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A pull out suture for transection of the posterior horn of the medial meniscus: using a posterior trans-septal portal

  • Technical Note
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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

A transection (root tear or complete radial tear) injury of the medial meniscus posterior horn is not rare in the oriental area and needs to be repaired to restore the hoop tension and to reduce the extruded meniscus, which leads to osteoarthritis of the knee. In cases with transection of the medial meniscus posterior horn, the meniscus can be repaired by a pull out suture technique. However, it is difficult to manipulate a suture hook and drill a tibial tunnel in the narrow medial joint space using the traditional anterior arthroscopic technique. This article describes a new pull out suture technique for transection of the medial meniscus posterior horn using a posterior trans-septal portal that provides a safe and wide field of vision. The handling of the suture hook and a guide may reduce the possibility of a chondral or meniscal injury.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50, Ilwon-dong, Kangnam-gu, Seoul, 135-710, South Korea

    Jin Hwan Ahn & Jae Chul Yoo

  2. Department of Orthopaedic Surgery, Ansan Hospital, Korea University School of Medicine, 516, Gojan-dong, Danwon-gu, Ansan City, Kyungki-do, 425-707, South Korea

    Joon Ho Wang, Haeng Kee Noh & Jung Ho Park

Authors
  1. Jin Hwan Ahn
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  2. Joon Ho Wang
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  3. Jae Chul Yoo
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  4. Haeng Kee Noh
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  5. Jung Ho Park
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Correspondence to Joon Ho Wang.

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Ahn, J.H., Wang, J.H., Yoo, J.C. et al. A pull out suture for transection of the posterior horn of the medial meniscus: using a posterior trans-septal portal. Knee Surg Sports Traumatol Arthr 15, 1510–1513 (2007). https://doi.org/10.1007/s00167-007-0310-3

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  • DOI: https://doi.org/10.1007/s00167-007-0310-3

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