The Meniscal Cyst : Arthroscopic Decompression And Modified Outside-In Suture Repair of The Anterior Horn of Lateral Meniscus
Technical Note for Arthroscopic Treatment of The Meniscal Cyst 44
DOI:
https://doi.org/10.70284/njirm.v1i3.108Keywords:
Menisci Cyst, Arthroscopic Treatment, Repair, KneeAbstract
This article describes a modified suture technique designed for the vertical repair of the ante-rior horn of the meniscus after
arthroscopic decompression of a large meniscal cyst. This procedure comprises of three steps: first, the meniscus was pierced vertically
using a suture hook and a No. II PDS suture. Second, both ends of the No. II PDS on the femoral and tibial surfaces of the meniscus
were pulled to the out-side of the joint capsule using a spinal needle pre-loaded with suture material. Finally, a skin incision was
made adjacent to the suture materials, and both ends were tied. We recommend this technique not only for the vertical repair of the
anterior horn of the meniscus after decompression of large meniscal cyst, but also to repair a longitudinal tear of the meniscus.
References
Pearcy MJ (1995) Failure strengths of
different meniscal suturing techniques.
Arthroscopy 11:146–150
2. Brown MF, Dandy DJ (1990) Intraâ€articular
ganglia in the knee. Arthroscopy 6:322–323
3. Sarimo J, Rantanen J, Helttula I, Orava S
(2005) Intraâ€articular cysts and ganglia of the
knee: a report of nine paâ€tients. Knee Surg
Sports Traumatol Arthrosc 13:44–47
4. Flynn M, Kelly JP (1976) Local excision of
cyst of lateral meniscus of knee without
recurrence. J Bone Joint Surg Br 58:88–89
5 .Passler JM, Hofer HP, Peicha G,
Wildburger R (1993) Arthroscopic treatment
of menisci cysts. J Bone Joint Surg Br
75:303–304
6. Yasuda K, Majima T (1988) Intraâ€articular
ganglion blocking extension of the knee:
brief report. J Bone Joint Surg Br 70:837
7. Kang CN, Kim DW, Kim DJ, Kim SJ (1999)
Intraâ€articular ganglion cysts of the knee.
Arthroscopy 15:373–378
8. Yiannakopoulos CK, Chiotis I, Karabalis C,
Babalis G, Karliaftis C, Antonogiannakis E
(2004) A simplified arthroscopic outsideâ€in
meniscus repair technique. Arthrosâ€copy
20(Suppl 2):183–186
9. Mine T, Ihara K, Tanaka H, Taguchi T,
Azuma E, Tanigawa Y, Kawai S (2003) A giant
ganglion cyst that developed in the
infrapatellar fat and partly extended into the
knee joint. Arthroscopy 19:E40
10. Ryu RK, Ting AJ (1993) Arthroscopic
treatment of meniscal cysts. Arthroscopy
9:591–595
11. Kohn D, Siebert W (1989) Meniscus
suture techniques: a comparative
biomechanical cadaver study. Arthroscopy
5:324–327
12. Rodeo SA, Warren RF (1996) Meniscal
repair using the outsideâ€toâ€inside technique.
Clin Sports Med 15:469–481
