On average, 10 to 12 sutures are used to create a stronger construct. The same process is repeated adjacent to the previous suture, with sutures in both the superior and inferior borders of the meniscus placed between 3 and 5 mm apart. The needles are cut from the sutures, and the suture ends are clamped while slight tension is being maintained. The knee can be flexed to 70° to 90° to help with retrieval of the needle. To start passing the sutures, the knee is positioned in 20° to 30° of flexion and the meniscal needle is advanced through the superior or inferior aspect of the meniscus, and the corresponding portion of the capsule is then penetrated with the second needle of the suture. 2.0 FiberWire Arthrex) into the meniscus. A self-delivery gun fitted with a cannula (Sharpshooter Ivy Sports Medicine, Montvale, NJ) is used to pass double-loaded nonabsorbable sutures (No. Inside-out meniscal repair is then performed on the lateral meniscus in a left knee. Adhesions are released, and the posterior neurovascular structures are protected. Each approach begins with sharp dissection and is followed by blunt dissection. Then, the posteromedial approach is shown on a cadaver. The posterolateral approach is shown first. The patient is positioned supine on the operating table, the foot of the bed is lowered, and the contralateral leg is abducted. Video 1 Inside-out meniscal repair technique and corresponding posterolateral and posteromedial surgical approaches.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |