Summary
Twenty-nine patients underwent meniscal repair using an inside-to-out technique and instruments developed in our department. The tears were more than 1.5 cm in length, vertical, and located in the outer third of the meniscus. The torn segment was mobile, the remainder of the meniscus stable. After six months, fourteen out of sixteen patients achieved a good or excellent Lysholm knee score. We conclude that the technique is safe and reliable and allows better access than an arthrotomy. Care must be taken to avoid neurovascular injury.
Résumé
Vingt-neuf malades ont bénéficié d'une réinsertion méniscale arthroscopique selon une technique et avec l'aide d'instruments mis au point dans notre service. Les déchirures n'avaient pas plus de 1,5 cm de longueur, étaient verticales et situées dans le tiers périphérique du ménisque. Le segment déchiré était mobile et le reste du ménisque stable. Au sixième mois quatorze des seize opérés présentaient un bon ou un excellent résultat (selon la cotation du genou de Lysholm). Nous en concluons que cette technique est sûre et que'elle est mieux réalisable que par arthrotomie. Il faut prendre soin d'éviter tout traumatisme neuro-vasculaire.
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Johannsen, H.V., Fruensgaard, S., Holm, A. et al. Arthroscopic suture of peripheral meniscal tears. International Orthopaedics 12, 287–290 (1988). https://doi.org/10.1007/BF00317826
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DOI: https://doi.org/10.1007/BF00317826