Advances in Arthroscopic Suture Techniques for Meniscal Injuries

Qipeng WANG; Kaiyu HOU; Chuan HE; Qinggang ZHAO

doi:10.12259/j.issn.2095-610X.S20231228

Volume 44 Issue 12

Dec. 2023

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Article Navigation > Journal of Kunming Medical University > 2023 > 44(12): 177-183

Qipeng WANG, Kaiyu HOU, Chuan HE, Qinggang ZHAO. Advances in Arthroscopic Suture Techniques for Meniscal Injuries[J]. Journal of Kunming Medical University, 2023, 44(12): 177-183. doi: 10.12259/j.issn.2095-610X.S20231228

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Qipeng WANG, Kaiyu HOU, Chuan HE, Qinggang ZHAO. Advances in Arthroscopic Suture Techniques for Meniscal Injuries[J]. Journal of Kunming Medical University, 2023, 44(12): 177-183. doi: 10.12259/j.issn.2095-610X.S20231228

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Advances in Arthroscopic Suture Techniques for Meniscal Injuries

doi: 10.12259/j.issn.2095-610X.S20231228

Qipeng WANG¹,
Kaiyu HOU^{2
,
,},
Chuan HE^{3
,
,},
Qinggang ZHAO²

1.
School of Clinical Medicine，Dali University，Dali Yunnan 671000
2.
Dept.of Orthopedics And Trauma Surgery，Affiliated Hospital of Yunnan University /The 2nd People’s Hospital of Yunnan Province，Kunming Yunnan 650021
3.
Dept. of Sports Medicine，The 1st Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650032，China

Received Date: 2023-02-10
Available Online: 2023-12-22
Publish Date: 2023-12-25

Abstract

Abstract

The meniscus in the knee joint plays an important role in bearing load, shock absorption, joint lubrication, and increasing the stability of the knee joint in various directions. Meniscal injury is a common ailment in knee joint injuries, which can cause severe knee pain and limited knee joint movement, significantly affecting the patient's quality of life. Arthroscopic minimally invasive treatment has become the main approach for treating meniscal injuries, with the consensus being to preserve the meniscus morphology and structure as much as possible. By introducing the structure and function of the meniscus, the mechanism of injury, and focusing on several suture techniques for arthroscopic meniscal injury treatment, analyzing their advantages and disadvantages, it aims to provide some reference for clinical research on arthroscopic suture of the meniscus.
- Arthroscopy,
- Meniscus injury,
- Technique of suture

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References(49)

References

[1]	Cinque M E, DePhillipo N N, Moatshe G, et al. Clinical outcomes of inside-out meniscal repair according to anatomic zone of the meniscal tear[J]. Orthop J Sports Med, 2019, 7（7）: 2325967119860806.
[2]	Ewing M A,Stannard J P,Cook J L. Diagnosis and management of articular cartilage and meniscus pathology in the posterior cruciate ligament-injured knee[J]. J Knee Surg,2021,34(6):599-604. doi: 10.1055/s-0041-1725176
[3]	杨远,张凯搏,付维力,等. 系统评价运动性半月板损伤的流行病学特征[J]. 中国组织工程研究,2019,23(31):5079-5084. doi: 10.3969/j.issn.2095-4344.1345
[4]	Alomar A Z,Al Jedia K M,Shadid A M,et al. Concurrent research around meniscus: A bibliometric analysis and review of the top fifty cited papers[J]. Indian J Orthop,2022,56(5):785-796. doi: 10.1007/s43465-021-00592-2
[5]	仇建军,邹翰林,张磊,等. 富血小板血浆修复半月板损伤的研究进展[J]. 国际骨科学杂志,2021,42(5):305-309.
[6]	宁梓文,王旭,施政良,等. 半月板非血供区损伤的修复方案[J]. 中国组织工程研究,2023,27(3):420-426.
[7]	谭晋殿,胡华明,杨松,等. 影响富血小板血浆联合关节镜治疗Ⅲ度半月板损伤膝关节功能恢复时间的因素分析[J]. 昆明医科大学学报,2023,44(5):111-116.
[8]	闫理想,张正,张德志,等. 关节镜联合富含血小板血浆治疗半月板体部及后根部损伤的术后疗效[J]. 昆明医科大学学报,2020,41(3):50-56. doi: 10.3969/j.issn.1003-4706.2020.03.009
[9]	Kemmochi M,Sasaki S,Takahashi M,et al. The use of platelet-rich fibrin with platelet-rich plasma support meniscal repair surgery[J]. J Orthop,2018,15(2):711-720. doi: 10.1016/j.jor.2018.05.006
[10]	Almaawi A,Awwad W,Bamugaddam A,et al. Prevalence of knee injuries among male college students in Riyadh,Kingdom of Saudi Arabia[J]. J Orthop Surg Res,2020,15(1):126. doi: 10.1186/s13018-020-01638-1
[11]	王枫. 体育运动中膝关节半月板的损伤与修复分析[J]. 健与美, 2022, （4）: 106-109.
[12]	Arner J W,Ruzbarsky J J,Vidal A F,et al. Meniscus repair part 2: Technical aspects,biologic augmentation,rehabilitation,and outcomes[J]. J Am Acad Orthop Surg,2022,30(13):613-619. doi: 10.5435/JAAOS-D-21-01153
[13]	Warren R F. Arthroscopic meniscus repair[J]. Arthroscopy,1985,1(3):170-172. doi: 10.1016/S0749-8063(85)80005-0
[14]	Raoulis V Sr,Fyllos A,Baltas C,et al. Clinical and radiological outcomes after isolated anterior horn repair of medial and lateral meniscus at 24 months' follow-up,with the outside-in technique[J]. Cureus,2021,13(9):e17917.
[15]	Silberberg Muiño J M,Nilo Fulvi A,Gimenez M,et al. Outside-in single-lasso loop technique for meniscal repair: Fast,economic,and reproducible[J]. Arthrosc Tech,2018,7(11):e1191-e1196. doi: 10.1016/j.eats.2018.08.001
[16]	贾洪磊. 关节镜下借助腰穿针过线修复半月板前角撕裂的临床疗效观察[D]. 南昌: 南昌大学, 2018.
[17]	曾伟清,唐刚健,柴晟. 改良无切口针孔式外内多针缝合术在半月板前体部损伤中的应用[J]. 广西医学,2018,40(10):1155-1156,1163.
[18]	Liu Z D,Xu T M,Dang Y,et al. A mid-term clinical follow-up study on repair of the meniscus tears by a modified arthroscopic outside-in puncture suture technique[J]. Beijing Da Xue Xue Bao Yi Xue Ban,2020,52(5):870-874.
[19]	Almeida A M,Rodrigues M B,Rezende M U,et al. Meniscal repair results comparing MRI,arthro-MRI,and arthro-CT[J]. Acta Ortop Bras,2018,26(3):166-169. doi: 10.1590/1413-785220182603184536
[20]	Elmallah R,Jones L C,Malloch L,et al. A meta-analysis of arthroscopic meniscal repair: Inside-out versus outside-in versus all-inside techniques[J]. J Knee Surg,2019,32(8):750-757. doi: 10.1055/s-0038-1668123
[21]	代朋乙,王培召,谭红略,等. 关节镜下外-内-外缝合治疗半月板撕裂的临床效果观察[J]. 中国医刊,2023,58(04):401-404.
[22]	Imada A O,O'Hara J J,Proumen I L,et al. Bucket handle meniscus tears in low-resource settings can be successfully treated with a cost-effective technique[J]. Int Orthop,2022,46(1):43-49. doi: 10.1007/s00264-021-05090-6
[23]	Henning C E,Clark J R,Lynch M A,et al. Arthroscopic meniscus repair with a posterior incision[J]. Instr Course Lect,1988,37:209-221.
[24]	李自钢. 半月板体后部撕裂All-inside （FasT-fix）与Inside-out缝合方法疗效比较研究[D]. 芜湖: 皖南医学院, 2020.
[25]	Aman Z S,Dickens J F,Dekker T J. Meniscal repair techniques for middle- and posterior-third tears[J]. Arthroscopy,2021,37(3):792-794. doi: 10.1016/j.arthro.2021.01.003
[26]	Kamiya T,Suzuki T,Otsubo H,et al. Midterm outcomes after arthroscopic surgery for hypermobile lateral meniscus in adults: Restriction of paradoxical motion[J]. J Orthop Sci,2018,23(6):1000-1004. doi: 10.1016/j.jos.2018.06.003
[27]	Marigi E M,Till S E,Wasserburger J N,et al. Inside-out approach to meniscus repair: still the gold standard?[J]. Curr Rev Musculoskelet Med,2022,15(4):244-251. doi: 10.1007/s12178-022-09764-5
[28]	Gousopoulos L,Grob C,Ahrens P,et al. How to avoid iatrogenic saphenous nerve injury during outside-in or inside-out medial meniscus sutures[J]. Arthrosc Tech,2022,11(2):e127-e132. doi: 10.1016/j.eats.2021.09.012
[29]	Morgan C D. The "all-inside" meniscus repair[J]. Arthroscopy,1991,7(1):120-125.
[30]	Zhuo H,Chen Q,Zhu F,et al. Arthroscopic side-to-side repair for complete radial posterior lateral meniscus root tears[J]. BMC MusculoskeletDisord,2020,21(1):130. doi: 10.1186/s12891-020-3156-1
[31]	Atsumi S,Hara K,Arai Y,et al. Outcomes of arthroscopic repair using the all-inside inter-leaf vertical suture technique for horizontal meniscal tears sustained in sports[J]. Medicine (Baltimore),2020,99(41):e22609.
[32]	Goh J K M,Tan T J,Kon C K K,et al. All-inside repair of bucket handle meniscus tears - mid-term outcomes with postoperative magnetic resonance imaging[J]. Knee,2021,30:195-204. doi: 10.1016/j.knee.2021.03.015
[33]	Doig T,Fagan P,Frush T,et al. The all-inside all-suture technique demonstrated better biomechanical behaviors in meniscus radial tear repair[J]. Knee Surg Sports Traumatol Arthrosc,2020,28(11):3606-3612. doi: 10.1007/s00167-020-06078-2
[34]	Cu é llar A,Cu é llar R,D í az Heredia J,et al. The all-inside meniscal repair technique has less risk of injury to the lateral geniculate artery than the inside-out repair technique when suturing the lateral meniscus[J]. Knee Surg Sports Traumatol Arthrosc,2018,26(3):793-798. doi: 10.1007/s00167-017-4490-1
[35]	Nishino K,Hashimoto Y,Nishida Y,et al. Incidence and risk factors for meniscal cyst after meniscal repair[J]. Arthroscopy,2019,35(4):1222-1229. doi: 10.1016/j.arthro.2018.11.039
[36]	Tanaka A,Tsujii A,Shimomura K,et al. Two uncommon complications related to suture knots after meniscal all-inside suture repair: A case report[J]. JBJS Case Connect,2022,12(3):e22.00014.
[37]	Geeslin A G,Civitarese D,Turnbull T L,et al. Influence of lateral meniscal posterior root avulsions and the meniscofemoral ligaments on tibiofemoral contact mechanics[J]. Knee Surg Sports Traumatol Arthrosc,2016,24(5):1469-77. doi: 10.1007/s00167-015-3742-1
[38]	Hussain Z B,Chahla J,Mandelbaum B R,et al. The role of meniscal tears in spontaneous osteonecrosis of the knee: A systematic review of suspected etiology and a call to revisit nomenclature[J]. Am J Sports Med,2019,47(2):501-507. doi: 10.1177/0363546517743734
[39]	Feucht M J,Kühle J,Bode G,et al. Arthroscopic transtibial pullout repair for posterior medial meniscus root tears: A systematic review of clinical,radiographic,and second-look arthroscopic results[J]. Arthroscopy,2015,31(9):1808-1816. doi: 10.1016/j.arthro.2015.03.022
[40]	Hiranaka T,Furumatsu T,Kamatsuki Y,et al. The distance between the tibial tunnel aperture and meniscal root attachment is correlated with meniscal healing status following transtibial pullout repair for medial meniscus posterior root tear[J]. Knee,2020,27(3):899-905. doi: 10.1016/j.knee.2020.02.025
[41]	Familiari F,Palco M,Russo R,et al. Arthroscopic repair of posterior root tears of the lateral meniscus with all-suture anchor[J]. Arthrosc Tech,2022,11(5):e781-e787. doi: 10.1016/j.eats.2021.12.037
[42]	Wang Y,Chen J,Li D,et al. Single needle all-inside technique for lateral meniscus repair at popliteal hiatus area: Safe,effective,and time-saving[J]. Arthrosc Tech,2023,12(3):e371-e375. doi: 10.1016/j.eats.2022.11.018
[43]	Fang C H,Liu H,Di Z L,et al. Arthroscopic all-inside repair with suture hook for horizontal tear of the lateral meniscus at the popliteal hiatus region: A preliminary report[J]. BMC Musculoskelet Disord,2020,21(1):52. doi: 10.1186/s12891-020-3066-2
[44]	Chen N C,Martin S D,Gill T J. Risk to the lateral geniculate artery during arthroscopic lateral meniscal suture passage[J]. Arthroscopy,2007,23(6):642-646. doi: 10.1016/j.arthro.2007.01.003
[45]	Tomsan H,Gorbachova T,Fritz R C,et al. Knee MRI: meniscus roots,ramps,repairs,and repercussions[J]. Radiographics,2023,43(7):e220208. doi: 10.1148/rg.220208
[46]	Qalib Y O,Tang Y,Wang D,et al. Ramp lesion of the medial meniscus[J]. EFORT Open Rev,2021,6(5):372-379. doi: 10.1302/2058-5241.6.200126
[47]	Liu X,Zhang H,Feng H,et al. Is it necessary to repair stable ramp lesions of the medial meniscus during anterior cruciate ligament reconstruction? A prospective randomized controlled trial[J]. Am J Sports Med,2017,45(5):1004-1011. doi: 10.1177/0363546516682493
[48]	汤明,王寒琪,李谓林,等. 应用Fast-fix 360全内缝合技术修复半月板Ramp区损伤的临床研究[J]. 骨科,2020,11(3):186-191. doi: 10.3969/j.issn.1674-8573.2020.03.002
[49]	Gousopoulos L,Hopper G P,Saithna A,et al. Suture hook versus all-inside repair for longitudinal tears of the posterior horn of the medial meniscus concomitant to anterior cruciate ligament reconstruction: A matched-pair analysis from the SANTI study group[J]. Am J Sports Med,2022,50(9):2357-2366. doi: 10.1177/03635465221100973

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