Arthroscopy: The Journal of Arthroscopic & Related Surgery
Technical noteAll-inside suture technique using two posteromedial portals in a medial meniscus posterior horn tear
Section snippets
Patient positioning
Allowing adequate room for placement of the posterior portals and space for maneuvering the intra-articular instruments is imperative when positioning the patient. The opposite healthy limb is elevated in a lithotomy position for further space security. The injured knee should be flexed 90°, which makes the posterior compartments roomy and enlarged. Also, this position permits manipulation of intra-articular instruments with relative ease and simultaneously protects the saphenous nerve by
Discussion
Meniscal fixators, despite some early promising clinical results,16, 17, 18 have been often reported as having several complications. The implant is too rigid and the knot is made in the articular surface of meniscus and is easy to break. Other complications include an inflammatory reaction combined with synovitis, possible cyst formation, possible migration, chondral injury, and insufficient tissue approximation.12, 16, 18, 19, 20, 21, 22, 23, 24, 25, 26 Most importantly, they are relatively
Acknowledgements
The authors deeply thank Chan Hwa Park and Myung Ju Shin for their assistance with the drawings in this article.
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