Reparación Meniscal con Técnica Todo Adentro
Keywords:
Meniscal Suture, All InsideAbstract
Meniscus conservation is essential because it is a cartilaginous structure that fulfills very important functions related to the preservation of articular cartilage and stabilization of the knee.
The all-inside meniscal suture technique has the advantage that can be use in any area of the meniscus.
There is evidence of better results with meniscal suture versus meniscectomy.
We evaluated 28 patients with meniscal suture with all inside technique. We used Tegner and Lysholm subjective score.
Of the total of the sample there were 2 patients that required a second surgery due to suture failure, however most of the patients experienced a clear improvement.
The all-inside meniscal suture has the advantage of being a fast, safe technique, which usually does not require additional incisions.
Downloads
References
McDermott ID, Amis AA. The consequences of meniscectomy. J Bone Joint Surg Br. 2006 Dec;88(12):1549–56.
Bryceland JK, Powell AJ, Nunn T. Knee Menisci. Cartilage. 2017 Apr;8(2):99–104.
Lutz C, Dalmay F, Ehkirch FP, Cucurulo T, Laporte C, Le Henaff G, et al. Meniscectomy versus meniscal repair: 10 years radiological and clinical results in vertical lesions in stable knee. Orthop Traumatol Surg Res. 2015 Dec;101(8 Suppl):S327-31.
Stein T, Mehling AP, Welsch F, von Eisenhart-Rothe R, Jäger A. Long-term outcome after arthroscopic meniscal repair versus arthroscopic partial meniscectomy for traumatic meniscal tears. Am J Sports Med. 2010 Aug;38(8):1542–8.
Henning CE. Arthroscopic repair of meniscus tears. Orthopedics. 1983 Sep 1;3(9):1130–2.
Brown GC, Rosenberg TD, Deffner KT. Inside-out meniscal repair using zone-specific instruments. Am J Knee Surg. 1996;9(3):144–50.
Shelton WR. Arthroscopic Meniscus Repair: Inside-Out Technique. In: Chow JCY, editor. Advanced Arthroscopy. New York, NY: Springer New York; 2001. p. 335–8.
DePhillipo NN, Cinque ME, Kennedy NI, Chahla J, Geeslin AG, Moatshe G, et al. Inside-Out Repair of Meniscal Ramp Lesions. Arthrosc Tech. 2017 Aug 14;6(4):e1315–20.
Chahla J, Serra Cruz R, Cram TR, Dean CS, LaPrade RF. Inside-Out Meniscal Repair: Medial and Lateral Approach. Arthrosc Tech. 2016 Feb 15;5(1):e163-8.
Anderson AW, LaPrade RF. Common peroneal nerve neuropraxia after arthroscopic inside-out lateral meniscus repair. J Knee Surg. 2009 Jan;22(1):27–9.
Atbaşı Z, Erdem Y, Neyişci Ç, Yılmaz B, Demiralp B. An anatomical examination of iatrogenic nerve injury during inside out meniscus repair with flexion and extension of the knee. Ulus Travma Acil Cerrahi Derg. 2019 Oct;25(6):555–60.
Cruz-López F, Trueba C, Almazán A, Sierra L, Francisco P, Villalobos-Cordova E, et al. Meniscal repair using the inside-out technique with cross stitch. Sports Med Arthrosc. 2012 Jun;20(2):101–5.
Noyes FR, Barber-Westin SD. Arthroscopic repair of meniscal tears extending into the avascular zone in patients younger than twenty years of age. Am J Sports Med. 2002 Aug;30(4):589–600.
Higuchi H, Kimura M, Shirakura K, Terauchi M, Takagishi K. Factors affecting long-term results after arthroscopic partial meniscectomy. Clin Orthop Relat Res. 2000 Aug;(377):161–8.
Cinque ME, DePhillipo NN, Moatshe G, Chahla J, Kennedy MI, Dornan GJ, et al. Clinical Outcomes of Inside-Out Meniscal Repair According to Anatomic Zone of the Meniscal Tear. Orthop J Sports Med. 2019 Jul 25;7(7):2325967119860806.
Elmallah R, Jones LC, Malloch L, Barrett GR. A Meta-Analysis of Arthroscopic Meniscal Repair: Inside-Out versus Outside-In versus All-Inside Techniques. J Knee Surg. 2019 Aug;32(8):750–7.
Chahla J, Dean CS, Matheny LM, Mitchell JJ, Cinque ME, LaPrade RF. Outcomes of Inside-out Meniscal Repair in the Setting of Multiligament Reconstruction in the Knee. Am J Sports Med. 2017 Jul;45(9):2098–104.
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Pablo Rainaudi, Matías Medus, Zaira Lamar, Jorge Batista, Rodrigo Maestu
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
This work is published under a Creative Commons Attribution–NonCommercial–ShareAlike 4.0 International License (CC BY-NC-SA 4.0). The authors retain the copyright.
