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KMID : 0359620120240020124
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Journal of Korean Knee Society
2012 Volume.24 No. 2 p.124 ~ p.127
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Modified Pull-out Suture in Posterior Root Tear of the Medial Meniscus: Using a Posteromedial Portal
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Cho Jin-Ho
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Abstract
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In cases with root tear of the medial meniscus posterior horn, the meniscus usually can be repaired by a pull out suture technique. However, there is difficulty in manipulating a suture hook via the anteromedial portal and looking through the arthroscopic camera via anterolateral portal in the narrow medial joint space at the same time. This article describes a modified simple pull out suture technique for root tear of the medial meniscus posterior horn using a posteromedial portal that provides a safe and easy handling of the suture hook. Our indications of this technique used in patients with Outerbridge 1-2 arthritic change and minimal varus axis change. Benefits of this technique are simple, less invasive, and reduced operation time by simultaneous suture with a hook via posteromedial portal and pulling of a string with grasper. It may reduce the possibility of an additional chondral or meniscal injury.
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KEYWORD
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Root tear of posterior horn, Medial meniscus, Modified pull-out suture
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Listed journal information
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