A collection of complex joint preservation and replacement case studies and random thoughts of a orthopedic surgeon essentially aimed at knowledge dissemination.
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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