de Faria, José Leonardo Rocha;
Pavão, Douglas Mello;
Villardi, Alfredo;
de Sousa, Eduardo Branco;
Guimarães, João Matheus;
do Carmo, José Maurício;
Mozella, Alan de Paula
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Media type:
E-Article
Title:
Continuous Meniscal Suture Technique of The Knee
Contributor:
de Faria, José Leonardo Rocha;
Pavão, Douglas Mello;
Villardi, Alfredo;
de Sousa, Eduardo Branco;
Guimarães, João Matheus;
do Carmo, José Maurício;
Mozella, Alan de Paula
Published:
SAGE Publications, 2021
Published in:
Orthopaedic Journal of Sports Medicine, 9 (2021) 6_suppl2
Language:
English
DOI:
10.1177/2325967121s00184
ISSN:
2325-9671
Origination:
Footnote:
Description:
The menisci are fibroelastic structures interposed between the articular surfaces of the femur and tibia. They absorb impact and transmit load. Meniscal injury may compromise function and cause rapid joint degeneration, leading to the development of secondary osteoarthritis. Surgical treatment of meniscal injury is usually performed by arthroscopy, and meniscectomy or meniscal suture may be associated with such treatment. Meniscal repair should be considered when the injury compromises the proper functioning of the meniscus to recover its anatomy and function. Different meniscal suture techniques exist; the most widely used are the inside-out, outside-in, and all-inside techniques. The gold-standard repair technique is the inside-out technique. A drawback of this technique is the need to alternate between intra- and extra-articular structures for every stitch, which makes it even more laborious. We describe the continuous meniscal suture technique, also called “meniscal stitching,” for a medial meniscal bucket-handle injury. This technique is performed from the inside out and allows the surgeon to perform multiple stitches with the same thread quickly and effectively. This surgical technique is performed using a single meniscal suture device, called the “Meniscus 4 A-II” device (Síntegra Surgical, Pompéia,SP, Brazil).