D. Barber-Westin J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Left: A double longitudinal medial meniscal tear consisting of a peripheral tear and another tear at the red-white junction (arrows). Frank R. Noyes, and Sue D. Barber-Westin J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Frank R. Noyes, and Sue D. Barber-Westin J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Frank R. Noyes, and Sue D. Barber-Westin J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

A lateral meniscus transplant with a central bone bridge ready to be placed into the tibial slot. Frank R. Noyes, and Sue D. Barber-Westin J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Lateral meniscus graft in place and sutured. Frank R. Noyes, and Sue D. Barber-Westin J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Weight-bearing posteroanterior radiograph of a thirty-six-year-old woman, made six years after medial meniscus transplantation with a central bone bridge, showing incorporation of the bone bridge into the host with preservation of the medial joint space. Frank R. Noyes, and Sue D. Barber-Westin J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Appearance of the final anterior and posterior tunnel fixation of a medial meniscus transplant and vertical divergent sutures. Frank R. Noyes, and Sue D. Barber-Westin J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.