Thursday 1 May 2014

Meniscal root repair simplified

 The  currette is used to freshen the area of root attachment. A suture lasso is introduced from superior to inferior  and a PDs suture is loaded through the the loop. The 2  free ends are threaded through  the  pds loop to get a locking loop which brought out  by a ACL  jig guided wire passer to tie on a button on the proximal tibia.

 Earlier I used to pass two sutures which sometimes tore the ? Degenerate posterior horn while tightening . With the locked loop one can distribute the forces over a larger area without the risk of a tear. The same technique has been used to anchor bony avulsions of acl and pcl.
 recently I  use the knee scorpion


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