Meniscal Repair Using the Inside-Out Suture Technique

Background: Meniscus tears are common knee injuries that often require surgical intervention, especially in athletes and active individuals. The meniscus plays a crucial role in knee stability, load distribution, and shock absorption. The goal of surgical repair for a meniscus tear is to restore the integrity of the meniscus, thereby preserving knee function and preventing degenerative changes. Among various surgical techniques, the inside-out stitch technique stands out due to its effectiveness in achieving stable repairs while minimizing complications. This method allows for direct access to the meniscus from inside the joint and facilitates precise stitch placement. Methods: This study provides an overview of the inside-out stitch technique for meniscus repair. It discusses procedural steps, including patient positioning, arthroscopic access, and stitch placement. Initially, the surgeon prepares the knee joint using an arthroscope to visualize the meniscus and assess the extent of the tear. A cannula is then inserted into the joint to facilitate access to the meniscus. The surgeon uses a long, flexible needle to pass the stitches through the torn meniscus, exiting through small incisions made on the skin surface. This technique allows for multiple stitches to be placed securely while maintaining optimal tension on the meniscal tissue. Results: The results of employing the inside-out stitching technique indicate a high success rate in repairing meniscus tears. Studies show that this method results in favorable clinical outcomes, including improved knee function and reduced post-operative pain. Specifically, case reviews have shown that patients experienced significant improvements in range of motion and overall knee stability following repair. The rate of complications associated with this technique is relatively low, primarily involving minor issues such as infection or suture-related problems. The inside-out technique also allows for better visualization and manipulation of the meniscus during surgery, which is vital for achieving anatomical alignment and tension of the repair. Furthermore, recent advancements in suture materials and techniques have further enhanced the efficacy of this approach, leading to improved stabilization strength and recovery outcomes. Conclusion: In conclusion, the inside-out stitch technique for meniscus repair is a highly effective surgical option that offers numerous benefits for patients with meniscus tears. Its ability to provide stable repairs while minimizing complications makes it a preferred choice among orthopedic surgeons. By facilitating direct access to the meniscus and allowing for precise stitch placement, this technique enhances post-operative recovery and functional outcomes. Continued research aimed at optimizing this method and discovering new materials will likely further enhance its effectiveness in treating meniscus injuries.

کلیدواژه ها:

Meniscal tear ، Inside-out suture technique ، Knee surgery ، Arthroscopy ، Surgical repair ، Knee function